55 year old lady with a history of recurrent admissions to the hospital to receive chemotherapy for breast cancer. She was admitted to the intensive care unit multiple times with hypotension and uncontrolled diabetes mellitus with significant hyperglycemia. She was diagnosed with hospital acquired pneumonia with hypoxia. Which of the following statements is correct? -Antibiogram focuses on the empiric use of broad-spectrum antibiotics. -Aztreonam cannot be used in patients with penicillin allergy. -Pneumocystis jirovecii is a common cause of hospital-acquired pneumonia. -Acinetobacter baumannii pneumonia exhibits its low resistance to antibiotics. -Doxycycline should be avoided in patients who cannot tolerate cephalosporin

A 45-year-old established patient with rheumatoid arthritis, hypertension, and hyperlipidemia presents for an office visit. His joint disease has been stable in the past, but in the last three weeks he has noticed increas- ing pain and has developed redness in several joints. He has had a low-grade fever for the past week. The evening before the visit, Dr J reviews the patient's recent test results for 15 minutes. At the visit, Dr J reviews the medical history form completed by the patient and vital signs obtained by the medical assistant. A history including prior response to treatment, a review of inter- val correspondence with other providers, and a relevant examination are performed. The likely progression of disease is discussed with the patient. Lab work to rule out systemic infection is ordered. A treatment plan is updated with a new medication prescription provided. The patient has considerable anxiety regarding the new medication and the potential risks, and Dr J provides…

Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…