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Kaplan Qbank USMLE



Author4 Posts
  #1

.) A sexually active 20-year-old woman has had fever, chills, malaise, and pain of the
vulva for 2 days. Examination shows a vulvar pustule that has ulcerated and
formed multiple satellite lesions. Nodes are palpated in the inguinal and
femoral areas. A smear of fluid from the lesions establishes the diagnosis.
Which of the following is the most likely causal organism?

A) Chlamydia trachomatis

B) Haemophilus ducreyi

C) Neisseria gonorrhoeae

D) Streptococcus pyogenes (group A)

E) Treponema pallidum

  #2

H ducreyi

reason = painful lymphadenopathy, organism present in the fluid, usually multiple lesions

T pallidum... there is ulcer with no pustulation

GAS .. usually not present here

neisseria and chalmydia dont cause keratized stratified epithelial lesions

  #3

yes b

  #4

B) Haemophilus ducreyi -----------can make u cry (FA )grin

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