cirus
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A 27-year-old woman is admitted to the hospital with complaints of lower abdominal pain, mucoid vaginal discharge, nausea, and vomiting for three days. She denies skin and mucosal lesions or dysuria. Her last menstrual period was two weeks ago. Her temperature is 101.4 F. She has tenderness in the right lower abdominal quadrant. The pelvic examination shows bilateral adnexal tenderness and pain with cervical motion. There is a cloudy mucoid discharge from the cervix. The pregnancy test is negative. Gram stain of the cervical discharge shows whites cells with no organisms, and the culture is pending. The patient is started on appropriate antibiotics. Which test would you do next to confirm the diagnosis?
(A) DNA probe test
(B) Vaginal ultrasonography
(C) Laparoscopy
(D) Ligase chain reaction (LCR) assay
(E) Direct immunofluorescence assay
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| jot1313
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:eyebrow ??
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| jot1313
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oops ..D??
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| robin082006
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Ligase chain reaction
PID, mostly Clamydia and Gonococcus
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| cirus
Forum Guru
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I thought it was DNA, I was wrong, i cheked in Kaplan, it was still DNA, but in the explanation they said that Ligase chain reaction is more senst & specific
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| SkiKidd
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LCR and PCR are almost the same thing. So if given the option btwn PCR and DNA probe you'd probably pick PCR which is why LCR was the answer.
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