PANCE Exam Practice Questions: Quiz 284

A 26-year-old with no significant past medical history presents with 2 days of nonbloody diarrhea and low-grade fever. He denies exposure to sick contacts, use of antibiotics, or ingestion of improperly prepared or stored food. Exam reveals hyperactive peristalsis, diffuse abdominal tenderness, and guaiac negative stool. What is the recommended management?
- A. oral rehydration with fluids containing sodium, potassium, and bicarbonate
- B. sending the stool for fecal white blood cell, stool culture, and ova and parasite testing
- C. starting empiric antibiotic therapy while awaiting stool tests
- D. starting symptomatic therapy with antidiarrheal agents

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