Sepsis
CNS Infections
The Febrile Patient
EENT
Pneumonia
100

This is the cardinal sign of the inflammatory response to sepsis.

Tachycardia

100

This pathogen is the most common cause of bacterial meningitis.

S. pneumoniae

100

This is the most common cause of fever of unknown origin in children.

Viral syndromes and Infections
100
The pathogen suspected in a patient complaining of a sore throat with visualized gray pseudomembrane on oral examination.

Diptheria

100

This specific pathogen may cause tissue destruction associated with a pulmonary infection.

S. aureus

200

The time for which a broad spectrum antibiotic must be administered after recognition of sepsis.

1 hour

200

The 3 indications for proceeding to a lumber puncture before proceeding with a CT.

1. No focal deficits

2. No papilledema

3. No seizures

200

This crosses the blood-brain barrier and stimulate neurons within the hypothalamus and brainstem to increase the set point. 

Prostaglandin E2

200
Inflammation or infection of the anterior chamber and vitreous humor which is considered an ocular emergency.

Endophthalmitis

200
The pathogen suspected when the patient presents with rust-colored sputum, rigors and lobar infiltrates.

Strep. pneumo

300

The 6 parameters of the NEWS-2 used to identify hospitalized patients at risk of developing sepsis/septic shock. 

1. respiratory rate

2. oxygen saturation

3. systolic BP

4. pulse rate

5. LOC

6. temperature

300

Pain or spasm when attempting to extend the patient's leg when the hip is in a flexed position indicates this positive sign.

Kernig's sign

300
This is the preferred treatment for a patient with fever of unknown origin once fever pattern has been established.

Acetaminophen

300

The pharmaceutical agent used for a pediatric patient that presents with sore throat, drooling, inspiratory strider, dysphagia, and "thumb sign" on lateral neck XR. 

Cefotaxime or ceftriaxone

300

Spread of bacteria to other alveoli occurs through this pathway.

Pores of Kohn

400

The inflammatory response of this type of bacteria (gram positive or negative) occurs when peptidoglycan and lipoteichoic acid stimulate TLR.

gram positive

400

The pathogen suspected in a patient presenting with abrupt onset of fever, altered mental status, and nuchal rigidity with a known history of consuming contaminated food. 

Listeria monocytogenes

400

The 3 components needed when taking a history from a patient with a fever of unknown origin.

Characterizing the host (immunosuppression, family hx)

Exposure risk (medication, travel, animals, occupation)

Features of illness (pattern of fever)

400

The most dangerous form of sinusitis due to its close proximity to many vital neurological structures. 

Sphenoid sinusitis
400

This lab may be helpful in determining bacterial versus a viral pathogen as well as help guide antibiotic therapy in hospitalized patients. 

Serum procalcitonin 

500

These 2 antibiotics are recommended for the treatment of sepsis caused by enterobacter.

Pip/tazo & an aminoglycoside

500

This is the drug you would use in a patient with encephalitis pending results of diagnostic studies. 

Acyclovir

500

The 3 components that compose the definition of a fever of unknown origin.

Temperature (>38 degrees C on several occasions)

Fever duration (>3 weeks)

No diagnosis (after 3 OP visits, 3 days inpatient, or 1 week of intelligent and invasive ambulatory investigation) 

500

The pathogen suspected in patient who presents with eye pain, headache, photophobia, vesicular rash and unresponsive and enlarged pupil (Hutchinson's sign).

Varicella zoster virus

500

Patient is a 65 y/o seen in the OP setting for a follow-up from his hospitalization following a right MCA CVA. His has mild hemiparesis of his upper and lower extremity as well as persisting dysphagia. You find out he has pneumonia as a result of his dysphagia. 

This is the pharmaceutical treatment you may choose to treat his pneumonia.

Amp/Sulb 

or 

Amoxicillin and Metronidazole 

or 

Clindamycin 

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