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USMLE · Question #467

A 55-year-old woman with small cell carcinoma of the lung is admitted to the hospital to undergo chemotherapy. Six days after treatment is started, she develops a temperature of 38°C (100.4°F). Physic

The correct answer is C. Filgrastim. See the full explanation below for the reasoning.

Question

A 55-year-old woman with small cell carcinoma of the lung is admitted to the hospital to undergo chemotherapy. Six days after treatment is started, she develops a temperature of 38°C (100.4°F). Physical examination shows no other abnormalities. Laboratory studies show a leukocyte count of 100/mm (5% segmented neutrophils and 95% lymphocytes). Which of the following is the most appropriate pharmacotherapy to increase this patient's leukocyte count?

Options

  • ADarbepoetin
  • BDexamethasone
  • CFilgrastim
  • DInterferon alfa
  • EInterleukin-2 (IL-2)
  • FLeucovorin

How the community answered

(36 responses)
  • A
    3% (1)
  • C
    81% (29)
  • D
    3% (1)
  • E
    6% (2)
  • F
    8% (3)

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