A 10-year-old girl with lobar pneumonia has a history of reaction to cefaclor and a family history of penicillin anaphylaxis. What is the most appropriate antibiotic?

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Question 1 of 5

A 10-year-old girl with lobar pneumonia has a history of reaction to cefaclor and a family history of penicillin anaphylaxis. What is the most appropriate antibiotic?

Correct Answer: C

Rationale: Clindamycin is the safest alternative for severe pneumonia in patients with a history of severe beta-lactam allergy.

Question 2 of 5

In hyperkalemia, which of the following treatments antagonizes the direct effect of potassium on the heart?

Correct Answer: C

Rationale: IV calcium gluconate stabilizes cardiac membranes, reducing the risk of arrhythmias from hyperkalemia, without lowering potassium levels.

Question 3 of 5

Which of the following is a hallmark feature of dermatomyositis?

Correct Answer: D

Rationale: Dermatomyositis is characterized by muscle weakness, rash, and sometimes joint pain, making 'All of the above' the correct answer.

Question 4 of 5

The acute effects of radiation therapy (occurring less than 3 months after therapy begins) are usually related to the area of the body being irradiated. Of the following, the MOST severe acute reaction is

Correct Answer: C

Rationale: Cerebral edema is a severe and potentially life-threatening acute reaction to radiation therapy, particularly in brain irradiation. Other effects, though significant, are generally less severe.

Question 5 of 5

All the following can cause metabolic acidosis with a high anion gap Except:

Correct Answer: C

Rationale: Renal tubular acidosis causes normal anion gap metabolic acidosis, unlike other conditions listed, which lead to a high anion gap due to acid accumulation.

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