Audio Qbank – Q84 – An 8M with history of chest infections

An 8-year-old boy with a history of chest infections and failure to pass meconium at birth is brought to the GP by his mother because of a two-day history of fever and right-sided chest pain. He is at the 10th percentile for height and the 5th percentile for weight. Vitals are: temperature 103.1F, HR 76, RR 18, BP 112/72. Which of the following is the most likely causal organism?

 

  Coagulase-negative gram-positive coccus
  Coagulase-positive gram-positive coccus
  Optochin-sensitive gram-positive coccus
  Oxidase-negative gram-negative rod
  Oxidase-positive gram-negative rod

 

Cut-to-the-chase Answer (0:46):
HY USMLE Answer (2:29):