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S******9
发帖数: 2837 | 1 16. A 42-year-old man is brought to the emergency department because of a 2-
day history of muscle spasms and jaw stiffness. He is sexually active with
three partners and uses condoms inconsistently. He has a 5-year history of
intravenous heroin use. He appears irritable. His temperature is 38.8Â
°C (101.8°F), pulse is 120/min, and blood pressure is 152/96 mm Hg.
Physical examination shows facial and paraspinal muscle spasms and rigidity;
stimulation of the muscles results in paroxysmal spasms. Mobility of the
jaw is decreased. Neurologic examination shows hyperreflexia. Which of the
following is most likely to have prevented this condition?
O A) Consistent condom use
O B) Botulism antitoxin therapy
O C) Prednisone therapy
O D) Rifampin therapy
O E) Tetanus toxoid vaccination
0 F) Vitamin B1 (thiamine) supplementation
不明白这个人如何得的破伤风？
谢谢 |
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