Emergency Medicine Shelf Practice Questions - NBME Advanced Clinical Science Subject Exam Emergency Medicine Exam

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A 66-year-old man with fever, confusion, lactate 5.1 mmol/L, blood pressure 78/44 mm Hg, and suspected pneumonia receives 30 mL/kg crystalloid and broad-spectrum antibiotics. His mean arterial pressure remains 54 mm Hg. What should be started next?

Intravenous furosemide Oral midodrine and discharge Norepinephrine infusion Atenolol infusion

Correct Answer:

Norepinephrine infusion

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