16-year-old Boy in Medicine / Internal Medicine — 16yo Child | Infectious Diseases | SMLE Q#307

SMLE Question #307

Medicine / Internal Medicine Infectious Diseases
Last updated: February 2026
A 16-year-old boy has 7 days of abdominal cramps, bloating, and greasy, foul-smelling, bulky diarrhoea that is difficult to flush. He has nausea and a 3-kg unintentional weight loss. He returned yesterday from a camping trip where he drank untreated water from a mountain stream. What is the most appropriate pharmacologic treatment?

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