A 28-Year-Old Man Comes to the Emergency Department Due to 2

question 98

Multiple Choice

A 28-year-old man comes to the emergency department due to 2 weeks of headaches, fever, and episodes of inattentiveness.  The patient has a history of Hodgkin lymphoma and is undergoing treatment with combination chemotherapy.  Temperature is 38.2 C (100.8 F) , blood pressure is 138/84 mm Hg, and pulse is 72/min.  Lumbar puncture reveals an elevated opening pressure, and cerebrospinal fluid analysis shows moderately increased protein levels and low glucose levels.  Light microscopy of the cerebrospinal fluid is shown in the image. Which of the following should be included in initial treatment for this patient's current condition?

• A)Amphotericin B
• B)Ampicillin
• C)Ceftriaxone
• D)Ganciclovir
• E)Pyrimethamine
• F)Voriconazole

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Definitions:

Risk Doctrine

A principle in law that assigns liability based on the foreseeable risk created by actions or negligence, particularly in situations where harm could have been prevented.

Action Of Negligence

A legal claim made against someone for harm caused by their failure to act as a reasonable person would under similar circumstances.

Six Elements

Essential components required for something to be complete or legally binding; the term contextually varies, such as in contracts or scientific compositions.

Propensity

A natural inclination or tendency towards a particular behavior or action.