A 29-year-old woman presents with a flu-like illness followed by a rash that began on her wrists and ankles and spread to her palms, soles, and trunk....

Question

A 29-year-old woman presents with a flu-like illness followed by a rash that began on her wrists and ankles and spread to her palms, soles, and trunk. She recently returned from a hiking trip in the US. Which is the most likely diagnosis?

Accepted Answer

Rocky Mountain spotted fever

Answer

Lyme disease

Answer

Secondary syphilis

Answer

Glandular fever

Answer

Erythema multiforme

Infectious Diseases & Immunology — USMLE Step 2 CK MCQ

A 29-year-old woman presents with a flu-like illness followed by a rash that began on her wrists and ankles and spread to her palms, soles, and trunk. She recently returned from a hiking trip in the US. Which is the most likely diagnosis?