A 29-Year-Old Woman Comes to the Office with Malaise, Fever

question 195

Multiple Choice

A 29-year-old woman comes to the office with malaise, fever, and extremely painful genital lesions.  She has never had such symptoms before.  She is sexually active with a new partner.  On examination, the patient has several tiny, thin-walled vesicles on an erythematous base and exquisitely tender, shallow ulcers on the labia.  Tender inguinal lymphadenopathy is present.  Tzanck smear of the genital lesions shows multinucleated giant cells.  A drug is prescribed that can be used to manage this acute episode and prevent future episodes of this patient's condition.  This drug most likely works by which of the following mechanisms?

• A)Incorporation into newly replicating viral DNA
• B)Inhibition of viral protease activity
• C)Inhibition of virion release from infected cells
• D)Prevention of viral entry into the target cells
• E)Upregulation of interferon synthesis in infected cells

Identify and discuss alternative variables that might affect the observed relationships in study data.

Identify the structure of major organic reaction products.

Determine oxidation states of carbon in organic compounds.

Understand the reactivity of different alcohols with various reagents.

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Definitions:

Chilling

The sensation of cold that can accompany fever, fear, or the environment; it sometimes precedes the onset of a fever.

Excess Drying

Excessive loss of moisture, leading to dryness, often pertaining to skin or mucous membrane conditions.

Bed Bath

A method of bathing individuals who are bedridden or unable to bathe themselves, using basins, sponges, or wipes to clean the body while remaining in bed.

Nursing Assistive Personnel

Caregivers who support nurses by providing hands-on patient care, often aiding with tasks like bathing, dressing, and ambulating.