Adrenal Disorders USMLE Step 1 Practice Question
A 19-year-old college student presents to the emergency department with fever (39.8°C), hypotension (BP 78/52 mmHg), tachycardia (HR 128/min), and a rapidly progressive petechial rash. Despite aggressive fluid resuscitation and vasopressors, he remains in septic shock. Laboratory studies reveal thrombocytopenia (platelets 45,000/μL) and elevated lactate (4.2 mmol/L). CT abdomen shows bilateral adrenal hemorrhage. He denies recent antibiotic use. Which organism is most classically associated with this presentation?
Answer choices
- ANeisseria meningitidisCorrect answer
- BHaemophilus influenzae
- CPseudomonas aeruginosa
- DStreptococcus pneumoniae
- EStaphylococcus aureus
- FNeisseria gonorrhoeae
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