Lyme Disease — MCQs

A young man, home on leave from the military, went camping in the woods to detect deer movement for future hunting. Ten days later, he developed fever, malaise, and myalgia. Leukopenia and thrombocytopenia were observed, as well as several tick bites. Which of the following statements best describes human monocytic ehrlichiosis (HME)?

Soft tick transmits:

A farmer presents with severe leg pain, fever, chills, retro-orbital pain, and bilateral conjunctival suffusion. What is the most likely diagnosis?

A 25-year-old male university student presented with a history of multiple tick bites 45 days prior, followed by recurring episodes of high-grade fever, headache, myalgias, arthralgias, nausea, and occasional vomiting. Each episode lasted approximately 6-7 days with symptom-free intervals of 9-10 days. Physical examination revealed mild splenomegaly and skin lesions. A Wright stain of the patient's peripheral blood smear was performed. What is the first oral drug of choice for this patient?

Erythema chronicum migrans is associated with which of the following conditions?

Which of the following pairs of conditions is incorrectly matched?

Which of the following is the carrying agent for Lyme disease?

A truck driver presents with a single painless genital ulcer that appeared 3 weeks after an unprotected sexual encounter. There is associated non-tender inguinal lymphadenopathy. What is the most likely diagnosis?

A patient presents with multiple painful genital ulcers associated with tender cervical/inguinal lymphadenopathy. The ulcers are soft and irregular as shown in the image. What is the most likely causative organism?

A female presents with greenish frothy discharge; whiff test and Amsel’s criteria are negative. What microscopy feature is expected?