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🚨 NP Board Question Breakdown A 32-year-old pregnant patient presents with fever, flank pain, and dysuria. Urinalysis shows pyuria and bacteriuria. Diagnosis: Acute Pyelonephritis But here’s where the boards try to trick you… She is 28 weeks pregnant and has a history of a rash with amoxicillin. So the exam is testing three different things at once: • Antibiotic safety in pregnancy • Treatment of pyelonephritis • Penicillin allergy cross-reactivity Many students panic and avoid all beta-lactams
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