nmbe - usmleicandoit

[ArchivalUser]

a 57 year old man with multiple myeloma comes to the dr. with a 12 hour hx of fever, sharp chest pain with deep inspiration and cough productive of blood-tinged sputum. His temp is 101f, bp is 120/78, pulse is 112/minute and respirations are 28/minute. crackles are heard in the right lung base. his hemoglobin is 9.2 g/dl. leukocyte count is 2,600/mm3, platelet count is 96,000/mm3. empiric antibiotics should be directed against which of the following organisms?
a) listeria monocytogenes

b) neisseria meningitidis

c) pseudomonas aeruginosa

d) streptococcus bovis

e) strep pneumonia

[ArchivalUser]

e.?

[ArchivalUser]

a ? more severe presentation and immuno compromised ??