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Ob-Gyn NBME Form 1 Exam with Questions and Answers, Exams of Gynecology
Ob-Gyn NBME Form 1 Exam with Questions and Answers 18 yo - 1 day of fever, N/V, diarrhea w/ diffuse rash menses regular LMP started 3 days ago - uses tampons and pads sexually active w/ 1 male partner - contraceptive patch 102.2 F RR - 22/min BP - 90/60 mmHg PE: diffuse, erythematous, maculopapular rash over perineum and thighs pelvic exam: cervical motion, uterine, and BL adnexal tenderness w/ no masses most likely organism? ANSWER S.aureus homegirl has toxic shock syndrome S.aureus produces epidermal toxin: TSST-1 symptoms: high fever, HoTN, diffuse erythematous macular rash, desquamation of palms and soles 1-2 wks after acute illness, and multi system involvement of 3+ organ systems extra: GI disturbances, myalgia, mucous membrane hyperemia, inc BUN and Cr, platelets <100,000, and alteration in consciousness tx: admit; IV fluids + pressors; clindamycin + vancomycin or linezolid (MRSA) or nafcillin/oxacillin (MSSA)
Typology: Exams
2024/2025
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