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NBME 21 Answers

nbme21/Block 3/Question#38

A 28-year-old man develops a temperature of 39.9°C ...

Granulocyte colony-stimulating factor

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submitted by yotsubato(282),

The patient has Neutropenic fever. GSCF will restore his neutrophils.

yotsubato  His RBC and platelets are low, but at acceptable levels for someone undergoing chemotherapy. +1  

I chose G-CSF because the granulocytes seemed to me more of a risk than the moderate anemia. Erythropoietin seems like an appropriate choice as well but G-CSF more critical.

kentuckyfan  I think it's also because he has an infection (since he was prescribed antibiotics) boosting the immune system is more important than increasing platelet count E) or RBC count A) +2