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  #1  
Old 01-16-2013
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A 45-year-old veteran is seen in the clinic because
of poor impulse control. Over the past
month he has spent all of his savings on business
ventures and is currently estranged from
his wife. He admits a decreased need for sleep,
a new sense of grandiosity, and increased energy
spent on researching projects to make
money. He has no prior psychiatric history, and
his only medical history includes treatment for
gonorrhea during his military service and an
appendectomy at age 36 years. Physical examination
reveals a thin, middle-age man with
pressured speech. His pupillary examination is
normal, except that the pupils are reactive to
convergence but not to light. Infection with
which of the following organisms is the most
likely etiology of his symptoms?
(A) Chlamydia trachomatis
(B) Herpes simplex virus
(C) Neisseria gonorrhoeae
(D) Toxoplasma
(E) Treponema pallidum
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  #2  
Old 01-16-2013
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e.treponema pallidum
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  #3  
Old 01-16-2013
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E.....tertiary syphilis....Argyll Robertson Pupil (Accommodation Reflex Present and Light reflex absent)......
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Matched!!!
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  #4  
Old 01-16-2013
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obviously.........Argyl Robertson pupil.......of tertiary syphilis...from E) Treponema pallidum
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Old 01-16-2013
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agree with you..friends
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  #6  
Old 01-16-2013
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Default (E) Treponema pallidum

(E) Treponema pallidum
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