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A 28-Year-Old Man Is Brought to the Emergency Department Because

Question 112

Multiple Choice

A 28-year-old man is brought to the emergency department because of a 2-day history of fever and pain in the left knee. His temperature is 39.3°C (102.7°F) , pulse is 115/min, respirations are 19/min, and blood pressure is 105/70 mm Hg. Examination of the left hip shows tenderness; range of motion is limited. Minimal attempts to rotate the hip cause severe discomfort. The remainder of the examination shows no abnormalities. Arthrocentesis is performed, and synovial fluid analysis shows a white blood cell count of 110,000/mm3.  Which of the following would provide the best treatment for this patient's condition?


A) Allopurinol
B) Antibiotics
C) Colchicine
D) Indomethacin
E) Prednisone

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