Pharm II Infective Endocarditis Exam
1. infective endocarditis: infection of the endocardial surface (inside) of the heart
2. most common cause of infective endocarditis: bacteria
3. mortality with endocarditis: 25%
4. which organisms can cause endocarditis: staph aureus
strep
enterococcus
5. do gram positive or gram negative organisms cause more endocarditis: gram
positive bc are part of normal flora in body
6. tricuspid valve vegetation is most common in: IV drug users
7. what is frequently found when there is tricuspid valve vegetation: septic pulmonary
embolism
8. is surgery done for tricuspid valve vegetation: no surgery uncommon
1/4
, there are high cure rate s
9. mitral valve vegetation is most common in: community associated and healthcare acquired
endocarditis
10. with mitral valve vegetation there is high risk of: embolic stroke
11. outcome of mitral valve vegetation: high mortality rate
surgery sometimes helpful
12. endocarditis clinical presentation: FEVER
N/V
heart murmur/failure
laneway lesions, Roth spots, splinter hemorrhage, Osler's nodes
13. how many sets of blood cultures are needed to workup endocarditis: 3 sets
from separate sites and at least 1 hour apart
not from vascular catheter
prior to starting empiric antibiotics
14. imaging options for endocarditis: transthoracic echocardiography
transesophageal echocardiography
2/4
1. infective endocarditis: infection of the endocardial surface (inside) of the heart
2. most common cause of infective endocarditis: bacteria
3. mortality with endocarditis: 25%
4. which organisms can cause endocarditis: staph aureus
strep
enterococcus
5. do gram positive or gram negative organisms cause more endocarditis: gram
positive bc are part of normal flora in body
6. tricuspid valve vegetation is most common in: IV drug users
7. what is frequently found when there is tricuspid valve vegetation: septic pulmonary
embolism
8. is surgery done for tricuspid valve vegetation: no surgery uncommon
1/4
, there are high cure rate s
9. mitral valve vegetation is most common in: community associated and healthcare acquired
endocarditis
10. with mitral valve vegetation there is high risk of: embolic stroke
11. outcome of mitral valve vegetation: high mortality rate
surgery sometimes helpful
12. endocarditis clinical presentation: FEVER
N/V
heart murmur/failure
laneway lesions, Roth spots, splinter hemorrhage, Osler's nodes
13. how many sets of blood cultures are needed to workup endocarditis: 3 sets
from separate sites and at least 1 hour apart
not from vascular catheter
prior to starting empiric antibiotics
14. imaging options for endocarditis: transthoracic echocardiography
transesophageal echocardiography
2/4
