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| {{WBRQuestion
| | Plagiarism detected. |
| |QuestionAuthor={{Sapan}}
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| |ExamType=USMLE Step 3
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| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |MainCategory=Inpatient Facilities
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| |MainCategory=Inpatient Facilities
| |
| |SubCategory=Dermatology, Infectious Disease, Surgery
| |
| |MainCategory=Inpatient Facilities
| |
| |SubCategory=Dermatology, Infectious Disease, Surgery
| |
| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |MainCategory=Inpatient Facilities
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| |MainCategory=Inpatient Facilities
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| |SubCategory=Dermatology, Infectious Disease, Surgery
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| |Prompt=A 60-year-old male on total parenteral nutrition (TPN) for 10 days following development of a postoperative enterocutaneous fistula has developed high, spiking temperatures up to 102.3°F over the last 7 hours. The only abnormal finding on physical examination is redness and induration around his central line. The most appropriate step is which of the following?
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| |AnswerA=Begin broad-spectrum antibiotics and observe for 48 hours
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| |AnswerB=Blood cultures through the central line, begin broadspectrum antibiotics and await culture results
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| |AnswerC=Catheter removal, send tip for culture and replace with a new central line over the guide wire
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| |AnswerD=Catheter removal, send tip for culture and establish central line at another site
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| |AnswerE=Catheter removal, send tip for culture and establish peripheral intravenous line
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| |RightAnswer=D
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| |Approved=Yes
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| }}
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