🏥 USMLE Exam Prep

A 45-year-old female receiving chemotherapy for breast cancer presents to the emergency department with a temperature of 101.8°F (38.8°C) and chills. Her absolute neutrophil count (ANC) is 300 cells/µL. She has no localizing symptoms of infection. What is the most appropriate initial management?

A Obtain blood cultures and administer broad-spectrum intravenous antibiotics.
B Administer antipyretics and observe for 24 hours.
C Initiate oral levofloxacin.
D Order a CT scan of the chest, abdomen, and pelvis to localize infection.

✓ Correct Answer: Option A

Febrile neutropenia is a medical emergency requiring prompt administration of broad-spectrum intravenous antibiotics after obtaining blood cultures. Delay in antibiotic administration significantly increases mortality risk.

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