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Osteomyelitis S/S
Osteomyelitis Tx
Meningitis S/S
Meningitis Tx
Miscellaneous
100
  • What is the more recent duration of treatment for acute hematogeneous osteomyelitis caused by S. aureus?

 3-4 weeks

100
  • Name 2 clinical symptoms when diagnosing a patient for osteomyletis.
  • A) Constipation & fever
  • B)  Dizziness & swelling
  • C) Coughing & congestion
  • D) Localized pain & fever

                                                             


D. Localized pain & fever

100

If an infant has meningitis, what would be 2 non-specific signs?

Fever, poor feeding

100

What is the recommended therapy if a patient with bacterial Meningitis was caused by Streptococcus agalactiae?

A. Penicillin G

B. Cefotaxime

C. Ampicillin

D. Ceftriaxone

A. Penicillin G

100

What bacteria is associated with unpasteurized milk and soft cheeses?

Listeria monocytogenes

200
  • Patient ML is a 7 year old white male who stepped on a nail while playing outside in his neighborhood. The nail went through his shoes and into his foot. What bacteria has the potential to cause osteochondritis?

. Pseudomonas aeruginosa

200
  • What bacteria causes Osteomyelitis most often in all age categories?
  • A)Streptococcus pneumoniae
  • B)B. burgdorferi
  • C) Haemophilus influenza
  • Staphylococcus aureusE)

                             

 D. Staphylococcus aureus


200
  • In terms of shape, how would you classify B. burgdorferi, the bacteria responsible for causing Lyme meningitis?

B. Spirochete

200
  • If a physician is unable to do a Lumbar puncture due to contraindications the patient has, what is the next course of action?
  • A)Hold off on antibiotic therapy until more signs/symptoms of Meningitis arise.
  • B)Obtain blood culture, start antibiotics ASAP.
  • C)Obtain blood culture but wait until results come back to decide if antibiotics are needed.
  • Assess GCS scores after patient has finished and go from there.
  • Obtain blood culture, start antibiotics ASAP
200

T/F: Primary infection caused by Mycobacterium tuberculosis happens after droplet inhalation, with dissemination from lungs to the blood stream.

  • False
  •  Lungs to Lymphatics to Bloodstream
300
  • Patient AU is a 7 year old AA female who’s been diagnosed with osteomyelitis caused by S. aureus with no methicillin resistance. What medication could you give to AU?

Nafcillin

300
  • Name 2 bacteria that can cause osteomyelitis but are LESS common.
  • A) Streptococcus pneumoniae & Haemophilus influenza
  • B)C. immitis & Pseudomonas aeruginosa
  • C) Haemophilus influenza & S. pyogenes
  • D) S. pyogenes & Kingella Kinza

D. S. pyogenes & Kingella Kinza

300

Name the 4 predominant pathogenic serogroups of Meningococcus:

  • Serogroup A
  • Serogroup B
  • Serogroup C
  • W-135
300
  • What drug regimen would you give a 3 month old infant for suspected bacterial meningitis?A) Acyclovir 60mg/kg per day divided every 8 hours.
  • B) Dilaudid 2mg 1t po TID
  • C) Ampicillin 300mg/kg per day divided every 6 hours.
  • D)Ampicillin 300mg/kg per day divided every 6 hours and cefotaxime 200-300mg/kg per day divided every 6 hours.

D. Ampicillin 300mg/kg per day divided every 6 hours and cefotaxime 200-300mg/kg per day divided every 6 hours.

300

If a child presents with Lyme meningitis after a family reunion, where would the child and his parents most likely have traveled to?

A. Spring Hill, FL

B. Blackwell, OK

C. Sacramento, CA

D. Phoenix, AZ

C. Sacramento, CA

400
  • If methicillin resistance is common in the community you work in as seen via susceptibility patterns, what drug would be preferred to treat osteomyelitis with potential methicillin resistance?
  • A) Amoxicillin
  • B) Oxacillin
  • C) Clindamycin
  • D) Vancomycin

C. Clindamycin

400
  • The 3 most commonly used medications when treating Osteomyelitis are:


 

Clindamyicn, Vancomycin, Cefazolin

400

What four conditions are predisposed to Meningococcal infection?

  • Asplemia
  • Terminal complement deficiency
  • Lab exposure
  • Travel to epidemic or hyper endemic regions (sub-Saharan Africa, Saudi Arabia)
400
  • What 2 drugs would you NOT use to treat bacterial meningitis?
  • A) Cefotaxime and ampicillin
  • B) Vancomycin and ceftriaxone or cefotaxime
  • C) Clindamycin and cephalexin
  • VD)ancomycin and ampicillin

 C. Clindamycin & Cephalexin

400
  • What age group is more commonly infected with N. meningitides and S. pneumoniae?

2-50 years old

500
  • How can you definitively diagnose osteomyelitis?
  • A) Aspiration of metaphysis or sub periosteal pus
  • B) Technetinn scanning
  • C) MRI
  • D) Use of serum C-reactive protein concentration

Aspiration of metaphysis or sub periosteal pus

500

All of the following are reasons for a patient to have a head CT done EXCEPT:

A. Immunocompromised state

B. Focal neurological defecits

C. CNS conditions (shunt, trauma, hydrocephalous)

D. Signs of irritability at night

Signs of increased intracranial pressure

D. Signs of irritability at night.

500
  • Patient CG is a 10-year-old male who is being evaluated for meningeal irritation. You begin the physical examination and check for Kernig and Brudzinski’s sign. Define BOTH.
  • (Partial may be given if I feel like it).
  • Brudzinski’s sign: severe neck stiffness causes patient’s hips and knees to flex when neck is flexed.
  • Kemig’s sign: Serious stiffness of hamstrings that causes inability to straighten the leg when hip is flexed at a 90 degree angle.
500
  • What rapid test is preferred for diagnosing viral meningitis?

A. Latex Agglutination/Enzyme immunoassay tests

B. Polymerase chain reaction (PCR)

C. Erythrocyte sedimentation rate

D. C-reactive protein

B. Polymerase chain reaction (PCR)

500

Name the 3 discharge criteria for a patient that has successfully recovered from bacterial meningitis.


Clinically and neurologically stable, able to tolerate enteral fluids, A-febrile for 24-48 hours.