Cardiovascular and Lymphatic Diseases Week 10
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Cardiovascular and Lymphatic Diseases Week 10

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Questions and Answers

What is the primary causative agent of acute bacterial endocarditis?

  • Staphylococci
  • S.aureus (correct)
  • Alpha hemolytic Streptococci
  • Enterococci
  • Which symptom is NOT typically associated with bacterial endocarditis?

  • New heart murmur
  • Cough
  • Fatigue
  • Dry skin (correct)
  • In which group of individuals is the risk for developing acute endocarditis higher?

  • Individuals with high blood pressure
  • Individuals with a healthy heart
  • Individuals with renal failure
  • Individuals with a damaged heart valve (correct)
  • Which of the following is a common diagnostic method for endocarditis?

    <p>Blood cultures</p> Signup and view all the answers

    What is a possible outcome of untreated acute endocarditis?

    <p>Fatality within days</p> Signup and view all the answers

    What is the typical treatment duration for severe cases of bacterial endocarditis?

    <p>4-6 weeks</p> Signup and view all the answers

    Which bacteria is most commonly associated with sub-acute bacterial endocarditis?

    <p>Alpha hemolytic Streptococci</p> Signup and view all the answers

    What process occurs after a damaged valve accumulates clots in bacterial endocarditis?

    <p>Bacteremia occurs</p> Signup and view all the answers

    Which symptom is commonly seen in both acute and sub-acute bacterial endocarditis?

    <p>High fever</p> Signup and view all the answers

    Which of the following antibiotics is NOT included in the acute treatment for a prosthetic heart valve?

    <p>Ampicillin</p> Signup and view all the answers

    What is the causative agent of the plague?

    <p>Yersinia pestis</p> Signup and view all the answers

    What symptom is characteristic of bubonic plague?

    <p>Prostration</p> Signup and view all the answers

    Which statement about the pneumonic plague is true?

    <p>It is characterized by bacteria multiplying in the lungs.</p> Signup and view all the answers

    Which of the following might require valve replacement surgery?

    <p>Bacterial endocarditis</p> Signup and view all the answers

    Which high-risk group has the highest rates of plague cases?

    <p>Native Americans</p> Signup and view all the answers

    What is a common treatment for plague infections?

    <p>Tetracycline</p> Signup and view all the answers

    How does Yersinia pestis evade the immune response?

    <p>By injecting Yop proteins into macrophages</p> Signup and view all the answers

    Which of the following statements about the plague vaccine is true?

    <p>It is available but recommended only for high-risk groups.</p> Signup and view all the answers

    What components are included in the closed system of flow to and from the heart?

    <p>Gasses, lymphocytes, and proteins</p> Signup and view all the answers

    Which of the following is NOT a layer of the heart?

    <p>Epithelialium</p> Signup and view all the answers

    What is the most common cause of sepsis in hospital admissions?

    <p>Pneumonia infections</p> Signup and view all the answers

    How is septicemia characterized in terms of bacterial activity?

    <p>Bacteria multiplying in the bloodstream and producing toxins</p> Signup and view all the answers

    Which type of cells are found in lymph nodes and are crucial for immune response?

    <p>B-cells and T-cells</p> Signup and view all the answers

    Which of the following is a key symptom of sepsis?

    <p>Vasodilation causing shock</p> Signup and view all the answers

    What form of treatment is typically administered for septicemia?

    <p>IV Antibiotics</p> Signup and view all the answers

    Which of the following is a potential complication of septicemia?

    <p>Organ shutdown</p> Signup and view all the answers

    What is the primary component of lymph derived from blood?

    <p>Proteins and lymphocytes</p> Signup and view all the answers

    What is the causative agent of Lyme disease?

    <p>Borrelia burgdorferi</p> Signup and view all the answers

    What is the primary risk factor for contracting Lyme disease?

    <p>Human encroachment on wooded areas</p> Signup and view all the answers

    Which symptom is associated with Lyme disease and occurs in 70-80% of cases?

    <p>Erythema migrans</p> Signup and view all the answers

    How long must a tick feed to transmit Lyme disease?

    <p>36 hours</p> Signup and view all the answers

    Which statement is true regarding anthrax transmission?

    <p>It can be acquired by consuming undercooked meat.</p> Signup and view all the answers

    What type of organism is Bacillus anthracis?

    <p>Gram-positive, endospore former</p> Signup and view all the answers

    Which of the following is NOT a form of anthrax?

    <p>Neurological anthrax</p> Signup and view all the answers

    What is a common long-term effect of Lyme disease that may develop weeks to months after infection?

    <p>Arthritis-like symptoms</p> Signup and view all the answers

    What type of organism primarily serves as a reservoir for Lyme disease?

    <p>Rodents</p> Signup and view all the answers

    Which virulence factor of anthrax is responsible for local swelling and interferes with phagocytosis?

    <p>Edema toxin</p> Signup and view all the answers

    What is the fatality rate of untreated gastrointestinal anthrax?

    <p>25-50%</p> Signup and view all the answers

    In which region of the United States are most cases of Rocky Mountain Spotted Fever reported?

    <p>Appalachia and Southeastern US</p> Signup and view all the answers

    What is the primary mechanism by which Epstein-Barr Virus (EBV) can lead to lymphomas?

    <p>Failure of cytotoxic T cell suppression</p> Signup and view all the answers

    Which of the following treatments is considered effective for cutaneous anthrax?

    <p>All of the above</p> Signup and view all the answers

    What is the incubation period for infectious mononucleosis caused by EBV?

    <p>4-6 weeks</p> Signup and view all the answers

    Which of the following symptoms is NOT commonly associated with inhalation anthrax?

    <p>Swollen lymph glands</p> Signup and view all the answers

    What is the most effective method for preventing Rocky Mountain Spotted Fever?

    <p>Tick bite prevention</p> Signup and view all the answers

    Which of the following classes of antibiotics is NOT used to treat anthrax infections?

    <p>Aminoglycosides</p> Signup and view all the answers

    Study Notes

    Cardiovascular and Lymphatic Systems

    • Heart is located within the pericardium, composed of three layers: endocardium (interior), myocardium (middle), and epicardium (outer).
    • Closed circulatory system facilitates the flow of gases, nutrients, and lymphocytes to and from the heart.
    • Blood consists of water, proteins, and cells, while lymph is derived from blood and contains proteins and lymphocytes traveling through lymph vessels to nodes.

    Bacterial Infections

    • Bacteremia & Septicemia: Presence of bacteria/toxins in the blood; septicemia involves toxin-producing and multiplying bacteria, leading to systemic infections.
    • Sepsis occurs in 2% of hospital admissions; inflammation becomes harmful, commonly resulting from pneumonia.
    • Causative agents include Streptococci and Staphylococci, often acquired nosocomially.
    • Signs/Symptoms of Sepsis: Lymphangitis, shock, confusion, blood-clotting abnormalities, and organ shutdown.
    • Diagnosis performed through blood cultures; treatment generally involves IV antibiotics like penicillin or vancomycin.

    Acute & Subacute Bacterial Endocarditis

    • Infection of the endocardium and/or heart valves, can manifest acutely or subacutely based on onset speed.
    • High-risk groups include individuals with damaged or artificial heart valves; acute endocarditis commonly caused by Staphylococcus aureus.
    • Symptoms include fatigue, fever, anemia, joint pain, and potential for skin rashes.
    • Diagnosis methods include blood cultures and echocardiograms; treatment requires high-dose IV antibiotics for 4-6 weeks.

    Plague

    • Historically significant pandemics: Justinian plague, Black Death, Orientalis outbreak in the late 19th century.
    • In the U.S., 1-40 cases reported annually, primarily affecting Native Americans and those in contact with infected animals.
    • Causative agent Yersinia pestis, a Gram-negative rod; spreads through bites or inhalation of infected material.
    • Bubonic plague: Lymphatic system infection leading to swollen lymph nodes (buboes), can progress to pneumonic form.
    • Treatment options include tetracycline and streptomycin; vaccine available but not for immediate protection.

    Lyme Disease

    • First identified in 1977, with over 25,000 cases reported in the U.S. in 2014; caused by Borrelia burgdorferi, a Gram-negative spirochete.
    • Primarily transmitted by ticks, requiring a minimum of 36 hours of attachment for effective transmission.
    • Symptoms include characteristic bull's-eye rash and joint pain; can develop cardiac and neurological effects.

    Anthrax

    • Caused by Bacillus anthracis, a Gram-positive endospore-forming bacterium, predominantly affects herbivorous animals.
    • Three primary forms: cutaneous, gastrointestinal, and respiratory, with specific transmission routes for each.
    • Cutaneous anthrax is the most common, with distinctive ulceration and significant mortality without treatment.
    • Gastrointestinal and inhalation forms are more severe, with high fatality rates even with treatment.

    Rocky Mountain Spotted Fever

    • Caused by Rickettsia rickettsii, primarily transmitted by the dog tick; most cases are reported in the Southeastern U.S.
    • Symptoms typically arise one week post-bite, including headache, fever, nausea, and rash, with possible joint pain.
    • Treatment generally involves doxycycline; mortality rates can vary significantly based on strain strength.

    Viral Cardiovascular and Lymphatic Diseases

    • Notable diseases include Infectious Mononucleosis (caused by Epstein-Barr Virus), Ebola Virus Hemorrhagic Fever, and West Nile Fever.
    • Infectious mononucleosis typically spreads through saliva and results in fatigue, sore throat, and swollen lymph glands, notably impacting B cells, leading to potential complications such as Hodgkin’s and Burkitt’s lymphoma.

    Summary

    • Understanding the nuances of various diseases affecting the cardiovascular and lymphatic systems supports better diagnosis, treatment, and prevention strategies.
    • Critical to address risk factors, transmission methods, and treatment approaches to manage these diseases effectively.

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    Description

    Dive into the intricate systems of the cardiovascular and lymphatic diseases in Week 10. Explore the structures of the heart, blood flow, and the composition of blood and lymph. Understand how these systems work together to maintain bodily functions.

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