Question

1.) A 35 year old male presents with tender inguinal lymphadenopathy since 2 weeks ago, he also reports noting clear stains on his white underwear which don't smell like urine". History is significant for recent travel to South Africa 6 weeks ago. His Covid-19 PCR taken 1 day ago is negative. Which organism is most likely causing this patient's current symptoms? a) N. gonorrhea b) T. pallidum c) Covid 19 d) Ureaplasma urealyticum e) Chlamydia trachomatis f) Human Immunodeficiency Virus g) Mycobacterium tuberculosis 2.) The right testis of a 67 year old male is enlarged to twice its normal size when compared to the left over the past year, the patient denies pain or burning urination. History is significant for extensive travel to Southeast Asia over his career as an international banker, he retired two years ago. The testis is removed and the epididymis and upper aspect of the right testis show multiple discreet granulomas with central necrosis and peripheral fibrosis. The tissue adjacent to the lesion appears histologically normal. The most probable cause of these findings is: a) a testicular seminoma b) a history of mumps during childhood c) sarcoidosis d) previously undiagnosed spirochete infection e) reactivation of latent tuberculosis

          1.) A 35 year old male presents with tender inguinal lymphadenopathy since 2 weeks ago, he
also reports noting clear stains on his white underwear which don't smell like urine". History is
significant for recent travel to South Africa 6 weeks ago. His Covid-19 PCR taken 1 day ago is
negative. Which organism is most likely causing this patient's current symptoms?
a) N. gonorrhea
b) T. pallidum
c) Covid 19
d) Ureaplasma urealyticum
e) Chlamydia trachomatis
f) Human Immunodeficiency Virus
g) Mycobacterium tuberculosis
2.) The right testis of a 67 year old male is enlarged to twice its normal size when compared to
the left over the past year, the patient denies pain or burning urination. History is significant for
extensive travel to Southeast Asia over his career as an international banker, he retired two
years ago. The testis is removed and the epididymis and upper aspect of the right testis show
multiple discreet granulomas with central necrosis and peripheral fibrosis. The tissue adjacent
to the lesion appears histologically normal. The most probable cause of these findings is:
a) a testicular seminoma
b) a history of mumps during childhood
c) sarcoidosis
d) previously undiagnosed spirochete infection
e) reactivation of latent tuberculosis

1.) A 35 year old male presents with tender inguinal lymphadenopathy since 2 weeks ago, he
also reports noting clear stains on his white underwear which don't smell like urine". History is
significant for recent travel to South Africa 6 weeks ago. His Covid-19 PCR taken 1 day ago is
negative. Which organism is most likely causing this patient's current symptoms?
a) N. gonorrhea
b) T. pallidum
c) Covid 19
d) Ureaplasma urealyticum
e) Chlamydia trachomatis
f) Human Immunodeficiency Virus
g) Mycobacterium tuberculosis
2.) The right testis of a 67 year old male is enlarged to twice its normal size when compared to
the left over the past year, the patient denies pain or burning urination. History is significant for
extensive travel to Southeast Asia over his career as an international banker, he retired two
years ago. The testis is removed and the epididymis and upper aspect of the right testis show
multiple discreet granulomas with central necrosis and peripheral fibrosis. The tissue adjacent
to the lesion appears histologically normal. The most probable cause of these findings is:
a) a testicular seminoma
b) a history of mumps during childhood
c) sarcoidosis
d) previously undiagnosed spirochete infection
e) reactivation of latent tuberculosis

Added by Steven K.

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