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		<rdfs:label>WBR1060</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blood culture and wait for the results to start antibiotic therapy</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
The rapid progression of acute cases necessitates the start of empirical treatment antibiotic therapy once the blood cultures have been collected</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Blood culture and start antibiotics before the results</property:AnswerB>
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The rapid progression of acute cases necessitates the start of empirical treatment antibiotic therapy once the blood cultures have been collected</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Start empiric antibiotics immediately</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
Blood cultures have to be drawn first</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Start with thrombolytic therapy to prevent more emboli</property:AnswerD>
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Anticoagulants can cause or worsen hemorrhage in patients with endocarditis but may be carefully administered when needed.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Order EKG</property:AnswerE>
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Blood cultures have to be drawn first</property:AnswerEExp>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 35 year-old male comes to your office complaining of fever, along with chills, anorexia, malaise, and chest pain.  These symptoms started suddenly over the last 5 days.  His past medical history is not significant.  He smoke one pack of cigarette per day for the last 10 years, and drink alcohol occasionally.  He is sexually active, and use I.V drugs with the recent use one week ago.  On examination, his temperature is 102.9°F (39.4° C), blood pressure 140/90 mmgH, heart rate 100/min, and respiratory rate of 21/min.  There is a painful, red, raised lesion on the finger pulps. His chest x-ray shows patchy infiltrations, and his echocardiography shows tricuspid valve vegetation.    What is the best next step in managing this patient?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">B</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Cardiovascular</property:SubCategory>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T02:29:50Z</swivt:wikiPageModificationDate>
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