A 14-Year-Old Girl Is Brought to the Emergency Department Due

question 98

Multiple Choice

A 14-year-old girl is brought to the emergency department due to 2 days of abdominal cramping, nausea, vomiting, and diarrhea.  Today, she has developed fever and blood in the stool.  The patient recently returned from a week-long summer camp and had no symptoms while she was away.  She has common variable immunodeficiency that is managed with immunoglobulin replacement therapy.  Prior to this illness, the patient had been generally well, except for an episode of sinusitis a month ago that was treated with amoxicillin-clavulanate.  Temperature is 38.2 C (100.8 F) and pulse is 102/min.  Abdominal examination shows mild, diffuse pain with palpation but no rebound tenderness or guarding.  Stool ova and parasite testing is negative.  Stool culture grows Salmonella species.  Which of the following is the most likely underlying cause of this patient's current condition?

• A)Contamination of treatment infusions
• B)Gut microbial disruption due to antibiotic use
• C)Inadequate cooking and refrigeration of chicken and eggs
• D)Inadequate cooking and refrigeration of seafood
• E)Lack of response to typhoid vaccination

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Definitions:

Gender Roles

The roles, behaviors, activities, and traits deemed suitable for men and women by a particular society, as constructed through social processes.

Emotional Closeness

The feeling of being intimately connected to another individual, often characterized by feelings of affection, understanding, and shared experiences or thoughts.

Independence

The condition of being free from control or influence of another or others, often used in the context of countries, individuals, or statistical variables.

Obedience

The act of following orders or directives from authority figures, often without question.