An 80-Year-Old Man Is Brought to the Emergency Department Due

question 261

Multiple Choice

An 80-year-old man is brought to the emergency department due to 2 days of fever, productive cough, and shortness of breath.  The patient has a history of hypertension, coronary artery disease, and ascending aortic aneurysm with moderate aortic insufficiency.  He has not been hospitalized or used antibiotics recently.  The patient is an ex-smoker with a 30-pack-year history and has no drug allergies.  Temperature is 38.4 C (101.1 F) , blood pressure is 110/68 mm Hg, pulse is 102/min, and respirations are 20/min.  Physical examination reveals right-sided lung crackles and a soft, early diastolic murmur.  Leukocytes are 14,000/mm³, and a chest x-ray shows infiltrates in the right upper lobe of the lung.  Which of the following antibiotics should be avoided in this patient to prevent complications associated with his comorbid conditions?

• A)Amoxicillin
• B)Azithromycin
• C)Ceftriaxone
• D)Doxycycline
• E)Levofloxacin

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Definitions:

Spillover Effect

The phenomenon where an event or behavior in one domain or area influences another, often used in economics, psychology, and environmental science.

Cannon-Bard Theory

A theory of emotion that suggests that emotional experiences occur simultaneously with physiological responses, rather than one causing the other.

Cannon-Bard Theory

A theory of emotion that proposes emotions and bodily responses occur simultaneously, rather than one causing the other.

Heart Begins Pounding

A physiological response typically associated with intense emotions, stress, or physical exertion, leading to an increased heart rate.