USMLE-Rx Step 1 Qmax Challenge #4033

Check out today’s Step 1 Qmax Question Challenge.

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A 45-year-old woman with AIDS is brought to the emergency department with a temperature of 38.8°C (101.8°F), malaise, and altered mental status, but no other history is available. Lumbar puncture shows:

Opening pressure: 230 mm H2O
WBC count: 3500/mm³
Protein: 120 mg/dL
Glucose: 44 mg/dL

A bronchoalveolar lavage specimen is stained with India ink, and results are shown in the image.

Treatment with which of the following medications should be started?

A. Acyclovir
B. Ceftriaxone
C. Flucytosine
D. Nystatin
E. Ribavirin
F. Vidarabine

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