USMLE step 2 Mcq 64:A group of teenagers go on a summer camping holiday in woods in Canada

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Question:
A group of teenagers go on a summer camping holiday in woods in Canada. One of the boys develops an expanding skin lesion that he ignores. It begins as a red macule with red outer borders without scaling. He later develops multiple annular secondary lesions and a severe headache. The most likely diagnosis is

a) Lyme disease
b) brucellosis
c) infective endocarditis
d) listeriosis
e) psittacosis


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