A 67-Year-Old Man Comes to the Emergency Department with Low-Grade

question 82

Multiple Choice

A 67-year-old man comes to the emergency department with low-grade fevers and fatigue.  He has no history of heart disease.  His temperature is 38.4 C (101.1 F) , blood pressure is 117/76 mm Hg, pulse is 82/min, and respirations are 14/min.  On examination, there is a diastolic murmur at the left sternal border.  He has nontender erythematous macules on his hands and feet.  Blood cultures show gram-positive cocci that are catalase-negative and able to grow in hypertonic (6.5%) saline and bile.  This patient's medical history is most likely to include which of the following procedures within the past month?

• A)Cystoscopy
• B)Dental extraction
• C)Nasal polypectomy
• D)Sinus drainage
• E)Skin biopsy

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