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Ophthalmology · Conjunctiva: adult inclusion conjunctivitis
Sample itemA sexually active adult has chronic follicular conjunctivitis not responding to topical antibiotics. Which organism is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Chlamydia trachomatis serotypes D to K
Serotypes D to K cause genital infection and adult inclusion conjunctivitis. Treatment is systemic, such as azithromycin or doxycycline, with partner treatment.
Option by option
A. Adenovirus type 8
Adenovirus is not chronic and does not respond to antibiotics, but is self-limiting.
B. Chlamydia trachomatis serotypes D to K (correct)
Correct. D to K are the genital and inclusion serotypes.
C. Neisseria gonorrhoeae
Gonococcus causes hyperacute purulent conjunctivitis.
D. Chlamydia trachomatis serotypes A to C
Serotypes A to C cause trachoma.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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