Focused CLM II COURSE Review (OPTIONAL EXAM PREP)

Focused CLM II COURSE Review (OPTIONAL EXAM PREP) .All of the following are fairly common sources of anaerobic infections, such as Bacteroides fragile and others, EXCEPT: a. periodontitis b. peritonitis c. tetanus d. abscess (brain, abdominal, lung, peritonsillar, liver, and tubovarian) e. insect bites f. appendicitis - ANSWER-e. insect bites .Close contact with children: both daycares and schools increase the risk fo URI. Common cold continues to be a large burden on society, economically and socially. The most common virus is rhinovirus. Other COMMON viral respiratory tract viruses include which of the following: a. hantavirus b. respiratory syncytial virus. c. enterovirus d. adenovirus e. influenza virus - ANSWER-All but a. hantavirus .Diagnostic testing for inflammatory bowel diseases usually involve endoscopy, radiography, MRI and blood testing including CBC for anemia and infection, fecal testing for parasites, infection and blood, CRP and erythrocyte sedimentation. CMV infection testing, irons studies, B12 and folate testing, albumin to help assess nutritional status, liver function tests including alkaline phosphatase, and GGT for cholangitis are routine. T/F: Immunology testing would consider the celiac disease (anti-tTG), perinuclear anti-neutrophil cytoplasmic AB which is more common with UC (~75% vs. ~10% CD) and anti-saccharomyces cerevisiae AB which is more common with CD (~70%). - ANSWER-True .Given a post-operative patient (70 KG BW) with a nasal-gastric tube in place draining 60 mL per hour, who just underwent a small bowel resection and has a resultant temporary ileus. T/F: Reasonable starting point IV fluid administration might include D5W / 1/2N saline with 2 mEq/L potassium infusing at 160 mL per hour. - ANSWER-True .Problems with hemoglobin metabolism can occur before the blood reaches the liver, inside the liver, and after leaving the liver in a different form. T/F: Some diseases (dz-s) cause both unconjugated bilirubinemia and conjugated bilirubinemia because they affect several different aspects of hepatocyte function. - ANSWER-True .Sepsis and severe sepsis (sepsis accompanied by acute organ dysfunction) are leading causes of death in the United States and the most common cause of death among critically ill patients in non-coronary intensive care units (ICU). T/F: E.coli, pseudomonas sp. and Klebsiella sp. are the most common cause for gram-negative sepsis and LPS-related shock. - ANSWER-True .Some of the major diseases in which homocysteine levels may be TYPICALLY monitored include which of the following? a. Osteoporosis b. Tuberculosis c. Dementia d. Alzheimer's disease e. Amyotrophic lateral sclerosis f. Stroke g. Cardiac atherosclerotic disease - ANSWER-All but b. Tuberculosis