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(Ahhh, another Step 1 Must See TV) 18-year-old male named Ashton Kutcher presents with a temperature of 38.4 C (101 F) and low back, wrist, and knee pain. He had a sore throat 1 month earlier. His arthritis is diffuse. Pea-sized swellings are noted over the skin on his knees. He has a red rash that spreads like a “snake” and is erythematous on his anterior trunk. His blood and throat cultures are negative, and his CBC is unremarkable. His antistreptolysin-O (ASO) titer is high. Which of the following is the most appropriate therapy? What is the dx? (Think hard at the choices, guess hard, then look below). 1-Acetominophen 2-Vancomycin 3-Aspirin alone 4-Penicillin G and Aspirin 5-Supportive care and return visit in one week 6-Clindamycin

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Subject: Tommy's Concepts

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(Ahhh, another Step 1 Must See TV)


18-year-old male named Ashton Kutcher presents with a temperature of 38.4 C (101 F) and low back, wrist, and knee pain. He had a sore throat 1 month earlier. His arthritis is diffuse. Pea-sized swellings are noted over the skin on his knees. He has a red rash that spreads like a “snake” and is erythematous on his anterior trunk. His blood and throat cultures are negative, and his CBC is unremarkable. His antistreptolysin-O (ASO) titer is high. Which of the following is the most appropriate therapy? What is the dx?
(Think hard at the choices, guess hard, then look below).

1-Acetominophen
2-Vancomycin
3-Aspirin alone
4-Penicillin G and Aspirin
5-Supportive care and return visit in one week
6-Clindamycin

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