Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Prescribe ciprofloxacin
4%
3/69
Prescribe amoxicillin
13%
9/69
Prescribe zidovudine
Refer the patient to an infectious disease specialist
20%
14/69
Deny the patient's request
48%
33/69
Select Answer to see Preferred Response
Antibiotics should not be prescribed for infections of viral origin. Adverse effects of antibiotics pose real risks to the patient, and inappropriate use of antibiotics contributes to antibiotic resistance. According to Wang et al., "In patients with sore throat, a diagnosis of group A beta-hemolytic streptococcus pharyngitis generally requires confirmation with rapid antigen testing, although other guidelines allow for empiric therapy if a validated clinical rule suggests a high likelihood of infection. Acute bronchitis in otherwise healthy adults should not be treated with antibiotics; delayed prescriptions may help ease patient fears and simultaneously reduce inappropriate use of antibiotics." Incorrect answers: Answers 1 and 2: Ciprofloxacin is a 2nd generation fluoroquinolone antibiotic. Amoxicillin is an aminopenicillin antibiotic. Although the principle of patient autonomy states that patient's preferences in medical care should be honored, this principle does not permit the patient to demand treatment that the physician does not deem medically necessary. Answer 3: Zidovudine is a nucleoside reverse-transcriptase inhibitor (NRTI) used in the treatment of HIV. Answer 4: Referring the patient to another physician is rarely the correct answer on the USMLE.
4.0
(5)
Please Login to add comment