#april2020mccqe1
An 87-year-old man is hospitalized after falling and breaking his hip. After 6 days in the hospital, he develops burning on urination. Urinalysis shows leukocytosis and many gram-positive cocci. The patient is treated with trimethoprim-sulfamethoxazole, but his fever persists. Two days later, the patient has a low-grade fever and new onset of a diastolic murmur that radiates to the axilla. Which of the following is the first-line treatment for the probable cause of this patient’s infection?
(A) Ampicillin
(B) Gentamicin
(C) Piperacillin
(D) Quinupristin/dalfopristin
(E) Vancomycin
An 87-year-old man is hospitalized after falling and breaking his hip. After 6 days in the hospital, he develops burning on urination. Urinalysis shows leukocytosis and many gram-positive cocci. The patient is treated with trimethoprim-sulfamethoxazole, but his fever persists. Two days later, the patient has a low-grade fever and new onset of a diastolic murmur that radiates to the axilla. Which of the following is the first-line treatment for the probable cause of this patient’s infection?
(A) Ampicillin
(B) Gentamicin
(C) Piperacillin
(D) Quinupristin/dalfopristin
(E) Vancomycin
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