A 23 year old man cones to see you complaining of an embarrassing problem. He ha

Question

A 23 year old man cones to see you complaining of an embarrassing problem. He has burning on urination (dysuria) and a thick virulent discharge coming from his penis. He has a new girlfriend that he's been intimate with for three weeks. He admits that he hasn't been practicing safe sex.
A. The disease that this young man had likely contracted is
1. syphilis
2. gonorrhea
3. Herpes simplex II
4. Chlamydia
5. HIV
B. The causative can be determined by streaking the urethral exudates on
1. selective medium
2. mannitol sugar agar
3. sheep's blood agar
4. thioglycolate
5. Thayer Martin agar (chocolate agar)
C.The disease that you have diagnosed in this person requires you too contact the health department.
1. true
2. false
D. Possible sequelae to this disease include all of the following except
1. erysipeals
2. pelvic inflammatory disease (in females)
3. ophthalmia moratorium (in newborns)
4. arthritis
5. sterility
E. A disease that is often present at the same time as this one is
1. syphilis
2. gonorrhea
3. HIV
4. Chlamydia
5. Herpes
F. Treatment of this disease (and the one that often comes with it) is with
1. penicillin
2. cephalosporin
3. tetracyclines
4. flagyl (metronidazole)
5. 3&4

This is microbiology.

Explanation / Answer

A. The disease that this young man had likely contracted is -
Answer-
4. Chlamydia- The symptoms are indicating chlamydia. How ever other given problems also may cause dysuria but the abnormal penile dischage can seen in this case only. However it is less common.

B. The causative can be determined by streaking the urethral exudates on
Answer-
3. sheep's blood agar- It cannot be grown on an artificial medium.

C.The disease that you have diagnosed in this person requires you too contact the health department.
2. false- This is not a much epidemic it can be treated with some instuctions. However it is a transmitted so we must be carefull about the isolation.

D. Possible sequelae to this disease include all of the following except-

Answer-

1. erysipeal- It not have any relation with the Chlamydia. Where other disease those are in the option are related to Chlamydia.

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