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USMLE · Question #474

USMLE Question #474: Real Exam Question with Answer & Explanation

The correct answer is D. Microscopic examination of the stool. See the full explanation below for the reasoning.

Question

A 14-year-old girl has had nausea, intermittent diarrhea, and a 2.2-kg (5-lb) weight loss over the past 4 weeks. Examination shows a migrating serpiginous pruritic perianal rash. Her leukocyte count is 8000/mm with 20% eosinophils. Which of the following tests is most likely to yield an accurate diagnosis?

Options

  • ABlood smear
  • BBone marrow biopsy
  • CKOH preparation
  • DMicroscopic examination of the stool
  • ESkin snip

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