nbme form2. q5..... - lacoperon

[ArchivalUser]

5.) 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

[ArchivalUser]

EEE

[ArchivalUser]

b?

[ArchivalUser]

Saying out " E" is an example of what not to do..hehe...see the term " Pain" in vulva...
It might be b or a

[ArchivalUser]

yes. i am confused between a and b. not sure which one forms satellite lesions.
any more opinions??