🏥 USMLE Exam Prep

A 70-year-old woman is brought to the ED with altered mental status, fever (102.5°F), heart rate 110/min, respiratory rate 24/min, and blood pressure 80/40 mmHg. Her lactate is 5.8 mmol/L. After initiating intravenous fluids, which of the following is the MOST appropriate next step in management?

A Administer broad-spectrum antibiotics
B Obtain a head CT scan
C Order a transthoracic echocardiogram
D Administer activated protein C

✓ Correct Answer: Option A

This patient presents with septic shock. After initial fluid resuscitation, prompt administration of broad-spectrum antibiotics is critical and time-sensitive to improve outcomes, ideally within one hour of sepsis recognition.

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