A 3-Week-Old Girl Is Brought to the Emergency Department Due

question 204

Multiple Choice

A 3-week-old girl is brought to the emergency department due to apnea and cyanosis.  Her mother reports multiple episodes over the last 48 hours of gagging and gasping for air.  During the last event, the patient started coughing harshly during a feed and then stopped breathing.  She became cyanotic for approximately 12 seconds, then quickly returned to normal.  The patient has a 1-week history of clear rhinorrhea and increasing cough with episodes of emesis.  Temperature is 37.2 C (99 F) , blood pressure is 85/52 mm Hg, pulse is 110/min, and respirations are 45/min.  She is well developed and active.  There is nasal congestion and clear rhinorrhea.  Lung sounds are clear except for referred upper airway congestion.  Cardiac and abdominal examinations are normal.  Which of the following is the most appropriate empiric pharmacotherapy for this patient's condition?

• A)Amoxicillin
• B)Azithromycin
• C)Furosemide
• D)Oseltamivir
• E)Ranitidine

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Definitions:

Senate Approval

The process by which the United States Senate confirms presidential appointments or ratifies treaties.

Conservative/Liberal Balance

The equilibrium between conservative and liberal ideologies within a political system or society, affecting policy and governance.

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A democratic process in which citizens vote to elect the President of a country.

Judicial Activism

A judicial philosophy advocating judges making decisions that go beyond the strict interpretation of the law to encompass societal needs or real-world outcomes.