Chapter·MicrobiologyAtypical

Chlamydia trachomatisDownloads

10Questions
10Flashcards
2Tables & Flowcharts

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Sample Questions

1

A 22-year-old sexually active, otherwise healthy female presents to her primary care physician complaining of several days of dysuria, frequency, urgency, and suprapubic pain. She denies fever, flank pain, vaginal itching, or vaginal bleeding/discharge. Which organism is most likely responsible for this patient's symptoms?

AEscherichia coli

BChlamydia trachomatis

CProteus mirabilis

DStaphylococcus saprophyticus

EKlebsiella pneumoniae

2

A 35-year-old woman visits the office with complaints of yellowish vaginal discharge and increased urinary frequency for a week. She also complains of pain during urination. Past medical history is irrelevant. She admits to having multiple sexual partners in the past few months. Physical examination is within normal limits except for lower abdominal tenderness. Urine culture yields Chlamydia trachomatis. What is the most appropriate next step in the management of this patient?

AAcyclovir

BDoxycycline

CMetronidazole

DClindamycin

EBoric acid

3

A previously healthy 25-year-old man comes to the physician because of a 1-week history of fever and fluid release from painful lumps in his right groin. He had an atraumatic ulceration of his penis about 1 month ago that was not painful and resolved on its own within 1 week. He works at an animal shelter for abandoned pets. He is sexually active with multiple male partners and does not use condoms. His temperature is 38.5°C (101.3°F). Examination of the groin shows numerous tender nodules with purulent discharge. The remainder of the examination shows no abnormalities. Which of the following is the most likely causal pathogen?

AHaemophilus ducreyi

BKlebsiella granulomatis

CTreponema pallidum

DBartonella henselae

EChlamydia trachomatis

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