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A 28-Year-Old Woman Comes to the Emergency Department with Fever

question 951

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A 28-year-old woman comes to the emergency department with fever, chills, and generalized weakness for the past week.  Her only other medical problem was a hospital admission for right arm cellulitis 6 months ago.  Temperature is 40.0° C (104° F) , blood pressure is 110/65 mm Hg, pulse is 110/min, and respirations are 18/min.  Examination shows a normal oropharynx, and lungs are clear to auscultation.  A holosystolic murmur is heard at the lower sternum which increases in intensity with inspiration.  Examination of the right arm is shown in the image below. A 28-year-old woman comes to the emergency department with fever, chills, and generalized weakness for the past week.  Her only other medical problem was a hospital admission for right arm cellulitis 6 months ago.  Temperature is 40.0° C (104° F) , blood pressure is 110/65 mm Hg, pulse is 110/min, and respirations are 18/min.  Examination shows a normal oropharynx, and lungs are clear to auscultation.  A holosystolic murmur is heard at the lower sternum which increases in intensity with inspiration.  Examination of the right arm is shown in the image below.   Blood is drawn and sent for culture.  Which of the following is the most appropriate initial antibiotic therapy for this patient? A) Ampicillin-sulbactam B) Clindamycin C) Oxacillin D) Penicillin G and gentamicin E) Vancomycin Blood is drawn and sent for culture.  Which of the following is the most appropriate initial antibiotic therapy for this patient?


Definitions:

X-Inefficiency

Refers to the situation where a firm is not maximizing its potential output due to managerial or organizational inefficiencies, leading to higher production costs than necessary.

Allocative Efficiency

A state of resource utilization where the distribution of goods and services is optimized to meet consumer preferences and maximize overall welfare.

Productive Efficiency

The scenario in which a good or service is produced at the lowest possible cost, utilizing resources and technologies in the most efficient manner.

Long-Run Equilibrium

A state in which all firms in an industry achieve zero economic profit, resulting in market stability over time.

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