The Correct Answer is C!

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A 47 year-old woman with metastatic breast cancer has had new-onset painful swallowing during the past week while undergoing systemic chemotherapy. Her only current medications have been antiemetics to control nausea induced by the chemotherapy. She has not been febrile. On examination, there is evidence of mild oral thrush; otherwise the findings are unremarkable.

Which of the following is the next best step?

  1. Nystatin oral rinses
  2. Omeprazole
  3. Oral fluconazole
  4. Upper endoscopy

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1. Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.