Clinical Manifestations and Assessment of Respiratory
Disease 8th Edition :Test Bank for Clinical
Manifestations and Assessment of Respiratory Disease
8th Edition by Des Jardins: Guaranteed A+ Score Guide
A young woman develops a 102°F fever 2 days after menses. She reports using
tampons. After several days, the fever is accompanied by dizziness, hypotension,
myalgias, and a diffuse rash on the chest. With a penicillinase-resistant penicillin and
IV fluids, the symptoms resolve within 2 weeks. A desquamation of the palms is
observed throughout the convalescence. - ANSWERStaphylococcus aureus (toxin-
mediated)
An IV-drug user presents with a high fever and signs of heart failure. A notable heart
murmur prompts an echocardiogram that reveals tricuspid valve vegetations. The
patient is immediately begun on IV penicillinase-resistant penicillin that proves to be
effective. - ANSWERStaphylococcus aureus (infections)
Ten days after undergoing chemotherapy for non-Hodgkin's lymphoma, a middle-
aged man develops a fever. On exam, he has erythema and tenderness at the
insertion site of the IV catheter. Blood cultures are positive. The original catheter is
removed and the patient is started on vancomycin. - ANSWERStaphylococcus
epidermidis
A sexually active young woman develops dysuria, pyuria, and fever suggestive of
urinary tract infection. Urine cultures show Gram + bacteria in clusters that are
catalase +, coagulase -. The patient is started on TMP-SMX. - ANSWERStaphylococcus
saprophyticus
A young child presents with fever and a skin rash localized around the lips and on his
arms. The rash appears pustular with yellow crusts. Cultures from the impetigo show
Gram + cocci in chains that are beta-hemolytic. The doctor administers penicillin G
and warns the parents that the child may develop transient smoky-colored urine
soon. - ANSWERStreptococcus pyogenes (infections)
A young girl is brought to her doctor because of a rough-appearing rash on her trunk
and neck that has spread to her arms. Physical exam reveals that her axilla is most
affected, but her palms and soles are spared. Her parents say that she has been
suffering from a fever and sore throat. Lab studies reveal her serum is ASO +, and
she is administered with penicillin. In a few days, her rash subsides and her palms
and soles desquamate. - ANSWERStreptococcus pyogenes (toxin-mediated)
An adolescent presents to the clinic complaining of brownish urine that started the
day before. Two weeks earlier, he had a sore throat that resolved. Physical exam
reveals high BP and slight swelling around his eyes. Serum studies are significant for
elevated BUN and Cr, ASO +, and diminished levels of C3 (complement protein). In
, addition, urinalysis indicates protein and RBC casts. Although a kidney biopsy was
not performed, if it were, EM studies would likely reveal subepithelial humps
("lumpy-bumpy pattern") in the glomerulus. - ANSWERStreptococcus pyogenes
(immune-mediated)
Soon after birth, an infant develops seizures, a marked irritability, poor feeding, and
fever. The infant's birth records note a prolonged labor with premature rupture of
membranes. An LP was done and the infant was started on antibiotics. -
ANSWERStreptococcus agalactiae
An old man develops a UTI 5 days after admission to the hospital. His record
indicates that he is receiving antibiotic treatment including cephalosporins for an
unrelated infection. In treating the patient, physicians check for resistance to
vancomycin. - ANSWEREnterococcus faecalis
An elderly man develops low-grade fever and signs of endocarditis over a period of 2
weeks. Following blood culture, his doctor also becomes concerned about possible
colon cancer. - ANSWERStreptococcus bovis
An elderly woman presents with a cough producing rusty-colored sputum. She
complains of sharp right-sided chest pains, chills, and fevers. Physical exam reveals
increased fremitus, dullness to percussion, and bronchial breath sounds on the lower
right side. CXR shows right lower lobe consolidation, and Gram stain of sputum
shows Gram + diplococci. Physicians begin
treatment with cephalosporins. - ANSWERStreptococcus pneumoniae
A middle-aged woman presents with low-grade fever and general malaise. Physical
exam reveals Janeway lesions, Osler's nodes, Roth's spots, and splinter hemorrhages
under her fingernails. Echocardiogram indicates vegetations on the mitral valve. In
the doctor's office, she recounts a dentist appointment a few weeks ago and several
bouts of sore throat as a child. - ANSWERViridans Streptococci
A young man enters the emergency room dehydrated, afebrile, and complaining of
nausea and vomiting. Since he began vomiting 1 hour ago, he has been "hugging the
toilet" nearly every 10 minutes. He remembers eating a dish with fried rice at an
Asian restaurant several hours ago. - ANSWERBacillus cereus
A 33-year-old woman presents with an ulcerous lesion on the neck. The ulcer has a
blackened necrotic eschar surrounded by edema. The woman first noticed the lesion
2 weeks ago as a painful, small red macule that gradually developed into an ulcer
and, over the last few days, became painless. On the occupational history, the
patient reveals that she works in the imported
wool and hides industry - ANSWERBacillus anthracis
A teenage girl enters the emergency room suffering from painful muscle spasms.
Throughout her examination, she sustains a facial sneer, a stiff arched back, and
clamped palms. Her father is anxious about the fact that she has also experienced
Disease 8th Edition :Test Bank for Clinical
Manifestations and Assessment of Respiratory Disease
8th Edition by Des Jardins: Guaranteed A+ Score Guide
A young woman develops a 102°F fever 2 days after menses. She reports using
tampons. After several days, the fever is accompanied by dizziness, hypotension,
myalgias, and a diffuse rash on the chest. With a penicillinase-resistant penicillin and
IV fluids, the symptoms resolve within 2 weeks. A desquamation of the palms is
observed throughout the convalescence. - ANSWERStaphylococcus aureus (toxin-
mediated)
An IV-drug user presents with a high fever and signs of heart failure. A notable heart
murmur prompts an echocardiogram that reveals tricuspid valve vegetations. The
patient is immediately begun on IV penicillinase-resistant penicillin that proves to be
effective. - ANSWERStaphylococcus aureus (infections)
Ten days after undergoing chemotherapy for non-Hodgkin's lymphoma, a middle-
aged man develops a fever. On exam, he has erythema and tenderness at the
insertion site of the IV catheter. Blood cultures are positive. The original catheter is
removed and the patient is started on vancomycin. - ANSWERStaphylococcus
epidermidis
A sexually active young woman develops dysuria, pyuria, and fever suggestive of
urinary tract infection. Urine cultures show Gram + bacteria in clusters that are
catalase +, coagulase -. The patient is started on TMP-SMX. - ANSWERStaphylococcus
saprophyticus
A young child presents with fever and a skin rash localized around the lips and on his
arms. The rash appears pustular with yellow crusts. Cultures from the impetigo show
Gram + cocci in chains that are beta-hemolytic. The doctor administers penicillin G
and warns the parents that the child may develop transient smoky-colored urine
soon. - ANSWERStreptococcus pyogenes (infections)
A young girl is brought to her doctor because of a rough-appearing rash on her trunk
and neck that has spread to her arms. Physical exam reveals that her axilla is most
affected, but her palms and soles are spared. Her parents say that she has been
suffering from a fever and sore throat. Lab studies reveal her serum is ASO +, and
she is administered with penicillin. In a few days, her rash subsides and her palms
and soles desquamate. - ANSWERStreptococcus pyogenes (toxin-mediated)
An adolescent presents to the clinic complaining of brownish urine that started the
day before. Two weeks earlier, he had a sore throat that resolved. Physical exam
reveals high BP and slight swelling around his eyes. Serum studies are significant for
elevated BUN and Cr, ASO +, and diminished levels of C3 (complement protein). In
, addition, urinalysis indicates protein and RBC casts. Although a kidney biopsy was
not performed, if it were, EM studies would likely reveal subepithelial humps
("lumpy-bumpy pattern") in the glomerulus. - ANSWERStreptococcus pyogenes
(immune-mediated)
Soon after birth, an infant develops seizures, a marked irritability, poor feeding, and
fever. The infant's birth records note a prolonged labor with premature rupture of
membranes. An LP was done and the infant was started on antibiotics. -
ANSWERStreptococcus agalactiae
An old man develops a UTI 5 days after admission to the hospital. His record
indicates that he is receiving antibiotic treatment including cephalosporins for an
unrelated infection. In treating the patient, physicians check for resistance to
vancomycin. - ANSWEREnterococcus faecalis
An elderly man develops low-grade fever and signs of endocarditis over a period of 2
weeks. Following blood culture, his doctor also becomes concerned about possible
colon cancer. - ANSWERStreptococcus bovis
An elderly woman presents with a cough producing rusty-colored sputum. She
complains of sharp right-sided chest pains, chills, and fevers. Physical exam reveals
increased fremitus, dullness to percussion, and bronchial breath sounds on the lower
right side. CXR shows right lower lobe consolidation, and Gram stain of sputum
shows Gram + diplococci. Physicians begin
treatment with cephalosporins. - ANSWERStreptococcus pneumoniae
A middle-aged woman presents with low-grade fever and general malaise. Physical
exam reveals Janeway lesions, Osler's nodes, Roth's spots, and splinter hemorrhages
under her fingernails. Echocardiogram indicates vegetations on the mitral valve. In
the doctor's office, she recounts a dentist appointment a few weeks ago and several
bouts of sore throat as a child. - ANSWERViridans Streptococci
A young man enters the emergency room dehydrated, afebrile, and complaining of
nausea and vomiting. Since he began vomiting 1 hour ago, he has been "hugging the
toilet" nearly every 10 minutes. He remembers eating a dish with fried rice at an
Asian restaurant several hours ago. - ANSWERBacillus cereus
A 33-year-old woman presents with an ulcerous lesion on the neck. The ulcer has a
blackened necrotic eschar surrounded by edema. The woman first noticed the lesion
2 weeks ago as a painful, small red macule that gradually developed into an ulcer
and, over the last few days, became painless. On the occupational history, the
patient reveals that she works in the imported
wool and hides industry - ANSWERBacillus anthracis
A teenage girl enters the emergency room suffering from painful muscle spasms.
Throughout her examination, she sustains a facial sneer, a stiff arched back, and
clamped palms. Her father is anxious about the fact that she has also experienced
