USMLE Forum Archives - USMLE Step 2 CK - Infectious Disease b
Infectious Disease b
paperp - 10-22-10 15:04
A 23 year old male complains of a painful bump on his penis that has now 'opened'. He states that the bump first occured a week ago. The patient has a past medical history of asthma and eczema for which he is taking an albuterol inhalor occasionally and topical steroid cream occasionally. He had a pneumonia 6 months ago for which he was prescribed azithromycin, which has subsequently resolved. The patient has allergies to pencillin which gives a rash, sulfa drugs which causes a severe reaction as well as food allergies to peanuts, nuts and shellfish. On physical exam you note a painful yellow ulcer.
Which is the next best test to diagnose the patient?
paperp - 10-22-10 15:04
A 23 year old male complains of a painful bump on his penis that has now 'opened'. He states that the bump first occured a week ago. The patient has a past medical history of asthma and eczema for which he is taking an albuterol inhalor occasionally and topical steroid cream occasionally. He had a pneumonia 6 months ago for which he was prescribed azithromycin, which has subsequently resolved. The patient has allergies to pencillin which gives a rash, sulfa drugs which causes a severe reaction as well as food allergies to peanuts, nuts and shellfish. On physical exam you note a painful yellow ulcer.
Which is the next best test to diagnose the patient?
The correct answer and explanation will be available after you answer.
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#1
Re: Infectious Disease b
babbu5508 - 10-23-10 03:30 My answer is: e.
painful yellow ulcer....could be chancroid due to hemophilus ducreyi.....do a gram stain to see organisms....
#8
Re: Infectious Disease b
sudha2015 - 03-28-11 00:17 On physical exam you note a painful yellow ulcer.
Which is the next best test to diagnose the patient
A
#9
Re: Infectious Disease b
babbu5508 - 03-31-11 21:55 On physical exam you note a painful yellow ulcer...h.ducreyi
Which is the next best test to diagnose the patient?
a. culture
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