Cram Schools Test Prep Kaplan USMLE Step 2 prep: Which is the appropriate pharmacotherapy? – American Medical Association

Kaplan USMLE Step 2 prep: Which is the appropriate pharmacotherapy? – American Medical Association



If you’re preparing for the United States Medical Licensing Examination® (USMLE®) Step 2 exam, you might want to know which questions are most often missed by test-prep takers. Check out this example from Kaplan Medical, and read an expert explanation of the answer. Also check out all posts in this series.  

The AMA selected Kaplan as a preferred provider to support you in reaching your goal of passing the USMLE® or COMLEX-USA®. AMA members can save 30% on access to additional study resources, such as Kaplan’s Qbank and High-yield courses. Learn more.

This month’s stumper

A 65-year-old man is brought to the emergency department because of a two-day history of fever, headache and confusion. He has a history of prostate cancer, type 2 diabetes mellitus, and hypertension. Current medications include lisinopril and metformin. He appears confused. His temperature is 39.7° C (103.5° F), blood pressure is 120/84 mm Hg, and pulse is 102 beats per minute. Examination shows neck stiffness. A lumbar puncture is performed. Gram stain of the cerebrospinal fluid shows lancet-shaped, gram-positive diplococci.

Which of the following is the most appropriate pharmacotherapy?

A. Ampicillin, ceftriaxone and vancomycin.

B. Ceftriaxone.

C. Ceftriaxone and vancomycin.

D. Penicillin.

E. Rifampin.

F. Vancomycin plus ampicillin.

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