IAI COMPREHENSIVE QUESTIONS AND CORRECT
ANSWERS NEWEST EDITIONS 2024 APPROVE FOR
SUCCESS
What type of IAI is confined to visceral structures? (Confined to the specific organ)
Uncomplicated
What type of IAI proceeds beyond the organ, peritonitis?
complicated (think perforated, ruptured
This classification of IAI is when the patient has had no previous hospitalizations or
surgical interventions
community acquired IAI
Criteria to be considered healthcare associated/hospital acquired IAI:
____ occurring > __ hours after initial source control or hospitalization
Hospitalized within previous ___ days
Lives in LTC/SNF within previous __ days
Received ___ ___, __ care, or ___ within previous __ days
Use of ___ __ antibiotics for at least __ days in the last ___ days
Infection, 48
90
30
home IV treatment, wound care, RRT, 30
broad spectrum, 5, 90
Which of the following is a common gram negative pathogen found in IAI?
a. bacteroides fragilis
b. enterococcus faecalis
c. clostrium species
d. e. coli
d
Which of the following are anaerobes commonly found in IAI?
a. bacteroides fragilis
b. enterococcus faecalis
c. clostrium species
d. e. coli
a
c
Which of the following is a common gram positive bacteria found in IAI?
a. streptococcus species
b. enterococcus faecalis
c. clostrium species
d. e. coli
, a
Primary peritonitis most commonly associated with which of the following?
a. peritoneal dialysis
b. catheters
c. cirrhosis and ascites
a
c
Which of the following are the most common reasons for primary peritonitis?
a. renal dysfunction
b. hepatic dysfunction
c. peritoneal dialysis
d. diminished lung capacity
b (alcoholic cirrhosis, chronic active hepatitis, acute viral hepatitis)
c
Which peritonitis is the most common type and is due to an initial organ infection that
spread?
a. primary
b. secondary
c. tertiary
b
What is required for a patient to be classified as high-severity or high risk?
1 high risk criteria OR two or more patient risk factors
What are the 4 "high-risk" factors?
APACHE II score 10 or greater
delayed or inadequate source control
HA-IAI
sepsis or septic shock
What are the 4 "patient risk factors"?
70 years or older
hypoalbuminemia (< 3.3 g/dL)
malignancy
major compromise of CV, liver, or renal function
(CKD, AMI, exacerbated HF, or liver failure)
Four approaches to therapy in IAI
Early ___ care
Controlling the ___
Timely ___ ___
___ support
supportive
source
empiric antibiotics
nutritional
Most common IAI requiring emergency surgery
appendicitis
A 13 year old male presents to the ER stating he feels a sharp, localized pain and had
vomited several times. A dull pain started the day before and he was having trouble not
ANSWERS NEWEST EDITIONS 2024 APPROVE FOR
SUCCESS
What type of IAI is confined to visceral structures? (Confined to the specific organ)
Uncomplicated
What type of IAI proceeds beyond the organ, peritonitis?
complicated (think perforated, ruptured
This classification of IAI is when the patient has had no previous hospitalizations or
surgical interventions
community acquired IAI
Criteria to be considered healthcare associated/hospital acquired IAI:
____ occurring > __ hours after initial source control or hospitalization
Hospitalized within previous ___ days
Lives in LTC/SNF within previous __ days
Received ___ ___, __ care, or ___ within previous __ days
Use of ___ __ antibiotics for at least __ days in the last ___ days
Infection, 48
90
30
home IV treatment, wound care, RRT, 30
broad spectrum, 5, 90
Which of the following is a common gram negative pathogen found in IAI?
a. bacteroides fragilis
b. enterococcus faecalis
c. clostrium species
d. e. coli
d
Which of the following are anaerobes commonly found in IAI?
a. bacteroides fragilis
b. enterococcus faecalis
c. clostrium species
d. e. coli
a
c
Which of the following is a common gram positive bacteria found in IAI?
a. streptococcus species
b. enterococcus faecalis
c. clostrium species
d. e. coli
, a
Primary peritonitis most commonly associated with which of the following?
a. peritoneal dialysis
b. catheters
c. cirrhosis and ascites
a
c
Which of the following are the most common reasons for primary peritonitis?
a. renal dysfunction
b. hepatic dysfunction
c. peritoneal dialysis
d. diminished lung capacity
b (alcoholic cirrhosis, chronic active hepatitis, acute viral hepatitis)
c
Which peritonitis is the most common type and is due to an initial organ infection that
spread?
a. primary
b. secondary
c. tertiary
b
What is required for a patient to be classified as high-severity or high risk?
1 high risk criteria OR two or more patient risk factors
What are the 4 "high-risk" factors?
APACHE II score 10 or greater
delayed or inadequate source control
HA-IAI
sepsis or septic shock
What are the 4 "patient risk factors"?
70 years or older
hypoalbuminemia (< 3.3 g/dL)
malignancy
major compromise of CV, liver, or renal function
(CKD, AMI, exacerbated HF, or liver failure)
Four approaches to therapy in IAI
Early ___ care
Controlling the ___
Timely ___ ___
___ support
supportive
source
empiric antibiotics
nutritional
Most common IAI requiring emergency surgery
appendicitis
A 13 year old male presents to the ER stating he feels a sharp, localized pain and had
vomited several times. A dull pain started the day before and he was having trouble not
