1. A 33 year old male patient goes to an STD clinic with the following symptoms: purulent urethral discharge, despite antibiotic therapy prescribed by his primary care physician a week prior. He has had unprotected sex with two different women in the last 3 weeks.

A) What microbe do you suspect, why?

B) How would you treat the patient?

C) Define and describe the signs and symptoms of this disease.

2. A 19-year-old male patient goes to his primary care Dr. complaining of a painless open sore on his genitals. Upon examination, the patient also has swollen lymph nodes. He has had unprotected sex during the past month. He tested HIV negative 2 months ago.

A) What microbe do you suspect, why?

B) How would you treat the patient?

C) Define and describe the signs and symptoms of this disease.

3. A 26-year-old man goes to an urgent care facility complaining of: headache and fever. Upon examination, he has a rash and swollen lymph nodes. The patient describes himself as bisexual and has had unprotected sex with another man 3 weeks ago. The patient also admits to significant use of methamphetamines, both IV and inhaled. The patient is currently taking antibiotics for gonorrhea.

A) What microbe do you suspect, why?

B) How would you treat the patient?

C) Define and describe the signs and symptoms of this disease.

4. A 45-year-old woman goes to an emergency room in rural Butler County, PA complaining of the following symptoms: fever, severe headache, muscle pain, weakness, fatigue, and stomach pain. The patient was questioned about recent travel outside of the US and the patient discloses that she recently returned from a trip to West Africa approximately 10 days ago after caring for an ill family member.

A) What microbe do you suspect, why?

B) How would you treat the patient?

C) Define and describe the signs and symptoms of this disease.