Book Club Quiz 2 Chap 5-6-8 &pi
Chapter 1-4. Sepsis Handbook
- 1.Diagnosis of infection includes:
- A.
Identifying that source
- B.
Identifying the existence
- C.
Uncovering the Microorganism
- D.
Severity assessment
- 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?
- A.
True
- B.
False
- 3.Blood cultures remain the cornerstone of microbiological documentation of sepsis?
- A.
True
- B.
False
- 4.Drawbacks of blood cultures are
- A.
Specificity
- B.
Sensitivity
- C.
Slow growing organisms
- D.
None of the above
- 5.Sepsis is defined as (check all that apply)
- A.
Deleterious host response to infection which is generally attributed to an uncontrolled and excessive, cytokine-mediated, host inflammatory response.
- B.
The body's systemic response to infection.
- C.
Presence of infection plus other sign and symptoms.
- D.
An infection that can be deadly if not diagnosed and treated promptly.
- 6.Identify the most common sources of serious infections (Check all that apply)
- A.
UTI
- B.
Community-Acquired Pneumonia
- C.
Ventilaor-Associated Pneumonia
- D.
Acute Meningitis
- E.
Biliary Sepsis (Acute Cholecystitis)
- 7.What is the SIRS Criteria. Check all that apply
- A.
Edema
- B.
Temperature >100.4 degrees Fahrenheit < 96.8 degrees Fahrenheit
- C.
Blood Glucose > 150 mb/ml in absence of diabeties
- D.
Diabeties > 120
- E.
HR - > 90bmp
- F.
Respirtory rate > 20 breaths/min
- G.
PaCO2 < 32 mm Hg
- H.
WBC . >12,000/mm3 or > 10% immature bands
- I.
New Onset of Confusion
- J.
Rash form on skin 20% visable
- 8.______________ and ____________________are among priority measures during the 6 hour resuscitation period of initial sepsis managment?
- A.
Early antibiotic therapy
- B.
Throat Swab
- C.
Blood Cultures
- D.
Skin test
- 9.Due to problems and limitations of blood culures and becuase bacteremais or fungmias are intermittent, guidelines recommend to obtain two or three repeated blood cultures
- A.
True
- B.
False
- 10.Bacterial load in quantitative blood cultures are very low in adults this effecting a dely to detect positivity.
- A.
True
- B.
False
- 11.On blood culture systems, only ________ to________ of all blood cultures become positive.
- A.
10-15%
- B.
5-10%
- C.
20-30%
- D.
40-50%
- 12.Molecular assays consist of three major steps. (Check all that apply)
- A.
Detection of amplified product
- B.
Speciman Processing (DNA or RNA Extraction)
- C.
Nucleic acid amplificaion
- D.
Growing of the organism
- 13.C-reactive Protein (CRP) is an acute pahse proten that is released after simulation of inflammatory indicators like IL-6 and IL-8. CRP levels peak after 24 hours of injurious stimulia.
- A.
True
- B.
False
- 14.Blood Lactate levels correlate with mortality rates in septic shock and are related the development of organ failure and mortality following severe trauma.
- A.
True
- B.
False
- 15.A PCT reagent Kit come with the following items
- A.
60 PCT strips
- B.
2 Calibrators
- C.
2 Controls
- D.
60 SPRs
- E.
Package Insert
- F.
Master Lot Entry Card
- 16.It is recommended that you can use human serum or plasma collected in EDTA tubes
- A.
True
- B.
False
- 17.It is recommended to retest PCT within __________________ hours if any concentrations < 2 ng/mL are obtained.
- A.
3-5
- B.
6-24
- C.
1-3
- D.
24-48
- 18.The VIDAS B·R·A·H·M·S PCT is intended for use in conjunction with other laboratory findings and clinical assessments to aid in the risk assessment of critically ill patients on their first day of ICU admission for progression to severe sepsis and septic shock.
- A.
True
- B.
False
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