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A 19-Year-Old Woman Comes to the Office Due to a Persistent

question 1561

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A 19-year-old woman comes to the office due to a persistent sore throat, fever, and mild lower abdominal discomfort for the past few days.  She has no associated fatigue, chills, dysphagia, rhinorrhea, cough, or sick contacts.  The patient has no changes in bowel or bladder function and no other medical conditions.  She started college 4 months ago and lives with 3 roommates.  The patient is sexually active and has 2 new sexual partners; she uses combination oral contraceptives.  She does not use tobacco, alcohol, or illicit drugs.  Temperature is 38.3 C (100.9 F) , blood pressure is 120/70 mm Hg, and pulse is 68/min.  The oral mucosa has no ulcerative lesions or petechiae.  The pharyngeal arches are erythematous without exudate.  Bilateral nontender cervical lymphadenopathy is present.  The abdomen is tender to deep palpation in the lower quadrants; there is no splenomegaly.  Urine pregnancy test is negative.  Which of the following is the most likely pathogen responsible for this patient's symptoms?


Definitions:

Sum of Squares

A statistical measure that quantifies the total variation within a dataset, calculated by summing the squares of differences from the mean.

Sum of Squares

The sum of the squared differences between each observation and the overall mean, used in various statistical models to measure variability.

Regression SSR

Sum of Squares due to Regression, representing the variation explained by the independent variables in a regression model.

API Gravity

A measure used to determine how heavy or light a petroleum liquid is compared to water, influencing product classification and market value.

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