MCQ – 89136

Question

A 3-year-old female is brought in by her parents for 4 days of incessant dry cough. The vital signs are temperature 102.5F, pulse 82 beats/min, respirations 12/min, and blood pressure 124/86 mmHg. The relevant history includes parents who both smoke cigarettes, no sick contacts, and recent travel to the zoo where they spent a considerable amount of time in the aviary exhibition. A chest x-ray shows single lobar changes and likely pneumonia. What is the best treatment?

A. Tetracycline orally at 25 mg/kg/dose every 6 hours for 7 days

B.

Doxycycline IV at2 mg/kg/dose twice daily for 5 days

C.

Azithromycin orally at 10 mg/kg single dose first day, followed by 5 mg/kg from the second to fifth day

D.

Chloramphenicol IV at 50 mg/kg/day for 5 days

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