nbme - akshaya007

[ArchivalUser]

A 5-year-old girl with ventricular septal defect is scheduled for tonsillectomy in 2 weeks. She has no known drug allergies. Her temperature is 37 C (98.6 F). Examination shows no abnormalities. Which of the following is the most appropriate prophylaxis prior to tonsillectomy?

A) Amoxicillin
B) Ciprofloxacin
C) Rifampin
D) Tetracycline
E) Trimethoprim-sulfamethoxazole
F) No prophylaxis indicated

[ArchivalUser]

A..endocarditits

[ArchivalUser]

F none needed, VSD is not cyantotic

[ArchivalUser]

but isn't dental procedure a ppx criteria for endocarditis? i know tonsillectomy isn't exactly dental but it does involve the oral cavity?

[ArchivalUser]

ahh nvm!!! just read up on it no risk factors so dental procedure doesn't require ppx..and as you stated VSD is not a risk factor since its not cyanotic!