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Pediatrics · Infections: cholera
Sample itemA child of 5 years from an outbreak area has profuse rice-water stools and severe dehydration. After rehydration, which antibiotic is a recommended option?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Single dose azithromycin
Antibiotics shorten the duration and volume of cholera when given after rehydration. Single-dose azithromycin (20 mg/kg) is preferred in children, and doxycycline is an option in older children. The cornerstone remains rapid fluid replacement.
Option by option
A. Single dose azithromycin (correct)
Correct. Azithromycin single dose is used for cholera.
B. Chloramphenicol for 14 days
Chloramphenicol for 14 days is not recommended.
C. Gentamicin intravenous
Gentamicin is not used for cholera.
D. Metronidazole for 10 days
Metronidazole treats amoebiasis and giardiasis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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