PANCE Exam Practice Questions: Quiz 351 March 23, 2016 By Aamir Khan Leave a Comment A 25-year-old male student presents with the chief complaint of rash. He denies headache, fever, or myalgia. A slightly pruritic maculopapular rash is noted over the abdomen, trunk, palms of the hands, and soles of the feet. Inguinal, occipital, and cervical lymphadenopathy is also noted. Hypertrophic, flat, wartlike lesions are noted around the anal area. Laboratory studies show the following: Hct: 40% Hgb: 14 g/dL WBC: 13,000/μL Diff: 50% segmented neutrophils, 50% lymphocytes Which of the following is the most useful laboratory test in this patient? a. Weil-Felix titer b. Venereal Disease Research Laboratory (VDRL) test c. Chlamydia titer d. Blood cultures Δ
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