#august2020mccqe1
A 43-year-old man presents with flu-like symptoms, fevers, chills, and a productive cough. Physical examination is remarkable for pleuritic chest pain. On questioning, the patient says that he has just spent the last week on vacation in Central America. Cultures taken from the patient show a broad-based budding fungus. It is concluded that the man has systemic blastomycosis infection. Which of the following agents is the most appropriate treatment for this patient?
(A) Amphotericin B
(B) Fluconazole
(C) Itraconazole or potassium iodide
(D) Sodium stibogluconate only
(E) Topical miconazole or selenium sulfide
A 43-year-old man presents with flu-like symptoms, fevers, chills, and a productive cough. Physical examination is remarkable for pleuritic chest pain. On questioning, the patient says that he has just spent the last week on vacation in Central America. Cultures taken from the patient show a broad-based budding fungus. It is concluded that the man has systemic blastomycosis infection. Which of the following agents is the most appropriate treatment for this patient?
(A) Amphotericin B
(B) Fluconazole
(C) Itraconazole or potassium iodide
(D) Sodium stibogluconate only
(E) Topical miconazole or selenium sulfide
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