PANCE Exam Practice Questions: Quiz 28 February 5, 2016 By Aamir Khan Leave a Comment A 23-year-old female presents with a recent development of longer and heavier than normal menses and a rash on her lower extremities. The only thing she can recall of any significance regarding her recent medical history is that she had a sore throat several weeks ago. Exam reveals red to purple hemorrhages that are pinhead sized overlying her shins and ankles; the lesions do not blanch with pressure. Platelet count is 40,000/mm3; the remainder of the CBC and differential is normal. An antistreptolysin O is negative as is a pregnancy test. Which of the following treatments would be most appropriate in this case? A. dexamethasone B. intravenous immunoglobulin (IVIG) C. penicillin VK D. ticlopidine (Ticlid) Δ
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