A 24-year-old primigravid woman’s water breaks at 39 weeks gestation. Twenty-four hours later, she is having regular contractions 3 min apart. Her labor lasts 8 h. At the hospital, she gives birth to a baby boy, who initially appeared healthy. Within the next 12 h, the baby boy begins to have temperature fluctuations, difficulty breathing, and reduced movements. You suspect neonatal sepsis, so IV ampicillin is started. Which additional antibiotic could be given simultaneously to have a synergistic effect in controlling this infection?

A 24-year-old primigravid woman’s water breaks at 39 weeks gestation. Twenty-four hours later, she is having regular contractions 3 min apart. Her labor lasts 8 h. At the hospital, she gives birth to a baby boy, who initially appeared healthy. Within the next 12 h, the baby boy begins to have temperature fluctuations, difficulty breathing, and reduced movements. You suspect neonatal sepsis, so IV ampicillin is started. Which additional antibiotic could be given simultaneously to have a synergistic effect in controlling this infection?

A 12-year-old male complains of red plaques covered by silver scales on his elbows and knees. He has one older sister with similar lesions. In each case, the lesions are worse in the winter months. His pediatrician prescribes acitretin. Which of the following may this boy experience as a result of this treatment?

An 18-year-old male college student presents to the emergency room with a fever of 103°F and stiff neck for the past 3 h. After a lumbar puncture and Gram stain, the diagnosis of meningococcal meningitis is established. Unfortunately, his college did not require students to have the meningococcal vaccine. What prophylaxis should be given to his close contacts in the dorm?

A 35-year-old man with HIV disease presents to the emergency department with a severe headache and fever for the past 6 h. His fever was measured to be 103°F. He also has chills, stiff neck, and nausea. He is diagnosed with Cryptococcus neoformans meningitis and started on amphotericin B. What is the mechanism of action of amphotericin B?

A 21-year-old female presented to clinic for lesions on her vulva. The painful and itchy lesions have a red base and are vesicular. She recently has had a new sexual partner. The diagnosis of herpes is established and the patient is started on acyclovir. She becomes resistant to acyclovir and it therefore becomes ineffective. What is the mechanism of resistance for acyclovir?