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A 22-year-old woman named Sarah Michelle Gellar sees you for pain and burning on urination. She says she is a virgin and has never had sexual relations. The preg. Test at the office is HCG (-). She states that the symptoms started two days ago and have worsened since. She has a slight fever and has never had these symptoms before. She has hypothyroidism for which she takes thyroid hormone replacement. Otherwise she has no medical problems. Physical Examination is unremarkable including a normal pelvic examination. A KOH and normal saline "wet prep" is performed on her vaginal discharge and is negative. Urinalysis reveals numerous white blood cells. She has never had a kidney stone. Which of the following is the most likely pathogen? 1-Trichomonas vaginalis 2-Staph. Aureus 3-Klebsiella 4-Pseudomonas 5-E. coli 6-Trichomonas 7-Candidiasis 8-Staph. Saprophyticus 9-Group B Strep 10-Chlamydia 11-Proteus 12-Enterobacter

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Subject: Tommy's Concepts

Question

A 22-year-old woman named Sarah Michelle Gellar sees you for pain and burning on urination. She says she is a virgin and has never had sexual relations. The preg. Test at the office is HCG (-). She states that the symptoms started two days ago and have worsened since. She has a slight fever and has never had these symptoms before. She has hypothyroidism for which she takes thyroid hormone replacement. Otherwise she has no medical problems. Physical Examination is unremarkable including a normal pelvic examination. A KOH and normal saline "wet prep" is performed on her vaginal discharge and is negative. Urinalysis reveals numerous white blood cells. She has never had a kidney stone. Which of the following is the most likely pathogen?

1-Trichomonas vaginalis
2-Staph. Aureus
3-Klebsiella
4-Pseudomonas
5-E. coli
6-Trichomonas
7-Candidiasis
8-Staph. Saprophyticus
9-Group B Strep
10-Chlamydia
11-Proteus
12-Enterobacter

Answer

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