nbme q - asin

[ArchivalUser]

A 57yr old man with multiple myeloma comes to the physician bcoz of a 12 hr hx of fever sharp chest pain with inspiration and a cough production of sputum. Temp 38.3 bp 120/78 pulse 112 RR 28 crackles are heard at the base of lung. Hb 9.2 wbc 2600 platelet 96000 . empiric antibiotics should be directed against which of the following

a.listeria monocytogenes
b. nessiria mening
c. pseudomonas
d. strep bovis
e. strep pneumonia

[ArchivalUser]

iTS E. In multiple myeloma, the most commong org are Strep. pneumonia and H. influenza