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An 8-Year-Old Girl Is Brought to the Emergency Department Due

Question 2

Multiple Choice

An 8-year-old girl is brought to the emergency department due to "not feeling well."  The patient was at an outdoor picnic and began experiencing nausea, vomiting, abdominal cramps, and watery diarrhea 30 minutes ago.  She also reports feeling dizzy.  The patient has no prior medical conditions and takes no medications.  Temperature is 37 C (98.6 F) , blood pressure is 60/30 mm Hg, pulse is 140/min, and respirations are 28/min.  On physical examination, the patient appears pale and listless.  There is faint bilateral wheezing.  The abdomen is soft and nontender.  Scattered wheals are present.  Which of the following is most responsible for this patient's current condition?


A) Gram-negative bacterial endotoxin
B) Gram-positive bacterial exotoxin
C) Kallikrein-generated bradykinin
D) Mast cell-derived histamine
E) Vasoactive intestinal peptide

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