<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE rdf:RDF[
	<!ENTITY rdf 'http://www.w3.org/1999/02/22-rdf-syntax-ns#'>
	<!ENTITY rdfs 'http://www.w3.org/2000/01/rdf-schema#'>
	<!ENTITY owl 'http://www.w3.org/2002/07/owl#'>
	<!ENTITY swivt 'http://semantic-mediawiki.org/swivt/1.0#'>
	<!ENTITY wiki 'https://www.wikidoc.org/index.php/Special:URIResolver/'>
	<!ENTITY category 'https://www.wikidoc.org/index.php/Special:URIResolver/Category-3A'>
	<!ENTITY property 'https://www.wikidoc.org/index.php/Special:URIResolver/Property-3A'>
	<!ENTITY wikiurl 'https://www.wikidoc.org/index.php/'>
]>

<rdf:RDF
	xmlns:rdf="&rdf;"
	xmlns:rdfs="&rdfs;"
	xmlns:owl ="&owl;"
	xmlns:swivt="&swivt;"
	xmlns:wiki="&wiki;"
	xmlns:category="&category;"
	xmlns:property="&property;">

	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR1064">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T11:51:51+00:00</swivt:creationDate>
		<owl:imports rdf:resource="http://semantic-mediawiki.org/swivt/1.0"/>
	</owl:Ontology>
	<swivt:Subject rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/WBR1064">
		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3AWBRQuestion"/>
		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3APages_using_duplicate_arguments_in_template_calls"/>
		<rdfs:label>WBR1064</rdfs:label>
		<rdfs:isDefinedBy rdf:resource="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR1064"/>
		<swivt:page rdf:resource="https://www.wikidoc.org/index.php/WBR1064"/>
		<swivt:wikiNamespace rdf:datatype="http://www.w3.org/2001/XMLSchema#integer">0</swivt:wikiNamespace>
		<swivt:wikiPageContentLanguage rdf:datatype="http://www.w3.org/2001/XMLSchema#string">en</swivt:wikiPageContentLanguage>
		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous penicillin G sodium</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
According to AHA recommendations, a compination of gram positive and gram negative antibiotics (intravenous penicillin G sodium+ gentamicin sulfate), should be used in resistant viridans group streptococci.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous penicillin G sodium+ gentamicin sulfate</property:AnswerB>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous penicillin G sodium + ceftriaxone sodium</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
According to AHA recommendations, a combination of gram positive and gram negative antibiotics (intravenous penicillin G sodium+ gentamicin sulfate), should be used in resistant viridans group streptococci.  Ceftriaxone does not provide the gram negative selectivity that gentamicin offers.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous ceftriaxone sodium</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
According to AHA recommendations, a combination of gram positive and gram negative antibiotics (intravenous penicillin G sodium+ gentamicin sulfate), should be used in resistant viridans group streptococci.  Ceftriaxone sodium alone does not provide the gram positive and negative selectivity and coverage required for resistant strains.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous gentamicin sulfate</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect
A combination of gram positive and gram negative antibiotics (intravenous penicillin G sodium+ gentamicin sulfate), should be used in resistant viridans group streptococci.</property:AnswerEExp>
		<property:Approved rdf:resource="&wiki;No"/>
		<property:ExamType rdf:resource="&wiki;USMLE_Step_3"/>
		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Primary Care Office</property:MainCategory>
		<property:Page_has_default_form rdf:resource="&wiki;WBRQuestion"/>
		<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 drinks 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.   Blood culture results shows viridans group streptococci that is highly penicillin-resistant.  What is the best antibiotic choice for 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">2020-10-28T02:31:48Z</swivt:wikiPageModificationDate>
		<property:Modification_date-23aux rdf:datatype="http://www.w3.org/2001/XMLSchema#double">2459150.6054167</property:Modification_date-23aux>
		<swivt:wikiPageSortKey rdf:datatype="http://www.w3.org/2001/XMLSchema#string">WBR1064</swivt:wikiPageSortKey>
	</swivt:Subject>
	<owl:DatatypeProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#creationDate" />
	<owl:Class rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3AWBRQuestion" />
	<owl:Class rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3APages_using_duplicate_arguments_in_template_calls" />
	<owl:ObjectProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#page" />
	<owl:DatatypeProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#wikiNamespace" />
	<owl:DatatypeProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#wikiPageContentLanguage" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerA" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerAExp" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerB" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerC" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerCExp" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerD" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerDExp" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerE" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AAnswerEExp" />
	<owl:ObjectProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AApproved" />
	<owl:ObjectProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AExamType" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AMainCategory" />
	<owl:ObjectProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3APage_has_default_form" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3APrompt" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3ARightAnswer" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3ASubCategory" />
	<owl:DatatypeProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#wikiPageModificationDate" />
	<owl:DatatypeProperty rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/Property-3AModification_date-23aux" />
	<owl:DatatypeProperty rdf:about="http://semantic-mediawiki.org/swivt/1.0#wikiPageSortKey" />
	<!-- Created by Semantic MediaWiki, https://www.semantic-mediawiki.org/ -->
</rdf:RDF>