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Sepsis and Septic shock

Total questions: 42

Worksheet time: 22mins

Name
Class
Date
1.

Neonate of < 1m old these bacterias cause Pneumonia and Meningitis

a)

Streptococcus agalactiae

b)

Escherichia coli

c)

Streptococcus pneumoniae

d)

Staphylococcus aureus

2.

Pediatric meningitis by:

a)

Streptococcus pneumoniae

b)

Neisseria meningitidis

c)

Staphylococcus aureus

d)

Escherichia coli

3.

Pediatric skin infections by:

a)

Staphylococcus aureus

b)

Streptococcus pneumoniae

c)

Neisseria meningitidis

4.

Pediatric Bacterial rhinosinusitis and Otitis Media by:

a)

Streptococcus pneumoniae

b)

Neisseria meningitidis

c)

Staphylococcus aureus

5.

Adults SS in ♀ sexually active and ♂ with benign prostatic hyperplasia cause:

a)

UTI

b)

RTI

c)

GII

6.

Adults SS cause pneumonia in:

a)

UTI

b)

GGI

c)

RTI

7.

Adults, Diverticulosis ➡ Peritoneum ➡ Peritonitis ➡ Intra-abdominal abscess ➡ Bloodstream by

a)

UTI

b)

RTI

c)

GI

8.

Special concerns by:

• ↑ susceptibility

• ↓ physiologic tolerance to infection

• ↑ likelihood underlying diseases

• Survival impact (adverse)

• ↑ atypical presentations• Hypothermia • Nonspecific presentations

a)

Adults

b)

pediatrics

c)

elderly

9.

Most common cause of UTIs and Prostatis in adults:

a)

E. coli

b)

K. pneumoniae

c)

Enterobacter

d)

Proteus

10.

Most common cause of pneumonia in chronic alcoholics:

a)

E. coli

b)

K. pneumoniae

c)

Enterobacter

d)

S. penumoniae

11.

Gram - that Infects burn wounds and cause pneumonia in patients with cystic fibrosis. Also has the highest mortality rate in sepsis.

a)

P. aeruginosa

b)

S. pneumoniae

c)

K. pneumoniae

12.

Most common cause of anaerobic sepsis in peritonitis.

a)

B. fragilis

b)

Proteus

13.

Gram + the most common cause of pneumonia and meningitis in adults.

a)

K. pneumoniae

b)

S. pneumoniae

14.

↑ pneumonia cases / intravascular devices caused by:

a)

Gram -

b)

Gram +

15.

Petechiae / purpura is caused by:

a)

N.meningitidis / R.rickettsi

b)

S. aureus /

Strep. pyogenes

c)

P.aeruginosa

16.

Generalized erythroderma is caused by:

a)

N.meningitidis / R.rickettsi

b)

S.aureus /

Strep.pyogenes

c)

P.aeruginosa

17.

Ecthyma gangrenosum caused by:

a)

N.meningitidis / R.rickettsi

b)

S.aureus /

Strep. pyogenes

c)

P.aeruginosa

18.

Acute renal failure, DIC and ARDS are complications of:

a)

Septic Shock

b)

SIRS

19.

CNS dysfunction, Liver failure, Acute renal failure, DIC and ARDS are complications of:

a)

SIRS

b)

Septic Shock

20.

Intestinal bleeding and Heart failure are complications of:

a)

SIRS

b)

Septic Shock

21.

2 or more of the signs and symptoms:

a)

SIRS

b)

Sepsis

c)

Severe sepsis

d)

Septic shock

22.

At least 2 symptoms of SIRS + documented site of infection (labs isolation of microorganism) + Hypoperfusion + Hypotension

a)

Sepsis

b)

Severe sepsis

c)

Septic shock

23.

Sepsis with organ dysfunction + Hypoperfusion (lactic acidosis, oliguria, altered mental status) + Hypotension MAP <70 mmHg + IV fluids ⬆ BP

a)

Sepsis severe

b)

Septic shock

c)

MODS

24.

Sepsis induced Hypotension despite IV fluids + Hypoperfusion (lactic acidosis, oliguria, altered mental status)

a)

Severe sepsis

b)

Septic shock

c)

MODS

25.

Altered organ functions. Cannot be normalized.

a)

Septic shock

b)

MODS

c)

severe sepsis

26.

Pneumonia by: S. pneumoniae, H. influenzae, Legionella, Chlamydia pneumoniae

a)

Major community-acquired pathogens

b)

Major nosocomial pathogens

27.

Peritonitis: E. coli and bacteriodes fragilis

a)

Major community-acquired pathogens

b)

Major nosocomial pathogens

28.

Skin and soft tissue infections by S. aereus and aerobic gram -

a)

Major nosocomial pathogens

b)

Major community acquired pathogens

29.

UTI by: Aerobic gram - bacilli and Enterococcus sp

a)

Major nosocomial pathogens

b)

Major community acquired pathogens

30.

Extracellular bacterias and fungi is mediated by:

a)

TH17

b)

TH1

c)

Th2

31.

Intracellular pathogens are mediated by:

a)

Th17

b)

Th1

c)

Th2

32.

Extracellular parasites are mediated by:

a)

Th1

b)

Th17

c)

Th2

33.

Clear pathogens during host defense rxns and in inducing tissue inflammation in autoimmune diseases.

a)

Th1

b)

Th17

c)

Th2

34.

LPS, TSS toxin and SpeA cause:

a)

immune response

b)

intoxication

c)

cytokine release

d)

neutralization

35.

fever and endothelial cell damage occurs in:

a)

immune respinse

b)

Overwhelming inflammatory response

c)

Dilation of peripheral vasculature

36.

Ceftriaxone, Cefepime and Gentamicin in:

a)

Community pneumonia

b)

Nosocomial pneumonia

c)

Abdominal infection

d)

Nosocomial Abdominal infection

37.

Cefepime, Imipenem-cilastatin and Aminoglycosides in:

a)

Community pneumonia

b)

Nosocomial Pneumonia

c)

Abdominal infection

d)

nosocomial Abdominal infection

38.

Imipenem-cilastatin and Aminoglycosides in:

a)

Abdominal infection

b)

Nosocomial Abdominal infection

c)

Skin infections

d)

UTIs

39.

Vancomycin and Imipenem-cilastatin or Piperacillin-tazobatactam in:

a)

Skin infections

b)

nosocomial Skin infections

c)

UTI

d)

CNSI

40.

Vancomycin and cefepime in:

a)

Skin infections

b)

nosocomial skin infection

41.

UTI infections:

a)

Cipriflaxin and aminoglycosided

b)

Vancomycin and cefepime

42.

Vancomycin + Ceftriaxone + Meropenem

a)

CNSi

b)

nosocomial CNSi