#january2020mccqe1
A 34-year-old woman presents to a surgeon to discuss the possibility of an elective splenectomy. Several weeks ago she was diagnosed with idiopathic thrombocytopenic purpura. At that time her platelet count was 24,000/mm3. Her primary care doctor started her on oral prednisone, 50 mg/daily. At presentation today she continues to have lower extremity petechiae along with mucosal bleeding. Her repeat platelet count is 29,000/mm3. Infection with which of the following is most likely to result in postsplenectomy sepsis?
(A) Haemophilus influenzae
(B) Moraxella catarrhalis
(C) Pseudomonas aeruginosa
(D) Staphylococcus aureus
(E) Viridans streptococci
A 34-year-old woman presents to a surgeon to discuss the possibility of an elective splenectomy. Several weeks ago she was diagnosed with idiopathic thrombocytopenic purpura. At that time her platelet count was 24,000/mm3. Her primary care doctor started her on oral prednisone, 50 mg/daily. At presentation today she continues to have lower extremity petechiae along with mucosal bleeding. Her repeat platelet count is 29,000/mm3. Infection with which of the following is most likely to result in postsplenectomy sepsis?
(A) Haemophilus influenzae
(B) Moraxella catarrhalis
(C) Pseudomonas aeruginosa
(D) Staphylococcus aureus
(E) Viridans streptococci
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