Kamsi
Forum Guru
Topics: 103
Posts: 347
|
31. A 5-year-old girl is brought to the physician
because of a 2-day
history of temperatures to 39.5 C (103.1 F) and pain
in the right side.
She has had two episodes of vomiting during this
period but no diarrhea
or symptoms of upper respiratory tract infection. She
has
vesicoureteral reflux and a history of recurrent
urinary tract infections. She
appears ill. Her temperature is 39.8 C (103.6 F),
blood pressure is
110/60 mm Hg, pulse is 150/min, and respirations are
25/min. Examination
shows right-sided costovertebral angle tenderness. In
addition to
obtaining urine cultures, which of the following is
the most appropriate next
step in management?
A
) Intravenous pyelography
B
) Renal ultrasonography
C
) Voiding cystourethrography
D
) Intramuscular antibiotic therapy and
reexamination in 24 hours
E
) Intravenous antibiotic therapy
43. A 6-year-old boy has been unable to walk for 2
days because of a
sore right knee. Three weeks ago he had a sore throat
and fever that
resolved within 2 days. He appears acutely ill. His
temperature is 39.2
C (102.5 F), and pulse is 120/min. A grade 2/6
pansystolic murmur is
heard at the apex. The right knee is red, tender, and
swollen; any
motion is painful. His leukocyte count is 15,000/mm3,
and erythrocyte
sedimentation rate is 120 mm
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
|
43 Options
For each patient with an infection, select the most
likely causal
organism.
A
) Chlamydia trachomatis
B
) Clostridium botulinum
C
) Clostridium tetani
D
) Group A streptococcus
E
) Group B streptococcus
F
) Listeria monocytogenes
G
) Neisseria gonorrhoeae
H
) Streptococcus pneumoniae
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| donjuan
Forum Junior
Topics: 9
Posts: 68
|
E you treat then infec we already know she has reflux
next question should be a strep viridans which ia alpha hemolytic since he has developed endocarditis so i would go for strep pneum. H
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
|
IV Anti biotics for the Girl with reflux
Group A Strp.cocci. for arthritis
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| kpmle2
Forum Elite
Topics: 29
Posts: 292
|
E) Intravenous antibiotic therapy
D) Group A streptococcus
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| jazmil
Forum Elite
Topics: 13
Posts: 298
|
E)
D)
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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