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 EMQ 30

 

   

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EMQ: 30

Sexually transmitted infections

a)      Neisseria gonnorhoeae

b)      Treponema pallidum

c)      Haemophilus ducreyi

d)     Chlamydia trachomatis

e)      HIV

f)       Human Papilloma Virus

g)      Ureaplasma urealyticum

h)      Haemophilus vaginalis

i)        Mycoplasma genitalium

j)        Klebsiella granulomatis

 

1)      A 32 year old male presents with complaining of ulcers on his penis. He gives a history of unprotected sexual intercourse 2 seeks prior to presentation. On examination he is noted to have ulcerated nodules on the shaft of his penis. They are painless.

2)      A 34 year old male presents with a history of a burning sensation on passing urine and increased frequency of micturition. He also has a white discharge per urethra. Gram stain done on the discharge does not show any gram negative cocci. Which organism is the most likely to be responsible?

3)      A 40 year old male presents with an ulcer on his penis. He gives a history of unprotected sexual intercourse 3 weeks prior to presentation. On examination he has a painless, indurated ulcer on the glans penis and there is regional lymphadenopathy  

4)      A 35 year old male presents with ulceration on his penis. He gives a history of unprotected sexual intercourse 6 days prior to presentation. On examination he is noted to have multiple ulcers on his prepuce and frenulum. The ulcers have a necrotic base and ragged edge; they are painful and bleed easily. There is unilateral inguinal lymphadenopathy  

5)      A 24 year old male presents with pain and a burning sensation on passing urine. 2 weeks prior to presentation he has had unprotected sexual intercourse. On examination he is noted to have a purulent discharge per urethra.  Gram stain shows gram negative diplococci

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