Book Club Quiz 1 Chap 1-4

2.

The initial management of a serious infection must proceed in a timely and systematic way. It is recommended that within the first hour blood samples should be taken?

True
False

Correct Answer

A. True

Explanation

In the initial management of a serious infection, it is crucial to proceed in a timely and systematic manner. Taking blood samples within the first hour is recommended because it allows healthcare professionals to assess the severity of the infection, identify the causative organism, and determine the appropriate course of treatment. Blood samples can provide valuable information about the patient's white blood cell count, inflammatory markers, and blood cultures, which can guide the management of the infection and help prevent further complications. Therefore, it is important to prioritize the collection of blood samples in the early stages of managing a serious infection.

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3.

Blood cultures remain the cornerstone of microbiological documentation of sepsis?

True
False

Correct Answer

A. True

Explanation

Blood cultures are considered the cornerstone of microbiological documentation of sepsis because they provide direct evidence of the presence of bacteria or fungi in the bloodstream. By isolating and identifying the causative organism, blood cultures help guide appropriate antibiotic therapy and determine the duration of treatment. Additionally, blood cultures can also identify the source of infection, which is crucial for effective management of sepsis. Therefore, blood cultures are essential in confirming the diagnosis of sepsis and providing important information for its treatment.

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4.

35-40% of these patients are affected by sepsis during their stay

ED
ICU
Cardiovascular
OBGYN

Correct Answer

A. ICU

Explanation

A significant percentage of patients who are admitted to the ICU are affected by sepsis during their stay. Sepsis is a potentially life-threatening condition that occurs when the body's response to an infection triggers widespread inflammation. The ICU is a specialized unit that provides intensive care and monitoring for critically ill patients, making it more likely for sepsis to be detected and treated in this setting. The other options (ED, Cardiovascular, OBGYN) may also encounter sepsis cases, but the ICU is typically where the most severe cases are managed.

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5.

Pneumonia is one of the most common sources of serious infection. Two classifications of Pneumonia that are identified as "serious", they are community acquired and ventilator associated?

True
False

Correct Answer

A. True

Explanation

Pneumonia is indeed one of the most common sources of serious infection. Two classifications of pneumonia that are considered "serious" are community-acquired pneumonia (which refers to cases acquired outside of a healthcare facility) and ventilator-associated pneumonia (which occurs in individuals who are on mechanical ventilation in a hospital setting). Therefore, the statement "Pneumonia is one of the most common sources of serious infection. Two classifications of pneumonia that are identified as 'serious', they are community acquired and ventilator associated" is true.

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6.

----------------------- is the hallmark of severe sepsis and account for most of the morbidity of the syndrome?

Organ Dysfunction
Low heart Rate
Cardiovascular Disease
Pneumonia

Correct Answer

A. Organ Dysfunction

Explanation

Organ Dysfunction is the hallmark of severe sepsis and accounts for most of the morbidity of the syndrome. In severe sepsis, the body's response to infection causes dysfunction in various organs, such as the kidneys, liver, lungs, and heart. This dysfunction can lead to organ failure and subsequent complications. Identifying and managing organ dysfunction is crucial in the treatment of severe sepsis to prevent further deterioration and improve patient outcomes.

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7.

About one half of infections associated with sepsis in ICU patient are community acquired and one forth is associated with the hospital.

True
False

Correct Answer

A. True

Explanation

The statement suggests that approximately half of the infections related to sepsis in ICU patients are acquired from the community, meaning they were present before the patient was admitted to the hospital. Additionally, it states that one-fourth of the infections are acquired within the hospital. Therefore, the statement is true as it implies that a significant portion of sepsis infections in ICU patients originate from both the community and the hospital environment.

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8.

A substantial portion of septic patients do not have underlying disease bearing on their life expectancy?

True
False

Correct Answer

A. False

Explanation

The statement suggests that a substantial portion of septic patients do have underlying diseases that impact their life expectancy. This means that most septic patients have pre-existing conditions that can worsen their prognosis and increase the risk of mortality. Therefore, the correct answer is False, indicating that underlying diseases are indeed relevant in septic patients.

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9.

Diagnosis of infection includes: (Check all that apply)

Identifying that source
Identifying the existence
Uncovering the Microorganism
Severity assessment

Correct Answer(s)

A. Identifying that source
A. Identifying the existence
A. Uncovering the Microorganism
A. Severity assessment

Explanation

The diagnosis of infection involves several steps, including identifying the source of the infection, determining its existence, uncovering the specific microorganism responsible for the infection, and assessing the severity of the infection. These steps are crucial in order to accurately diagnose and treat the infection.

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10.

The difference between sepsis and an infection is that Sepsis is a microbiological event inducing some host response while an infection comes from the host response to a microbiological event?

True
False

Correct Answer

A. False

Explanation

The explanation for the given answer is that sepsis is not just a microbiological event inducing a host response, but it is actually a severe and life-threatening response to an infection. Sepsis occurs when the body's response to an infection becomes dysregulated and can lead to organ dysfunction and failure. Therefore, sepsis is not just a microbiological event, but a serious condition that results from the body's response to an infection.

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11.

Sepsis is defined as (Check all that apply)

Deleterious host response to infection which is generally attributed to an uncontrolled and excessive, cytokine-mediated, host inflammatory response.
The body's systemic response to infection.
Presence of infection plus other sign and symptoms.
A and B only

Correct Answer(s)

A. Deleterious host response to infection which is generally attributed to an uncontrolled and excessive, cytokine-mediated, host inflammatory response.
A. The body's systemic response to infection.
A. Presence of infection plus other sign and symptoms.

Explanation

The correct answer includes all the options provided in the question. Sepsis is defined as a deleterious host response to infection, which is generally attributed to an uncontrolled and excessive, cytokine-mediated, host inflammatory response. It is also the body's systemic response to infection and is characterized by the presence of infection plus other signs and symptoms.

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12.

Drawbacks of blood cultures are (Check all that apply)

Specificity
Sensitivity
Slow growing organisms
None of the above

Correct Answer(s)

A. Sensitivity
A. Slow growing organisms

Explanation

Blood cultures have certain drawbacks, including sensitivity and slow-growing organisms. Sensitivity refers to the ability of a test to correctly identify individuals with a specific condition. In the case of blood cultures, they may not always detect the presence of microorganisms, leading to false-negative results. Additionally, some microorganisms may have a slow growth rate, making it challenging to obtain accurate results in a timely manner. Therefore, both sensitivity and slow-growing organisms are valid drawbacks of blood cultures.

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13.

What is the SIRS Criteria. Check all that apply

Edema
Temperature >100.4 degrees Fahrenheit < 96.8 degrees Fahrenheit
Blood Glucose > 150 mb/ml in absence of diabeties
Diabeties > 120
HR - > 90bmp
Respirtory rate > 20 breaths/min
PaCO2 < 32 mm Hg
WBC . >12,000/mm3 or > 10% immature bands
New Onset of Confusion
Rash form on skin 20% visable

Correct Answer(s)

A. Edema
A. Temperature >100.4 degrees Fahrenheit < 96.8 degrees Fahrenheit
A. Blood Glucose > 150 mb/ml in absence of diabeties
A. HR - > 90bmp
A. Respirtory rate > 20 breaths/min
A. PaCO2 < 32 mm Hg
A. WBC . >12,000/mm3 or > 10% immature bands
A. New Onset of Confusion

Explanation

The SIRS Criteria are a set of clinical signs used to identify systemic inflammatory response syndrome. The correct answers include Edema, Temperature >100.4 degrees Fahrenheit < 96.8 degrees Fahrenheit, Blood Glucose > 150 mg/dl in the absence of diabetes, HR > 90 bpm, Respiratory rate > 20 breaths/min, paCO2 < 32 mm Hg, WBC > 12,000/mm3 or > 10% immature bands, and New Onset of Confusion. These criteria help healthcare providers assess and diagnose patients who may be experiencing a systemic inflammatory response.

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14.

Identify the most common sources of serious infections (Check all that apply)

UTI
Pneumonia
Common Cold
Acute Meningitis
Acute abdominal pain

Correct Answer(s)

A. UTI
A. Pneumonia
A. Acute Meningitis
A. Acute abdominal pain

Explanation

The most common sources of serious infections include UTI, pneumonia, acute meningitis, and acute abdominal pain. These conditions can lead to severe infections in different parts of the body. UTIs occur in the urinary tract, pneumonia affects the lungs, acute meningitis is an infection of the membranes surrounding the brain and spinal cord, and acute abdominal pain can be caused by various infections in the abdomen. The common cold, on the other hand, is a viral infection that typically does not lead to serious complications or severe infections.

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Book Club Quiz 1 Chap 1-4

SIRS stands for Systemic Inflammatory Response Syndrome.

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The initial management of a serious infection must proceed in a timely and systematic way. It is recommended that within the first hour blood samples should be taken?

Blood cultures remain the cornerstone of microbiological documentation of sepsis?

35-40% of these patients are affected by sepsis during their stay

Pneumonia is one of the most common sources of serious infection. Two classifications of Pneumonia that are identified as "serious", they are community acquired and ventilator associated?

----------------------- is the hallmark of severe sepsis and account for most of the morbidity of the syndrome?

About one half of infections associated with sepsis in ICU patient are community acquired and one forth is associated with the hospital.

A substantial portion of septic patients do not have underlying disease bearing on their life expectancy?

Diagnosis of infection includes: (Check all that apply)

The difference between sepsis and an infection is that Sepsis is a microbiological event inducing some host response while an infection comes from the host response to a microbiological event?

Sepsis is defined as (Check all that apply)

Drawbacks of blood cultures are (Check all that apply)

What is the SIRS Criteria. Check all that apply

Identify the most common sources of serious infections (Check all that apply)