USMLE Forum Archives - USMLE Step 2 CK - ID 1
ID 1
conym5 - 11-20-09 22:48
A patient complained to his dentist about a draining lesion in his
mouth. A Gram’s stain of the pus showed a few Gram-positive cocci, leukocytes,
and many branched Gram-positive rods. The most likely cause of the
disease is
conym5 - 11-20-09 22:48
A patient complained to his dentist about a draining lesion in his
mouth. A Gram’s stain of the pus showed a few Gram-positive cocci, leukocytes,
and many branched Gram-positive rods. The most likely cause of the
disease is
The correct answer and explanation will be available after you answer.
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#2
Re: ID 1
conym5 - 11-23-09 07:18 The patient presented with
typical symptoms of actinomycosis. Actinomyces israelii is normal flora in
the mouth. However, it causes a chronic draining infection, often around
the maxilla or the mandible, with osteomyelitic changes. Treatment is highdose
penicillin for 4 to 6 weeks. The diagnosis of actinomycosis is often
complicated by the failure of A. israelii to grow from the clinical specimen.
It is an obligate anaerobe.
#30
Re: ID 1 mtniharika - 04-29-10 09:02 My answer is: a.
The disease is characterized by the formation of painful abscesses in the mouth, lungs,or gastrointestinal tract.
#31
Re: ID 1 babbu5508 - 05-23-10 02:40 My answer is: a.
Once in the tissue, it forms an abscess, producing a hard, red to reddish-purple lump, often on the jaw, from which comes the condition's common name, "lumpy jaw."
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