nbme - byhisgrace

[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]

BB

[ArchivalUser]

B too

[ArchivalUser]

asfaras iknow chancroid cause asingle ulcer&no sys sym.. ,what about A.

[ArchivalUser]

but the satellite phenomenon is only with H.ducreyi.

[ArchivalUser]

hi all
but my problem is the diagnostic test. Ducreyi is by gram stain or pcr

here it says a smear of the fluid gives the diagnosis.

kaplan says chlamydia can be isolated from the pus in buboes.

I was thinking A bcs of the dc method and the systemic symtoms.