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6784 Pathology

A 24-year-old, sexually active woman has experienced lower abdominal pain for the past day. Her temperature is 37.9deg C, and on palpation, the left lower abdomen is markedly tender. Laboratory findings include a total WBC count of 29,000/mm3 with 75% segmented neutrophils, 6% bands, 14% lymphocytes, and 5% monocytes. Laparotomy reveals a distended, fluid-filled, reddened left fallopian tube that is about to rupture. A left salpingectomy is performed. Which of the following is most likely to be seen on microscopic examination of the excised fallopian tube?

AFibroblastic proliferation
BLanghans giant cells
CLiquefactive necrosis
DMononuclear infiltrates
Pathology
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6786 Pathology

A 24-year-old woman is breastfeeding 3 weeks after giving birth to a normal term infant. She notices fissures in the skin around her left nipple. Over the next 3 days, a 5-cm region near the nipple becomes erythematous and tender. Purulent exudate from a small abscess drains through a fissure. Which of the following organisms is most likely to be cultured from the exudate?

ACandida albicans
BLactobacillus acidophilus
CListeria monocytogenes
DStaphylococcus aureus
Pathology
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