Quiz 6

Question 1

Tx for serotonin syndrome

Answer 1

benzo

Question 2

Which one of the following can help to minimize the pain of lidocaine (Xylocaine) injection?

Answer 2

Buffering the solution with sodium bicarbonate

Question 3

Which one of the following is most appropriate for patients with asplenia? (

Answer 3

Antibiotics for any episode of fever

Question 4

A 19-year-old college wrestler presents with cellulitis of his left arm extending from a small
pustule on his hand to the axilla. He appears acutely ill and has a temperature of 38.9°C
(102.0°F). His WBC count is 22,000/mm3 (N 4300–10,800). He is admitted to the hospital.

The initial drug of choice for this patient would be  (check one)
 A. ciprofloxacin (Cipro) 
 B. clindamycin (Cleocin) 
 C. doxycycline 
 D. trimethoprim/sulfamethoxazole 
 E. vancomycin

Answer 4

vancomycin

Methicillin-resistant Staphylococcus aureus (MRSA) is the predominant cause of suppurative skin and
soft-tissue infection.

Question 5

Which one of the following is an indication for a second dose of pneumococcal polysaccharide
vaccine in children?  (check one)
 A. A cerebrospinal fluid leak 
 B. Cyanotic congenital heart disease 
 C. Type 1 diabetes mellitus 
 D. Sickle cell disease 
 E. Chronic bronchopulmonary dysplasia

Answer 5

Sickle cell disease

one dose of pneumococcal
polysaccharide vaccine after 2 years of age, and at least 2 months after the last dose of pneumococcal
conjugate vaccine. Revaccination with polysaccharide vaccine is not recommended for these patients.
Individuals with sickle cell disease, those with anatomic or functional asplenia, immunocompromised
persons with renal failure or leukemia, and HIV-infected persons should receive polysaccharide vaccine
on this same schedule and should also be revaccinated at least 3 years after the first dose.