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#General_practitioner #step1  https://medical-amboss.com #Passmedicine usmle   #step1  Q251 Which of the following is a plausible means by which the patient failed to improve with treatment?Anonymous voting
  • A. Alteration of the pentapeptide side chain of N-acetylmuramic acid
  • B. Increased efflux of the bacteria by plasmid-encoded transport pumps
  • C. Mutation of the gene for DNA gyrase
  • D. Production of an enzyme that cleaves β- lactam structures
  • E. Methylation of the 23S ribosomal RNA
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#General_practitioner #step1  https://medical-amboss.com #Passmedicine usmle   #step1  Q251 😀A 46-year-old male comes to the clinic with complaints of 2 days of fever and cough. He does not use tobacco or alcohol. His temperature is 39.2ºC (102.6ºF), blood pressure is 120/80 mmHg, pulse is 104/min, and respirations are 20/min. No pharyngeal erythema or cervical lymphadenopathy is present. Lung auscultation reveals crackles in the right lower lung field. A chest x-ray reveals a right diffuse patchy interstitial inflammation. A diagnosis of community-acquired pneumonia was made. The sputum analysis revealed infection with Mycoplasma pneumonia . He was started on first-line antibiotic therapy. Despite the use of antibiotic medication for 5 days, his fever and cough did not subside. ➡️THE QUESTION ➡️EXPLANATION
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