#march2020mccqe1
A 72-year-old man is receiving chemotherapy for SCLC. He has his 4th treatment 8 days ago. He has a cough with some green sputum but feels well. His temperature is 37.6C. On chest examination, there are few coarse crepitations in the right base. His heart rate is 92bpm. CBC results are, Hgb 12.5g/dL, WBC 1.1, Neutrophils 0.6, Plt 89. Sputum, urine and blood culture sent to microbiology. What is the most appropriate management?
(A) Broad spectrum antibiotics IV
(B) Broad spectrum antibiotics PO
(C) GCSF
(D) Postpone treatment until bacteriology results available
(E) Reassure and send home
A 72-year-old man is receiving chemotherapy for SCLC. He has his 4th treatment 8 days ago. He has a cough with some green sputum but feels well. His temperature is 37.6C. On chest examination, there are few coarse crepitations in the right base. His heart rate is 92bpm. CBC results are, Hgb 12.5g/dL, WBC 1.1, Neutrophils 0.6, Plt 89. Sputum, urine and blood culture sent to microbiology. What is the most appropriate management?
(A) Broad spectrum antibiotics IV
(B) Broad spectrum antibiotics PO
(C) GCSF
(D) Postpone treatment until bacteriology results available
(E) Reassure and send home
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