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Old 07-26-2014
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Default A sexually active 37-year-old woman with pain in the area of her genitals

A sexually active 37-year-old woman comes to the physician because of a 2-day history of pain in the area of her genitals. Pelvic examination shows shallow, small, extremely tender ulcers with red bases in the vulvar and vaginal regions. A Tzanck smear shows the presence of multinucleated giant cells. Which of the following infectious agents is the most likely cause of these findings?

(A) Candida albicans
(B) Chlamydia trachomatis
(C) Herpes simplex virus
(D) Treponema pallidum
(E) Trichomonas vaginalis
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Old 07-26-2014
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I think C.. HSV
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Old 07-26-2014
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A positive Tzanck test, showing three multinucleated giant cells ("Tzanck cells") in center.
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Last edited by Novobiocin; 07-26-2014 at 08:16 AM.
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Old 07-26-2014
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Yeah, I'd go with HSV too, so --> C
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Old 07-27-2014
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Yea herpes so C
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