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NEW QUESTION: 1
An 11-year-old male presents with his mother to your clinic with 5 days of frequent diarrhea, occasionally with streaks of blood mixed in. Stool cultures are pending, but preliminary stool samples demonstrate fecal WBC and RBC.
Assuming the patient is stable enough for outpatient management, what would be the optimal treatment assuming the underlying pathogen is Shigella?
A. Oral Metronidazole
B. Oral Erythromycin
C. An oral quinolone
D. Oral Vancomycin
E. Oral TMP-SMX
Answer: E
Explanation:
Explanation
Shigella can cause bloody diarrhea, and frequently affects young children and institutionalized patients. The pathogen is highly contagious, and is spread via fecal-oral transmission. The pathogen can lead to severe dehydration, and even cause febrile seizures in young patients. For clinically stable patients who can be managed via outpatient therapy, the optimal treatment is via PO TMP-SMX to decrease the risk of person- to-person transmission. Choice A - Erythromycin is the first line treatment for bloody diarrhea caused by the pathogen campylobacter. However, for the purposes of decreasing transmissibility of suspected Shigella, TMP-SMX remains the mainstay of therapy. Choices B + C - Oral metronidazole and oral vancomycin can both be used in the treatment of Clostridium deficile. Alternatively, intravenous metronidazole can be given if the patient is unable to tolerate oral medications. Choice D - Oral quinolones can be used in cases of bloody diarrhea in which salmonella is the suspected pathogen. Salmonella is caused by the ingestion of contaminated poultry and/or eggs, and can ultimately lead to bacteremia in 5-10% of cases.

NEW QUESTION: 2
While creating a Purchase Order, you observe that the system is defaulting Net 30 as the payment term instead of the intended payment term Net 15.
Identify two ways to achieve the desired defaulting. (Choose two.)
A. Update Net 15 in procurement options and Net 30 for the supplier site.
B. Set Net 15 for the supplier site.
C. Update Net 15 in procurement options and leave the payment term blank for this supplier at all levels.
D. Set Net 30 for the supplier site and leave the payment term blank in procurement options.
Answer: B,C

NEW QUESTION: 3
To complete the sentence, select the appropriate option in the answer area.

Answer:
Explanation:

Explanation
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