Toxic shock syndrome Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 32-year-old woman presents to the emergency department with a high fever, chills, headache, myalgias, and a diffuse red rash. Temperature is 39.2°C (102.5 °F), blood pressure is 70/40 mmHg, heart rate is 122/min, respiratory rate is 18/min, and oxygen saturation is 98% on room air. Mucous membranes appear dry, and capillary refill time is delayed. Skin exam is significant for a diffuse macular erythematous rash. Abdominal examination is unremarkable. A retained tampon is found on pelvic exam with dried blood. Laboratory findings are listed below. Blood cultures are drawn, and the patient is started on broad-spectrum antibiotics. Blood pressure remains 78/42 after initial fluid resuscitation. Which of the following is the best next step in management?  

Laboratory test  
Result
Reference
White blood cell count  
18,000 /µL  
4,500-11,000 /µL  
Platelet count  
70,000 /µL  
150,000-400,000 /µL  
Creatinine
2.2 mg/dL  
0.6-1.2 mg/dL  
AST
80 U/L  
8-20 U/L  
ALT
95 U/L  
8-20 U/L  

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