Cervical Motion Tenderness Microbe! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-28-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 339
Threads: 94
Thanked 330 Times in 150 Posts
Reputation: 290
Question Cervical Motion Tenderness Microbe!

A sexually active 18-year-old woman presents with a fever of 102 F for the past 24 hours and lower abdominal pain and anorexia for the past 5 days. On physical examination, there is generalized tenderness of the abdomen, and the cervix is erythematous with motion tenderness. There is no rash nor any lesions on the external genitalia. A smear of the odorless cervical discharge contains sloughed epithelial cells and scant neutrophils. Which of the following would likely be found in the exudate?

A. A naked, icosahedral double-stranded circular DNA virus
B. Iodine-staining intraepithelial inclusion bodies
C. Intraneutrophilic gram-negative diplococci
D. Intranuclear "owl's eye" inclusion bodies
E. Lactose-fermenting gram-negative bacilli
F. Pear-shaped flagellated protozoa
G. Pleomorphic, gram-negative rods
H. Spirochetes on dark-field microscopy
Reply With Quote Quick reply to this message
The above post was thanked by:
Chemole (07-02-2011), heights (06-28-2011), pass7 (06-28-2011), usluipek (06-29-2011)



  #2  
Old 06-28-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,260 Times in 881 Posts
Reputation: 3270
Default

B. Iodine-staining intraepithelial inclusion bodies

pelvic inflammatory disease => Chlamydia trachomata
Reply With Quote Quick reply to this message
The above post was thanked by:
pass7 (06-28-2011), usluipek (06-29-2011)
  #3  
Old 06-28-2011
heights's Avatar
USMLE Forums Master
 
Steps History: Not yet
Posts: 557
Threads: 69
Thanked 1,041 Times in 351 Posts
Reputation: 1061
Default

C. Intraneutrophilic gram-negative diplococci
Neisseria gonorrhea.

Both chlamydia (choice B) and gonorrhea can cause PID, but chlamydia is often subacute and asymptomatic, while gonorrhea is acute with high fever. Usually treat for both in the diagnosis of pelvic inflammatory disease (ceftriaxone & doxycycline).
Reply With Quote Quick reply to this message
The above post was thanked by:
docmd11 (06-28-2011), patelMD (06-28-2011), usluipek (06-29-2011)
 
  #4  
Old 06-28-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,260 Times in 881 Posts
Reputation: 3270
Default

Quote:
Originally Posted by heights View Post
C. Intraneutrophilic gram-negative diplococci
Neisseria gonorrhea.

Both chlamydia (choice B) and gonorrhea can cause PID, but chlamydia is often subacute and asymptomatic, while gonorrhea is acute with high fever. Usually treat for both in the diagnosis of pelvic inflammatory disease (ceftriaxone & doxycycline).
discharge contains sloughed epithelial cells and scant neutrophils, gonorrhea?...
Reply With Quote Quick reply to this message
  #5  
Old 06-28-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 339
Threads: 94
Thanked 330 Times in 150 Posts
Reputation: 290
Default

correct answer is B
Reply With Quote Quick reply to this message
  #6  
Old 06-28-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 339
Threads: 94
Thanked 330 Times in 150 Posts
Reputation: 290
Default

The presentation is typical for pelvic inflammatory disease (PID). Chlamydia trachomata (serotypes D-K) is the most common bacterial cause of sexually transmitted disease (STD) in this country and is the most likely agent on the list to produce the symptoms described. It is an ATP-defective organism that must therefore live intracellularly in the human host and can be visualized inside epithelial cells with iodine, Giemsa, or fluorescent-antibody stains. The remainder of the answer choices refer to other agents that could be found in the female genital tract, either by sexual transmission or by contamination with fecal flora, but they are not the best choices.
Reply With Quote Quick reply to this message
The above post was thanked by:
heights (06-28-2011), pass7 (06-28-2011)



Reply

Tags
Microbiology-, Reproductive-, Step-1-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Cervical Cancer Staging Seetal USMLE Step 2 CK Forum 3 01-15-2011 08:11 AM
Cervical Skin Tags! RRMadukha USMLE Step 2 CK Forum 4 04-26-2010 11:48 PM
RLQ Pain & Tenderness + Fever? Hohepa USMLE Step 2 CK Forum 6 04-12-2010 03:49 PM
CVA tenderness, How to examine? atinib USMLE Step 2 CS Forum 2 02-04-2010 01:47 PM
Diagnose this T2-weighted MRI of cervical spine docspike USMLE Step 1 Forum 5 10-23-2009 03:24 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)