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Kaplan Qbank USMLE



Author5 Posts
  #1

A clinical presentation is given where a pupil constricts with accommodation and is not reactive to light. What is the treatment? The bug? The name of the syndrome? AND what is the method to visualize the bug!

  #2

i think that is the argyll robertson pupils which correpond to the tertiary syphilis... :oops:

  #3

argyl robertson pupil....tertiary syphilis.

FTA-ABS or MHA-TP) and nonspecific treponemal-antibody assay (Venereal Disease Research Laboratory [VDRL] test or rapid plasma reagin [RPR]). VDRL

  #4

the bug is treponema pallidum.
diagnosis by:
1/non specific test: nontreponemal reaginic : VDRL/RPR or automated reagin test (ART)
specific treponemal antibodies: more specific but too expensive used only to confirm reagin test /// FTA -abs; TPHA
trt: peni G ( benzylpenicillin)

  #5

i forgot to mention TX and name of the bug

treponema pallidum and Tx is penicillin G







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