NBME Step 1 (Answered) Verified Solution

NBME Step 1 (Answered) Verified Solution Formation of hypnozoites -Pt has malaria → one of the features is that it forms hypnozoites and has the PBS shown Chloroquine resistance -Can happen but it is not a feature A 30M, who is a migrant farm worker presents to the ED b/c of a 1-wk Hx of fever, chills, & severe headache. He immigrated to the midwestern USA from Honduras 1 year ago. He is alert. Temp is 104F, pulse is 101/min, RR are 20/min, BP is 105/62. The lungs are clear to auscultation. Cardiac exam is normal. The abd is soft w/active bowel sounds. Neuro exam shows a supple neck; there is nu nuchal rigidity. He is oriented to person, place, & time. Labs show: -Hb---------------14 -Hct---------------42% -Leuko's----------4,6K -Neutro's----------57% -Lymph's-----------33% -Monocytes-------10% Urine -Color------clear yellow -Blood-------------1+ -Urobilinogen-----trace A pictomicrograph of a PBS is shown. This pt's overall condition is most likely caused by an infectious agent w/which of the following features? (Formation of hypnozoites OR Chloroquine resistance) Conjugation -Allows for transfer of DNA high frequency transfer via: 1-direct cell-to-cell contact 2-via a bridge-like connection pilus between two cells -Classically E.coli allows antibiotic resistance transfer to another species Transduction -Transfer of genetic material via a bacterial