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?

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 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?

A 5-year-old male patient’s parents complain of recurring fever in their son over the course of a month. Past medical history is significant for easy bruisability. A CBC reveals a white blood cell count of 30,000 cells per microliter. A bone marrow biopsy confirms the diagnosis of acute lymphoblastic leukemia. This child is started on a chemotherapeutic regimen. Which of the following chemotherapy drugs interferes with DNA synthesis after its metabolite is incorporated into the growing DNA strand?

A 66-year-old man with a history of gout was recently diagnosed with non-Hodgkin’s lymphoma. Because of frequent gout attacks, he has been placed on allopurinol. He is started on medication for his lymphoma, and shortly after, he develops GI upset and elevated liver enzymes. Because of taking allopurinol, what medication should have been avoided in this patient?

A 47-year-old woman with a rheumatoid arthritis comes to clinic for her annual visit. Her arthritis has not worsened over the past 6 months since starting on infliximab. Her arthritis is worst in the joints of her hands. After her morning stiffness ceases, she can usually go through the rest of the day with minimal pain. What is the mechanism of action of infliximab?