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24-year-old primigravid woman comes to the labor and delivery ward at term with regular, painful contractions. Her prenatal course was unremarkable. She has a past medical history significant for mitral valve prolapse with regurgitation demonstrated on echocardiography. She takes no medications and has no allergies to medications. She has had a history of an indolent process characterized by fever, fatigue, anorexia, back pain, and weight loss, and some dyspnea on exertion. She saw a dentist two weeks ago. What is the disease? What is the drug? Bug? a) SLE, “Lupus” b) Bacterial endocarditis c) Polymyalgia rheumatica d) Neoplasm e) Atrial myxoma Drug 1-Penicillin G 2-Gentamicin Likely Bug 1-E. Coli 2-S. viridans

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Subject: Tommy's Concepts

Question

24-year-old primigravid woman comes to the labor and delivery ward at term with regular, painful contractions. Her prenatal course was unremarkable. She has a past medical history significant for mitral valve prolapse with regurgitation demonstrated on echocardiography. She takes no medications and has no allergies to medications. She has had a history of an indolent process characterized by fever, fatigue, anorexia, back pain, and weight loss, and some dyspnea on exertion. She saw a dentist two weeks ago. What is the disease? What is the drug? Bug?

a) SLE, “Lupus”
b) Bacterial endocarditis
c) Polymyalgia rheumatica
d) Neoplasm
e) Atrial myxoma

Drug
1-Penicillin G
2-Gentamicin
Likely Bug
1-E. Coli
2-S. viridans

Answer

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