Please explain the answers.  A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles.  1. The physician questions the patient about signs of symptoms that may have appeared during her hiking trip. The patient mentions that at one point, she had a round rash on her side, but it went away. She does not recall being bitten by a tick, but she cannot rule out this possibility. What is a possible diagnostic consideration?  A. Syphilis B. Lyme disease C. Fatigue from her trip 2. The physician wants to order confirmation tests for Lyme disease for this patient. What should be considered before testing is ordered?  A. Determine whether the tick was attached to the patient for at least 24 hours. B. Ensure that a culture is performed before confirmation testing. C. Try to confirm how long it has been since the tick bite and possible infection

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A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles. 

1. The physician questions the patient about signs of symptoms that may have appeared during her hiking trip. The patient mentions that at one point, she had a round rash on her side, but it went away. She does not recall being bitten by a tick, but she cannot rule out this possibility. What is a possible diagnostic consideration? 

A. Syphilis

B. Lyme disease

C. Fatigue from her trip

2. The physician wants to order confirmation tests for Lyme disease for this patient. What should be considered before testing is ordered? 

A. Determine whether the tick was attached to the patient for at least 24 hours.

B. Ensure that a culture is performed before confirmation testing.

C. Try to confirm how long it has been since the tick bite and possible infection.

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