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A 21-Year-Old Woman Is Brought to the Emergency Department Due

question 456

Multiple Choice

A 21-year-old woman is brought to the emergency department due to continuous vomiting, diarrhea, and high fever for a day. The patient also has a severe headache that is unrelieved by acetaminophen. She has no hematemesis or hematochezia. The patient spent the last 3 months in Southeast Asia and returned yesterday on an international flight. She has no chronic medical conditions or previous surgeries. The patient does not use tobacco or illicit drugs. She is currently on the fifth day of her menstrual period and has had to use both tampons and pads due to heavy bleeding. Temperature is 39.4 C (103 F) , blood pressure is 80/40 mm Hg, and pulse is 124/min. Physical examination reveals a diaphoretic woman with dry mucous membranes. There is no nuchal rigidity. An erythematous macular rash covers the entire body, including the palms and soles. Which of the following microorganisms is most likely responsible for this patient's symptoms?

Definitions:

Employment Law

A branch of law that deals with the rights and obligations of working individuals, including issues related to hiring, dismissal, work conditions, and discrimination.

Collective Bargaining

The process through which unions negotiate with employers on behalf of their members to establish employment contracts, covering wages, hours, benefits, and working conditions.

NLRA

The National Labor Relations Act, a foundational law in the United States that protects employees' rights to organize and engage in collective bargaining.

Injunction

A legal order issued by a court that compels a party to do or refrain from doing specific acts.