]> 2026-07-31T09:42:03+00:00 WBR1061 0 en Blood culture and wait for the results to start antibiotic therapy Correct Antibiotic therapy for subacute hemodynamically stable disease, and in those who have received antibiotics recently can be delayed waiting for the results of blood cultures, as this delay allows an additional blood cultures without the confounding effect of empiric treatment. Blood culture and start antibiotics before the results Incorrect The rapid progression of acute cases necessitates the start of empirical treatment antibiotic therapy once the blood cultures have been collected Start empiric antibiotics immediately Incorrect Blood cultures have to be drawn first Start with thrombolytic therapy to prevent more emboli Incorrect Anticoagulants can cause or worsen hemorrhage in patients with endocarditis but may be carefully administered when needed. Order EKG Incorrect Blood cultures have to be drawn first Primary Care Office A 27 year-old female comes to your office complaining of fever, along with chills, anorexia, malaise, and chest pain. These symptoms started gradually over the last 2 weeks after she had been treated from serious urinary tract infections. The patient has a past medical history of rheumatic fever when she was 7 years old. She doesn’t smoke, but drink alcohol occasionally. She is sexually active. On examination, her temperature is 102.9°F (39.4° C), blood pressure 140/90 mmgH, heart rate 100/min, and respiratory rate of 21/min. Heart examination shows ejection systolic murmur on the apex that propagates to axilla. There is a painful, red, raised lesion on the finger pulps. Her chest x-ray shows patchy infiltrations, and her echocardiography shows mitral valve vegetations. What is the best next step in managing this patient? A Cardiovascular 2020-10-28T02:29:59Z 2459150.6041551 WBR1061