A 62-Year-Old Man Comes to the Emergency Department Due to 3

question 167

Multiple Choice

A 62-year-old man comes to the emergency department due to 3 days of severe sore throat, difficulty swallowing, and hoarseness.  He has no chronic medical conditions but has not seen a physician for many years.  The patient received recommended childhood vaccinations but has had none since then.  He is a farmer and has not traveled recently but has been in contact with migrant farmworkers.  Temperature is 38.3 C (101 F) , blood pressure is 110/60 mm Hg, and pulse is 116/min.  Physical examination reveals pharyngeal erythema and edema with coalescing, gray exudate.  Bilateral cervical lymph nodes are enlarged and tender.  A rapid streptococcal test result is negative.  Throat swab culture grows non-spore-forming, gram-positive rods.  Which of the following is most helpful in preventing the systemic complications of this infection in this patient?

• A)Airway edema reduction with inhaled epinephrine
• B)Antibiotics administration to kill bacteria within the bloodstream
• C)Blunting the immune response with glucocorticoids
• D)Preformed antibody administration to bind bacterial product
• E)Vaccination with inactivated bacterial toxin

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Definitions:

Date Rape

A form of sexual assault where the perpetrator is an acquaintance of the victim, often occurring in social or dating situations.

Drug Facilitated Rape

A form of sexual assault where the assailant uses drugs or alcohol to compromise the victim's ability to consent or resist.

Acquaintance Rape

A form of sexual assault committed by someone who knows the victim, as opposed to a stranger.

Spousal Rape

The act of sexual assault perpetrated by a spouse without the consent of the other partner.