Your patient is a 54-year-old male who has recently completed a round of chemotherapy following successful surgery to remove a cancerous tumor from his colon. He complains of a stiff neck, severe headache, and chronic nausea. On taking a history of recent events, you discover his hobby is to race homing pigeons. You suspect meningitis […]

A 31-year-old cisgender woman presents with a one-week history of thin, gray vaginal discharge. After a thorough evaluation she is diagnosed with bacterial vaginosis. She is sexually active with cisgender men. In addition to treating her for bacterial vaginosis, which one of the following is recommended regarding treatment of her sex partners? All sex partners […]

A 26-year-old cisgender woman presents with a 10-day history of malodorous vaginal discharge. She denies fevers, chills, pruritus, dysuria, pain during sex, or pelvic pain. She is 24 weeks pregnant and has had an uncomplicated pregnancy to date. She is diagnosed with bacterial vaginosis. Which one of the following is a recommended treatment for symptomatic […]

A 36-year-old female presents to your clinic complaining of a ten-year history of itchy eyes, sneezing, nasal congestion, palatal pruritis, and throat scratchiness. Her symptoms are worse in the spring and are increasing in severity. She has tried over-the-counter cetirizine with moderate relief previously. What finding on a physical exam would NOT support your diagnosis? […]

A 16-year-old patient with a history of asthma presents with a respiratory rate of 28 breaths per minute, heart rate of 110 beats per minute, and fatigue. The patient appears anxious, diaphoretic, and cyanotic. She is retracting her sternocleidomastoid muscles in an effort to breathe. Which of the following is the least appropriate management step? […]

A 21-year-old cisgender man has a return visit to the sexual health clinic with urethral discomfort and purulent discharge. Six days prior, he was diagnosed with urethral gonorrhea and received appropriate treatment. He states his symptoms have not improved, and he denies sexual contact with anyone since receiving treatment for gonorrhea. A diagnosis of antimicrobial-resistant […]

A 33-year-old cisgender man who has recently emigrated from South Africa is referred to a dermatology clinic with a complaint of sores in his genital region that did not respond to empiric treatment for genital herpes and syphilis. He denies having lymphadenopathy. On physical examination of the anogenital region, which one of the following findings […]

A 31-year-old cisgender woman from India who is visiting friends in the United States presents to a local sexual health clinic for evaluation of a red, painless ulcer on her vulva. In the clinic, she receives empiric treatment for syphilis and herpes simplex virus (HSV) infections. Ten days after the initial visit, she returns to […]

A 22-year-old man with three male sex partners in the past 6 months presents to the emergency department with symptoms of acute hepatitis and is confirmed to have hepatitis A virus (HAV) infection. He does not drink alcohol and has no previous history of liver disease. He acknowledges having condomless anal and oral sex with […]

A 36-year-old man with two male sex partners in the past 6 weeks presents to the emergency department with symptoms of fever, malaise, anorexia, and jaundice. Laboratory studies subsequently confirm a diagnosis of acute hepatitis A virus (HAV) infection. Which one of the following best describes the time frame when a person with HAV infection […]