#may2020mccqe1
A 19-year-old homosexual college freshman presents to the student health clinic complaining of diarrhea of 2 days’ duration. He returned 9 days ago from a spring break trip to Mexico. His diarrhea is accompanied by prominent bloating, flatulence, nausea, and general malaise. On physical examination, he appears to be well hydrated, with a temperature of 36.9 C (98.4 F), blood pressure of 130/86 mm Hg, pulse of 89/min, and respirations of 18/min. Examination of the abdomen reveals diffusely hyperactive bowel sounds without tenderness or masses. A stool sample is negative for red and white blood cells. Which of the following is the most appropriate next step in management?
(A) Supportive care with IV fluids
(B) Treatment with ciprofloxacin
(C) Treatment with mebendazole
(D) Treatment with metronidazole
(E) Treatment with trimethoprim-sulfamethoxazole
A 19-year-old homosexual college freshman presents to the student health clinic complaining of diarrhea of 2 days’ duration. He returned 9 days ago from a spring break trip to Mexico. His diarrhea is accompanied by prominent bloating, flatulence, nausea, and general malaise. On physical examination, he appears to be well hydrated, with a temperature of 36.9 C (98.4 F), blood pressure of 130/86 mm Hg, pulse of 89/min, and respirations of 18/min. Examination of the abdomen reveals diffusely hyperactive bowel sounds without tenderness or masses. A stool sample is negative for red and white blood cells. Which of the following is the most appropriate next step in management?
(A) Supportive care with IV fluids
(B) Treatment with ciprofloxacin
(C) Treatment with mebendazole
(D) Treatment with metronidazole
(E) Treatment with trimethoprim-sulfamethoxazole