A 24-Year-Old Man Comes to the Emergency Department with Leg

question 218

Multiple Choice

A 24-year-old man comes to the emergency department with leg swelling.  His dog, which is fully vaccinated and has lived with him for the past year, bit him on the left leg last night, leading to a break in the skin and bleeding.  The patient irrigated the wound with bottled water and soap and managed his pain with acetaminophen.  This morning, the wound area became warm, red, and swollen.  On examination, temperature is 36.4 C (97.5 F) .  There is an open wound on the left leg, with surrounding erythema, warmth, and tenderness.  No wound drainage or crepitus is present.  The distal pulses are palpable.  Wound cultures grow gram-negative coccobacilli; the culture has a mouse-like odor.  Which of the following organisms is most likely responsible for this patient's current presentation?

• A)Bartonella henselae
• B)Campylobacter jejuni
• C)Clostridium perfringens
• D)Coxiella burnetii
• E)Erysipelothrix rhusiopathiae
• F)Francisella tularensis
• G)Fusobacterium
• H)Pasteurella multocida
• I)Proteus mirabilis

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Definitions:

Risk Premium

The additional return an investor demands for taking on a higher risk compared to a risk-free asset, indicating the compensation for bearing extra risk.

Principle of Diversification

A risk management strategy that mixes a wide variety of investments within a portfolio to minimize risks.

Efficient Market

A financial market theory stating prices fully reflect all available information, making it impossible to consistently achieve higher returns.

Concentrating Investment

Allocating a significant portion of an investment portfolio to a single investment or a small group of investments, increasing potential risk and return.