A 36-Year-Old Woman Comes to the Office Due to a Right

question 1147

Multiple Choice

A 36-year-old woman comes to the office due to a right lower extremity rash.  The patient developed a large abrasion over her right ankle after falling off her mountain bike 3 days ago.  Yesterday, she noticed progressive, painful red streaks near the wound.  She has no chronic medical conditions and takes no medications.  Temperature is 38.2 C (100.8 F) , blood pressure is 126/78 mm Hg, and pulse is 92/min.  Examination reveals a 4-cm abrasion just superior to the right lateral malleolus; no purulence or induration is present, but there are several tender, erythematous streaks extending proximally from the wound toward the knee.  Tender, enlarged lymph nodes are also present in the right popliteal fossa.  Which of the following is the most appropriate treatment for this patient?

• A)Azithromycin
• B)Cephalexin
• C)Ciprofloxacin
• D)Griseofulvin
• E)Itraconazole
• F)Penicillin V

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Definitions:

Personality Conflict

A clash or disagreement between individuals due to differing temperaments, attitudes, or beliefs.

Helpless

Lacking the ability, strength, or power to help oneself or do anything about a situation.

Compliant Persons

Individuals who tend to agree with others or obey rules and suggestions with little resistance.

Manipulating Others

The act of controlling or influencing someone in a cunning or deceitful way for personal gain.