WBR0700

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
Keyword
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