WBR1500
| Author | PageAuthor::William J Gibson |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Microbiology |
| Sub Category | SubCategory::General Principles, SubCategory::Infectious Disease |
| Prompt | [[Prompt::A 35-year-old male presents to his primary care physician for muscular pain, sweating and fever over the past five days. He reports that his fever tends to increase throughout the day and falls at night. The patient denies any recent travel to foreign countries, or new sexual partners. He works as a goat farmer and hunts deer on the weekends. Physical exam is notable for cervical lymphadenopathy. If untreated, which of the following complications is most likely?]] |
| Answer A | AnswerA::Meningitis |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Orchitis |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Migratory arthralgia |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Endocarditis |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Osteomyelitis |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::E |
| Explanation | [[Explanation::The patient in this vignette has a classic case of undulating fever, caused by Brucella species. Educational Objective: Undulating fever is caused by infection with Brucella species. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Microbiology, WBRKeyword::Zoonotic, WBRKeyword::Bacteria, WBRKeyword::Fever, WBRKeyword::Brucella |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |