WBR0700

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Author [[PageAuthor::Mohamed Moubarak, M.D. [1]]]
Exam Type ExamType::USMLE Step 3
Main Category MainCategory::Emergency Room
Sub Category SubCategory::Infectious Disease
Prompt [[Prompt::A 27 years old female comes to ER, complaining of dysuria and mucopurulent discharge per urethra, she had these symptoms for 5 days. She is sexually active, with no other medical problems. On examination, there is no other positive finding, except for the mucopurulent discharge. What is the most likely diagnosis?]]
Answer A AnswerA::Chlamydia
Answer A Explanation [[AnswerAExp::Incorrect

Chlamydia infection is characterized by watery or mucoid urethral discharge.]]

Answer B AnswerB::Gonorrhea
Answer B Explanation [[AnswerBExp::Incorrect

Gonorrheal infection is characterized by purulent discharge.]]

Answer C AnswerC::Chlamydia /Gonorrhea
Answer C Explanation [[AnswerCExp::Correct

Coexistence of Chlamydia and gonorrhea infection is the usual case, with characteristic mucopurulent discharge.]]

Answer D AnswerD::Syphilis
Answer D Explanation [[AnswerDExp::Incorrect

Syphilis is characterized by papular lesion on genitalia, which later on ulcerate.]]

Answer E AnswerE::Lympho granuloma venerum
Answer E Explanation [[AnswerEExp::Incorrect

Patients usually presented by bilateral inguinal lymph node with draining sinus.]]

Right Answer RightAnswer::C
Explanation [[Explanation::Chlamydia and gonorrhea infection are very often coexist, differentiation between them clinically is difficult. Treatment should be directed to both of them.

Educational Objective:
References: ]]

Approved Approved::No
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