A man has an Escherichia coli bacteremia with a low-grade fever (101.6Â°F). Appropriate management of his fever would be

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Question 1 of 5

A man has an Escherichia coli bacteremia with a low-grade fever (101.6Â°F). Appropriate management of his fever would be

A. Give acetaminophen 650 mg orally every 4 hours B. Give aspirin 650 mg orally every 4 hours C. Give alternating doses of aspirin and acetaminophen every 4 hours D. Withhold antipyretics, and use the fever curve to monitor his response to antibiotic therapy

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of the following is not true of sulfonamides?

A. They are primarily metabolized by acetylation B. They are more likely to produce crystalluria in alkaline urine in which they are less soluble C. They may exert bactericidal action in the urinary tract D. Used alone, they have become therapeutically unreliable for serious infections

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm following penicillin V therapy. The cultures now reveal a strain of Streptococcus pneumoniae that is sensitive to all of the following drugs. Which of these drugs would be the best choice for this patient?

A. Amoxicillin/clavulanate B. Erythromycin C. Ampicillin D. Cefaclor

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Penicillins interfere with bacterial cell wall synthesis by

A. Inhibiting synthesis of N-acetyl muramic acid pentapeptide B. Inhibiting conjugation between N-acetyl muramic acid and N-acetyl glucosamine C. Inhibiting transpeptidases and carboxy peptidases which cross-link the peptidoglycan residues D. Counterfeiting for D-alanine in the bacterial cell wall

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

If a patient gives history of urticaria, itching and swelling of lips following injection of penicillin G, then

A. He will develop similar reaction whenever penicillin is injected B. He can be given ampicillin safely C. He can be given oral phenoxymethyl penicillin safely D. All natural and semisynthetic penicillins are contraindicated for him

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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