A 32-year-old man is evaluated in hospital for a 2-week history of progressively worsening pain with swallowing. He has history of IV drug use. Vitals are normal. Which of the following represents the most appropriate oral pharmacotherapy for this patient?

A 30-year-old man is evaluated in hospital. A urinalysis and his hand are shown.

Which of the following is most likely to be seen in this patient?

A) Conjunctivitis
B) Deficiency of complement protein C1q
C) Infection with obligate intracellular organism
D) Tenosynovitis
E) Treatment with azithromycin or doxycycline

A 40-year-old man presents to the clinic with a 1-week history of progressively worsening visual acuity in his left eye. He has not had blood work performed in many years. He is enrolled in a methadone program.

Which of the following is most likely to be seen in this patient?

A) Blood glucose of 440 mg/dL
B) Blood pressure of 200/100
C) Bone-spicule pigmentation
D) Cowdry bodies
E) Owl eyes

A 2-day-old newborn is evaluated for poor feeding and abnormal eye findings. Physical exam shows bilateral cloudy lenses, a pan-systolic pan-diastolic murmur, and numerous purplish-red skin lesions on the trunk and extremities. The infant fails the newborn hearing screening. Which of the following is most likely to have been seen in the mother during pregnancy?

A) Arthritis
B) Chancre
C) Cowdry bodies
D) Owl-eye inclusions
E) Working in a pet store

A 27-year-old man comes to the physician for a follow-up appointment. He has traveled extensively the past few years through Europe and Africa backpacking. A scraping from a skin lesion is shown. In the absence of appropriate treatment, which of the following is most likely to develop in this patient?

A) Asterixis
B) Intention tremor
C) Romberg sign
D) Pill-rolling tremor
E) Uhthoff sign

A researcher performs an autopsy on a 49-year-old man who passed away following a rupture of the aorta. He was from Papua New Guinea and had not received any prior care. The researcher notes a characteristic “tree bark” appearance of the aorta on gross inspection.

Which of the following best describes the causal organism?

A) Associated with patent ductus arteriosus in neonates
B) Cord factor is a virulence factor
C) Morphologically resembles a question mark
D) Treated first-line with high-dose amoxicillin
E) Visualized with dark field microscopy

A 59-year-old man comes to the physician for a follow-up appointment. He is on the methadone program. Vitals are normal.

Which of the following is most likely to be seen in this patient?

A) Bloody diarrhea
B) Blurry vision
C) Pulmonary infiltrates
D) Steatorrhea
E) Watery diarrhea

A 34-year-old woman is evaluated at the outpatient clinic. Vitals are normal.

Which of the following is the mechanism of action of the most appropriate pharmacotherapy?

A) 30S inhibitor
B) 50S inhibitor
C) Dihydrofolate reductase inhibitor
D) DNA gyrase inhibitor
E) Forms toxic metabolites

A 52-year-old man comes to the physician for a 2-day history of mildly productive cough and low-grade fever. A chest x-ray is shown.

Which of the following best describes the most likely causal organism?

A) Gram-positive cocci in chains
B) Gram-positive cocci in clusters
C) Gram-positive diplococci
D) Gram-negative diplococci
E) Gram-negative rods

A 31-year-old man from Massachusetts comes to the physician for a 3-day history of slightly yellow eyes, fatigue, and low-grade fever. He has no past medical history or history of travel. Physical examination shows mild scleral icterus. A blood smear is shown.

Which of the following is the most likely explanation for this patient’s findings?

A) Acanthamoeba
B) Anaplasmosis
C) Babesiosis
D) Ehrlichiosis
E) Malaria