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Infective endocarditis

Total questions: 7

Worksheet time: 5mins

Name
Class
Date
1.

A patient is receiving treatment for infective endocarditis. The patient has a history of intravenous drug use and underwent mitral valve replacement a year ago. The patient is scheduled for a transesophageal echocardiogram tomorrow. On assessment, you find tender, red lesions on the patient's hands and feet. You know that this is a common finding in patients with infective endocarditis and is known as?

a)

Janeway lesions

b)

Roth spots

c)

Osler's nodes

d)

Trousseau's sign

2.

A 30 year old female is being treated for infective endocarditis with IV antibiotics. At the beginning of the hospitalization, the patient’s symptoms were severe and sudden with a high fever but are now controlled. She has no significant health history other than 2 cesarean sections in the past. She is being prepped for a central line placement so she can be discharged home with home health to continue the 4 week antibiotic regime. What is type of infective endocarditis this classified as based on the information listed?

a)

Acute infective endocarditis

b)

Subacute infective endocarditis

c)

Non-infective endocarditis

d)

Pericarditis

3.

A patient is admitted with sepsis. The patient has a temperature of 104.2 'F and is experiencing chills. On assessment, you note a mitral murmur which the patient states they've never had before, and dark, small lines on the patient’s fingernails. The patient has a history of IV drug use in the past. However, the patient states they are no longer using drugs. The physician suspects possible infective endocarditis. What diagnostic test do you expect the physician to order in order to confirm the presence of infective endocarditis?

a)

abdominal ultrasound

b)

heart catheterization

c)

transesophageal echocardiogram

d)

white blood cell count

4.

You’re providing discharge teaching to a patient being treated for endocarditis. Which statement by the patient demonstrated they understood your teaching about this condition?

a)

"I will stop taking the antibiotics once my fever is gone in order to prevent antibiotic resistance."

b)

"I will only wash my hands with soap and water."

c)

"I will inform my dentist about my history of endocarditis prior to any invasive procedures."

d)

"I will avoid eating fish and organ meats."

5.

A patient with endocarditis has listed in their medical history “Roth Spots”. You know that this is a complication of infective endocarditis and presents as?*

a)

Non-tender spots found on the feet and hands

b)

Red and tender lesions found in the eyes

c)

Retinal hemorrhages with white centers

d)

Purplish spots found on the forearms and groin

6.

What is this image?

a)

splinter hemorrhage

b)

osler's node

c)

janeway lesions

d)

other

7.

What is the difference between Osler's nodes and Janeway lesions?

a)

Osler's nodes are painless while Janeway lesions are painful

b)

Osler's nodes are red and tender while Janeway lesions are not

c)

Osler's nodes are painful, red, and tender while Janeway lesions are painless, flat, and circular

d)

Osler's nodes are flat while Janeway lesions are raised