A 59-Year-Old Man Comes to the Emergency Department Due to Lower

question 259

Multiple Choice

A 59-year-old man comes to the emergency department due to lower abdominal pain.  The patient has had 2 days of fever, chills, dysuria, and pelvic pain; this morning, he was unable to pass any urine.  He has never had similar symptoms before and has no history of chronic urinary or bowel issues.  Medical history is significant for hyperlipidemia and coronary artery disease.  Temperature is 39 C (102.2 F) , blood pressure is 140/90 mm Hg, and pulse is 98/min.  Suprapubic fullness and tenderness are present.  Digital rectal examination shows an edematous and exquisitely tender prostate.  The external genitalia are normal.  A suprapubic catheter is placed, which drains 800 mL of urine.  Laboratory examination reveals the following: Which of the following is the most appropriate pharmacotherapy for this patient?

• A)Azithromycin
• B)Clindamycin
• C)Doxycycline
• D)Levofloxacin
• E)Nitrofurantoin

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Definitions:

Pap Test

A method of testing for cervical cancer by scraping cell samples from the cervix and examining them under a microscope.

Secondary Syphilis

The second stage of syphilis, marked by skin rashes and lesions, following the initial infection if not treated.

Skin Rash

A visible outbreak of the skin that can be caused by various factors including allergies, diseases, reactions, and medications, often characterized by redness, itching, or swelling.

Lymph Nodes

Small, bean-shaped structures that are part of the lymphatic system, helping to filter harmful substances from the body's fluids.