#february2020mccqe1
A previously healthy 23-year-old man comes to the physician because of a febrile illness that developed over a 2-day period. He has had temperatures to 39.4 C (102.9 F), with rigors, cough productive of mucopurulent sputum, and right chest pain. At this time, his temperature is 38.7 C (101.7 F), blood pressure is 132/80 mm Hg, pulse is 110/min, and respirations are 22/min. There is no cyanosis. Diminished tactile fremitus, dullness on percussion, and bronchial breathing are present in the right lower lung. A chest x-ray film shows consolidation of the right lower lobe. Microscopic examination of the sputum reveals gram-positive diplococci. The patient denies previous allergic drug reactions. Which of the following is the most appropriate pharmacotherapy?
(A) Cefazolin
(B) Erythromycin
(C) Penicillin
(D) Tetracyclines
(E) Trimethoprim-sulfamethoxazole
(F) Vancomycin
A previously healthy 23-year-old man comes to the physician because of a febrile illness that developed over a 2-day period. He has had temperatures to 39.4 C (102.9 F), with rigors, cough productive of mucopurulent sputum, and right chest pain. At this time, his temperature is 38.7 C (101.7 F), blood pressure is 132/80 mm Hg, pulse is 110/min, and respirations are 22/min. There is no cyanosis. Diminished tactile fremitus, dullness on percussion, and bronchial breathing are present in the right lower lung. A chest x-ray film shows consolidation of the right lower lobe. Microscopic examination of the sputum reveals gram-positive diplococci. The patient denies previous allergic drug reactions. Which of the following is the most appropriate pharmacotherapy?
(A) Cefazolin
(B) Erythromycin
(C) Penicillin
(D) Tetracyclines
(E) Trimethoprim-sulfamethoxazole
(F) Vancomycin
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