Acute gout flare in CKD — RCPSC IM MCQ
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Correct answer: B — Start IV antipseudomonal therapy after cultures are taken
Neutropenic shock requires immediate IV antipseudomonal antibiotics; cultures should not cause meaningful delay. Routine line removal, oral treatment, vancomycin alone, or CT before antimicrobials are unsafe in this high-risk syndrome.
Reference: Cancer Care Ontario, Prevention and Outpatient Management of Febrile Neutropenia in Adult Cancer Patients: https://www.cancercareontario.ca/en/guidelines-advice/types-of-cancer/38561