WBR268
| Author | [[PageAuthor::Sapan Patel M.B.B.S]] |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Inpatient Facilities |
| Sub Category | SubCategory::Dermatology, SubCategory::Infectious Disease, SubCategory::Surgery |
| Prompt | [[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?]] |
| Answer A | AnswerA::Begin broad-spectrum antibiotics and observe for 48 hours |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Blood cultures through the central line, begin broadspectrum antibiotics and await culture results |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Catheter removal, send tip for culture and replace with a new central line over the guide wire |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Catheter removal, send tip for culture and establish central line at another site |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Catheter removal, send tip for culture and establish peripheral intravenous line |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::D |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |