Answer to Question 1
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An outbreak of gastroenteritis that is accompanied by vomiting and that affects both staff and students is most predominately caused by the Norwalk-like virus (calicivirus). Clostridium difficile is a nosocomial diarrhea that would not be characteristic of this population. Vibrio vulnificus is contamination of raw shellfish and would not be the cause of gastroenteritis. E. coli is a less likely cause.
Answer to Question 2
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Contraindications to dexamethasone include corneal or conjunctival viral disease caused by herpes simplex, vaccina, or varicella. Also, other contraindications are mycobacterial and fungal infection of the eye as well as advanced glaucoma and hypersensitivity to corticosteroids.