NBME 1 Q: HPV condylomas on a toddler ?!?! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 07-17-2012
usmledee's Avatar
USMLE Forums Veteran
Steps History: 1+CK+CS
Posts: 257
Threads: 69
Thanked 122 Times in 63 Posts
Reputation: 132
Default NBME 1 Q: HPV condylomas on a toddler ?!?!

A 3-year-old girl is brought to the physician after her mother noted blood on her underpants. Examination shows genital condylomata acuminata in the perineal, peri-introital, labial, and anal areas. Some of the pedunculated condylomata appear to have caused the bleeding. She has no visible intravaginal condylomata or vaginal or anal tears. Her mother has a palmar wart on her hand but no history of condylomata acuminata. Her mother has a boyfriend who does not live with them and who has never been left alone with the girl. They live with the mother's 27-year-old brother who only baby-sits the children when they are asleep. Which of the following is the most appropriate next step in management?

A.Psychiatric assessment of the mother

B.DNA typing of the mother's palmar wart for papillomavirus

C.Treatment of the mother's palmar wart

D.Vaginal, anal, and throat cultures for Chlamydia trachomatis and Neisseria gonorrhoeae in the child

E.Laser therapy of the condylomata acuminata in the child
Reply With Quote Quick reply to this message

Old 07-18-2012
USMLE Forums Addict
Steps History: 1+CK+CS+3
Posts: 151
Threads: 48
Thanked 108 Times in 60 Posts
Reputation: 118

D...child abuse...HPV serotypes 6 and 11 cause anogenital warts...and also laryngeal papilloma also caused by HPV 6 and 11 hence the need for throat investigation too!!!

palmar or plantar warts caused by HPV 1-4...hence different serotypes..Treating mother warts has no role here..other options not helpful
Reply With Quote Quick reply to this message
The above post was thanked by:
HappyStudy (12-04-2012), rocketprinciple (07-27-2012), shine4ever (12-30-2013), usmledee (07-18-2012)


Quick Reply

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:
Please enter a password for your user account. Note that passwords are case-sensitive.
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.
Where you live. Leave blank if you don't want to tell.


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
Score dropped from NBME 6 to NBME 7 maria_d USMLE Step 1 Forum 13 06-14-2012 09:41 PM
Free NBME/USMLE CD and NBME anatomie USMLE Step 3 Forum 6 05-21-2012 12:03 PM
NBME 3 versus NBME 5; which is harder? pash USMLE Step 1 Forum 0 06-22-2011 04:49 PM
NBME offline versus NBME online jarcelin USMLE Step 1 Recommended Threads 2 02-14-2011 09:01 AM
NBME forms? How do you sign up on the NBME website? dazzles USMLE Step 1 Forum 1 09-05-2010 02:40 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 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)