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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1


(Ahhh, another Step 1 Must See TV)<br />
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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?<br />
(Think hard at the choices, guess hard, then look below).<br />
<br />
1-Acetominophen<br />
2-Vancomycin<br />
3-Aspirin alone<br />
4-Penicillin G and Aspirin<br />
5-Supportive care and return visit in one week<br />