#february2020mccqe1
A 26-year-old woman complains of painful and frequent urination for 2 days. She has no significant medical history and has had a monogamous sexual relationship with another woman for the past year. Her temperature is 37.2 C (99 F), blood pressure is 120/70 mm Hg, pulse is 68/min, and respirations are 12/min. There is no costovertebral angle tenderness, the abdomen is soft, and there is mild suprapubic tenderness. The pelvic examination is within normal limits except for tenderness at the urethral meatus. Urinalysis reveals 23 white blood cells per high-power field. Which of the following is the most likely pathogen?
(A) Chlamydia trachomatis
(B) Escherichia coli
(C) Klebsiella pneumoniae
(D) Proteus sp.
(E) Staphylococcus saprophyticus
A 26-year-old woman complains of painful and frequent urination for 2 days. She has no significant medical history and has had a monogamous sexual relationship with another woman for the past year. Her temperature is 37.2 C (99 F), blood pressure is 120/70 mm Hg, pulse is 68/min, and respirations are 12/min. There is no costovertebral angle tenderness, the abdomen is soft, and there is mild suprapubic tenderness. The pelvic examination is within normal limits except for tenderness at the urethral meatus. Urinalysis reveals 23 white blood cells per high-power field. Which of the following is the most likely pathogen?
(A) Chlamydia trachomatis
(B) Escherichia coli
(C) Klebsiella pneumoniae
(D) Proteus sp.
(E) Staphylococcus saprophyticus
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