Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  NBME F6 S2 




 



Author4 Posts
  #1

A 25-year-old man develops fever, muscle pain, and headache 1 week after being bitten by several ticks while camping near the Grand Canyon. The fever remits and he feels better in 7 days. Two to four days later, his symptoms recur. A Giemsa stain of a peripheral blood stain shows intracellular bacterium. Which of the following is the most likely explanation of the reoccurrence of symptoms?

A) Expression of endotoxin-like structures on the surface of the organism
B) Migration of the organism from a tissue site to the blood stream
C) Production of a toxin that had become suppressed during the infection
D) Secondary infection by a different organism of the same species
E) Variation of a major surface protein antigen of the organism

  #2

B

  #3

i disagree...it seems like the person was infected with a borrelia species, which is known for antigen variation (borrelia recurrentis)...thus leading to a relapsing fever

so i pick E

p.s. the bacterium was not intracellular...the picture showed a wbc, 3 rbcs and 2 spirochetes

  #4

e


___________________
Eterea ……..“Hoc in loco mors succurrere vivis gaudet”……("In this place death comes joyfully to the aid of the living" )

  #5

A 25-year-old man develops fever, muscle pain, and headache 1 week after being bitten by several ticks while camping near the Grand Canyon. The fever remits and he feels better in 7 days. Two to four days later, his symptoms recur. A Giemsa stain of a peripheral blood stain shows intracellular bacterium. Which of the following is the most likely explanation of the reoccurrence of symptoms?

A) Expression of endotoxin-like structures on the surface of the organism
nodB) Migration of the organism from a tissue site to the blood stream
C) Production of a toxin that had become suppressed during the infection
D) Secondary infection by a different organism of the same species
E) Variation of a major surface protein antigen of the organism









You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.