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NBME 18 Answers

nbme18/Block 1/Question#40 (reveal difficulty score)
A 10-day-old male newborn is brought the physician
Chlamydia trachomatis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–

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submitted by โˆ—schep(44)

Why is this Chlamydia? I thought we give erythromycin ointment at birth to prevent conjunctivitis-->blindness from Neisseria gonorrhoeae

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schep  In looking through FA, conjunctivitis from gonorrhea occurs 2-5 days after birth while chlamydia occurs 1-2 weeks after birth +8
tekkenman101  Also gon. conjunctivitis is more often purulent while chlamydia is watery discharge. +1

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submitted by โˆ—agraham416(5)

For anyone wondering about the 2-5 days for N. gonorrhea va. 1-2 weeks for Chlamydia, notice that the child is 10 days old already. I believe these timelines are for days after birth.

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leemax  for sketchy peps-- n.gonnorhea- fast eye shielding(2-4 days),purulent,candel wax chlamydia- late(1-2wks) ,mermaid, pirate ship ,watery ,intracellular +1

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