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  #1  
Old 01-22-2012
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Wink Can't See, Can't Pee

A 20-year-old male complains of arthritis and eye irritation. He has a history of burning on urination. On exam, there is a joint effusion of the right knee and a dermatitis of the glans penis. Which of the following is correct?


A. Neisseria gonorrhoeae is likely to be cultured from the glans penis
B. The patient is likely to be rheumatoid factor positive
C. An infectious process of the GI tract may precipitate this disease
D. An ANA is very likely to be positive
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Old 01-22-2012
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Ans C ....... reiters syndrome ...........
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Old 01-22-2012
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C. An infectious process of the GI tract may precipitate this disease
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  #4  
Old 01-22-2012
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it is c reactive arthritis
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Old 01-22-2012
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C is rite.....
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  #6  
Old 01-24-2012
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C) CORRECT, Reiter syndrome is a reactive polyarthritis that develops several weeks after an infection such as nongonococcal urethritis or gastrointestinal infection caused by Yersinia enterocolitica, Campylobacter jejuni, or Salmonella orShigella species. Reiter syndrome is characterized as a triad of oligoarticular arthritis, conjunctivitis, and urethritis. The disease is most common among young men and is associated with the HLA-B27 locus. A circinate balanitis is painless and occurs in 25 to 40% of patients. Other clinical features may include waxy papules on the palms and soles called keratoderma blenorrhagicum, spondylitis, myocarditis, and thrombophlebitis. ANA and rheumatoid factor are usually negative. Gonorrhea can precipitate Reiter syndrome, but patients with the disease are culture negative.
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Microbiology-, Step-1-Questions, Syndromes-Acronyms

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