iHuman Questions
Egophony is indicative of what pulmonary process? – answer Consolidation
Which PE findings are consistent with pulmonary consolidation (pneumonia)? – answer
increased tactile fremitus
Dullness to percussion
When assessing WBC count and differential, what does a left shift refer to? – answer
Increasing immature neutrophils
T o F: When evaluating a hospital patient with a fever, a positive sputum culture is
sufficient to make the diagnosis of pneumonia – answer FALSE
Ms Higgins has the following vitals
Temp 102
HR 110
BP 136/80
RR 20
O2 93% on 4L
Based on vitals alone, how many SIRS criteria does the patient meet? – answer 2
Does this patient meet the criteria for sepsis? – answer Yes
SIRS criteria – answer Temp less than 96.8, greater than 100.4
WBC less than 4K or greater than 12K
HR>90
RR>20
Name 3 infectious and 3 non-infectious causes of fever in a hospitalized patient –
answer
Infectious:
HEENT: nosocomial sinusitis, URI
Pulmonary: HA pneumonia, emphysema
CardiacL endocarditis, pericarditis
GI: ABD abscess, c.diff
GU: UTI
MSK: osteomyelitis, septic arthritis
Skin and soft tissue: cellulitis, central line infection, infected decubitus ulcers, surgical
site infection
Nervous: CNS infection
Systemic: central line associated bloodstream infection, bacteremia/candidemia
Non-infectious:
Drug fever: direct med effect or withdrawal
Egophony is indicative of what pulmonary process? – answer Consolidation
Which PE findings are consistent with pulmonary consolidation (pneumonia)? – answer
increased tactile fremitus
Dullness to percussion
When assessing WBC count and differential, what does a left shift refer to? – answer
Increasing immature neutrophils
T o F: When evaluating a hospital patient with a fever, a positive sputum culture is
sufficient to make the diagnosis of pneumonia – answer FALSE
Ms Higgins has the following vitals
Temp 102
HR 110
BP 136/80
RR 20
O2 93% on 4L
Based on vitals alone, how many SIRS criteria does the patient meet? – answer 2
Does this patient meet the criteria for sepsis? – answer Yes
SIRS criteria – answer Temp less than 96.8, greater than 100.4
WBC less than 4K or greater than 12K
HR>90
RR>20
Name 3 infectious and 3 non-infectious causes of fever in a hospitalized patient –
answer
Infectious:
HEENT: nosocomial sinusitis, URI
Pulmonary: HA pneumonia, emphysema
CardiacL endocarditis, pericarditis
GI: ABD abscess, c.diff
GU: UTI
MSK: osteomyelitis, septic arthritis
Skin and soft tissue: cellulitis, central line infection, infected decubitus ulcers, surgical
site infection
Nervous: CNS infection
Systemic: central line associated bloodstream infection, bacteremia/candidemia
Non-infectious:
Drug fever: direct med effect or withdrawal
