webjeee
Forum Guru
Topics: 99
Posts: 350
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A 2-year-old boy is brought to the office for a follow-up visit after being diagnosed with an ear infection 2 weeks earlier. His mother says that he is still complaining of ear pain even though he finished the 10-day course of amoxicillin that your partner had prescribed. While reviewing his chart you notice that this mother does not believe in immunizations and despite encouragement and counseling, has kept her children unimmunized. His temperature is 38.1 C (100.6 F). Physical examination shows an erythematous and bulging right tympanic membrane, a loss of light reflex, and decreased motility of the tympanic membrane. The left ear is unremarkable. A culture of the right middle ear grows Gram-negative diplococci. At this time the most correct statement about his condition is:
A. Appropriate treatment is needed to prevent the development of rheumatic fever
B. Bronchopulmonary infections and bacteremia are commonly seen in healthy adolescents and young adults with this infection
C. The full routine recommended immunization series would most likely have prevented this infection
D. The responsible bacteria is part of the normal flora of the upper respiratory tract
E. The responsible bacteria rarely produces Ц#39-lactamase that mediates resistance to penicillins
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| huangbaobao
Forum Junior
Topics: 4
Posts: 18
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gram negative? or positive?
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| drashishmahajan
Forum Senior
Topics: 6
Posts: 92
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D--- meningococcus normally present in the upper respiratory tract .
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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D
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The Key to Succeed is Patience.
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