A 15-year-old boy with cystic fibrosis is brought to the emergency department for epistaxis.  He first noticed intermittent nose bleeds a few days ago after a week of nasal congestion with low-grade fever.  The bleeding worsened today and has been difficult to control.  The patient has also had easy bruising for the past 2 months.  He has not been taking his prescribed medications.  Temperature is 37 C (98.6 F), blood pressure is 108/72 mm Hg, pulse is 90/min, and respirations are 18/min.  The patient is alert and cooperative.  There is active bleeding from the left naris.  The pupils are equal and reactive.  Breath sounds are coarse bilaterally, and cardiac examination is unremarkable.  The abdomen is soft and nontender with no organomegaly.  Strength and sensations are 5/5.  Reflexes are equal bilaterally, and gait appears normal.  Skin examination shows diffuse bruises along the extremities.  Which of the following is the most likely cause of this patient's symptoms?

An 18-year-old boy with cystic fibrosis presents to the Emergency Department with a 4-day history of progressively worsening productive cough, fever, and malaise. His temperature is 38.8°C, blood pressure is 110/75 mmHg, heart rate is 104 beats per minute, and respiratory rate is 24 breaths per minute. Chest x-ray demonstrates a right lower lobe infiltrate. Which antibiotic would be most beneficial for empiric treatment of this patient?

A 28-year-old man comes to the office because of several days of unsteadiness when walking. Yesterday, the patient fell down when walking to the kitchen to make dinner. He says that he feels unsteady when walking because it seems as if stationary objects are moving around throughout his visual field. The patient denies head trauma and did not lose consciousness at any time. He does not have headache, dizziness, focal neurologic deficits, urinary incontinence, chest pain, or palpitations. His medical history is remarkable for cystic fibrosis, which has been complicated by multiple pulmonary infections and pancreatic insufficiency. Two weeks ago, he was prescribed ampicillin and gentamicin for the treatment of a pulmonary infection. The patient also takes supplemental pancreatic enzymes. He does not use tobacco, alcohol, or illicit drugs. He is sexually active with one female partner and does not regularly use condoms. His temperature is 36.9°C (98.5°F), pulse is 72/min, and blood pressure is 115/70 mm Hg. His BMI is 25 kg/m2. The patient is alert and oriented, and his speech is normal. Neurologic examination shows normal muscle strength and sensation in all extremities. Deep tendon reflexes are 2+ throughout. The patient's gait is unsteady when he is asked to walk across the room. Hearing is decreased in the left and right ears on whisper test. The patient is then asked to focus on a chart on the wall; during rapid head movement away from this target, his eyes briefly move away from the target before there is a horizontal saccade back toward it. There are no visual field deficits and his pupils are equal and reactive to light. Serum laboratory studies are within normal limits. Which of the following is the most likely cause of this patient's current symptoms?A. Aminoglycoside toxicityB. Benign paroxysmal positional vertigoC. Ménière diseaseD. Pituitary adenomaE. Tertiary syphilisF. Vitamin B12 (cobalamin) deficiencyG. Vitamin E (tocopherol) deficiency

Cystic fibrosis is caused due to

On the day Nicole was advised to bring Richard to the health center for IMMUNIZATION, Richard has fever at 38.5"C, watery nasal discharge, red and 2 bouts of loose watery stools within the 2-hours interval. Richard is drinking and is irritable. You will use IMCI (Integrated Management of Childhood illness) wherever/whenever applicable, so you would:*1 pointA. Reduce the amount of vaccineB. Re-schedule the immunizationC. continue immunizationD. refer the patient

A 26-year-old man presents to his primary care physician with fatigue, headache, and a sore throat for the past week. There is also nausea and diarrhea, but no weight loss, productive cough, or difficulty breathing. He has no known past medical history, does not take any medications, and has no recent sick contacts. He is sexually active and uses condoms inconsistently; he drinks alcohol heavily on the weekends and has had previous IV drug use. On examination, his temperature is 39°C and the rest of his vital signs are normal. He has nontender cervical and axillary lymphadenopathy, tonsillar exudates, and mild splenomegaly. There are also several painful, well-demarcated ulcers within his mouth and a mild maculopapular rash over his chest and arms. A rapid Strep test and a monospot (heterophile antibody) test are negative; further screening for chlamydia, gonorrhea, syphilis, and HIV antibody is negative. What is the likely diagnosis?Ask StudybuddyGroup of answer choicesUpper respiratory infectionSecondary syphilisHodgkin lymphomaAcute retroviral syndromeInfectious mononucleosis