Which patient is at greatest risk for developing Chlamydia trachomatis infection?
1. 16-year-old, sexually active, using no contraceptive
2. 22-year-old mother of two, developed dyspareunia
3. 35-year-old woman on oral contraceptives
4. 48-year-old woman with hot flashes and night sweats
Correct Answer: 1
Rationale 1: Teens have the highest incidence of sexually transmitted infections, especially Chlamydia. A patient not using contraceptives is not using condoms, which decrease the risk of contracting a STI.
Rationale 2: Dyspareunia sometimes develops with Chlamydia infection, but dyspareunia is not a symptom specific to Chlamydia.
Rationale 3: There is no correlation between oral contraceptive use and an increased rate of Chlamydia infection. Additionally, Chlamydia is more commonly seen in young women
Rationale 4: This patient is experiencing signs of menopause, not Chlamydia infection.
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