NBME Step 1 Complete Questions with Answers for 2024 exam review

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