A 26-Year-Old Man Undergoing Chemotherapy for Metastatic Seminoma Comes to the Emergency

question 31

Multiple Choice

A 26-year-old man undergoing chemotherapy for metastatic seminoma comes to the emergency department with fever and chills for the last 24 hours.  He has no chest pain, shortness of breath, cough, abdominal pain, diarrhea, or skin rash.  His temperature is 38.9 C (102 F) , blood pressure is 118/70 mm Hg, pulse is 102/min, and respirations are 18/min.  Examination shows mucosal pallor.  There is mild gingival erythema but no evidence of bleeding.  The cardiopulmonary examination is normal.  The abdomen is soft and nontender to palpation.  The perianal area is without lesions.  Laboratory results are as follows: Chest x-ray shows no infiltrates.  Urinalysis is normal.  The patient is admitted to the hospital.  Which of the following is the most appropriate initial therapy for this patient?

• A)Acyclovir
• B)Ceftriaxone
• C)Ciprofloxacin
• D)Linezolid
• E)Piperacillin-tazobactam
• F)Vancomycin
• G)Voriconazole

---

Definitions:

Equivalent Jobs

Positions that require similar skills, responsibilities, and efforts and are therefore considered of equal value and pay within an organization or under the law.

Caring

Exhibiting kindness and concern for others.

Supportive

Providing encouragement, aid, or comfort to someone, offering a foundation of emotional or practical assistance.

Vertical Segregation

The division of job roles based on hierarchical positions where one gender predominates in certain levels of an organization, often with men in higher-status positions.