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* nbme 4 bl 1 q 14
 #413960  
  unstableangina - 05/27/09 06:28
 
  14. A 17.year-old boy with mental retardation is brought to the physician because of low-grade fever and abdominal pain for 6 days. His temperature is 37.8°C (100.1°F), pulse is
110/mni, respirations are 22/mni, and blood pressure is 120/70 mm Hg. Examination shows splinter hemorrhages under the nails. A grade 2/6 systolic murmur is heard best
at the upper left sternal border. There is a systolic ejection click. S1 and S2 are normal. Abdominal examination shows splenomegaly. Laboratory studies show:
Hemoglobin 9.1 g/dL
Leukocyte count 30,o0o/mm3
Platelet count 928,000/mm3
Erythrocvte sedimentation rate 110 mm/h
Urine
Blood 2+
Protein 1+
which of the following is the most appropriate next step in management?
o A) 24-Hour urine collection for measurement of protein and creatinine concentrations
O B) Blood cultures
o C) Ultrasonography of the abdomen
o D) CT scan of the abdomen
O E) Broad-spectrum antibiotic therapy

explain .. also why such a high platelet
 
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* Re:nbme 4 bl 1 q 14
#1766737
  pankyash - 05/27/09 07:58
 
  should be B.. no idea about plts..  
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