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A local politician returns from a recent anti-terrorism campaign
and presents to the ED with a pneumonia. His clinical manifestations
include hemoptysis, fever, and prostration. Four people from
his campaign have just developed abrupt onset of fever and
cough as well. The test which would most quickly suggest pneumonic
plague in the differential diagnosis is:
A . Chest x-ray.
B . WBC differential.
C . PPD.
D . Sputum gram stain.
E . Blood cultures.
If pneumonic plague is suspected, what precautions should
be used until this diagnosis is ruled out?
A . Airborne infection isolation.
B . No precautions, plague is not transmitted from
person to person.
C . Contact precautions only.
D . Reverse isolation.
If plague is confirmed, what post-exposure prophylaxis should
the patients' asymptomatic contacts receive?
A . Vancomycin
B . Immunization
C . Doxycycline
D . Antivirals
E . No antibiotics have been shown to be helpful
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