Question 1

Question

A 68-year-old man with diabetes presents to the emergency department with fever, hypotension (BP 85/50 mmHg), and altered mental status. Temperature is 39.2°C (102.5°F), heart rate is 115/min, and respiratory rate is 28/min. Laboratory studies show WBC 18,000/mm³ with 15% bands, lactate 3.5 mmol/L, and creatinine 2.1 mg/dL (baseline 1.0 mg/dL). Blood cultures are drawn. What is the most appropriate initial management?

Accepted Answer

Administer broad-spectrum antibiotics within 1 hour and begin fluid resuscitation with 30 mL/kg crystalloid

Answer

Start norepinephrine immediately before fluid resuscitation

Answer

Administer corticosteroids and then broad-spectrum antibiotics

Answer

Obtain CT scan of abdomen and pelvis before initiating antibiotics

Answer

Begin fluid resuscitation and wait for culture results before starting antibiotics

Sepsis — MCQs

Sepsis — MCQs

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