Medicine: Bacterial Infections and Complications
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Questions and Answers

What is the recommended initial treatment for severe dehydration?

  • Immediate administration of antidiarrheal medication
  • 20-mL/kg bolus of normal saline followed by antibiotics
  • 20-mL/kg bolus of normal saline followed by IV access (correct)
  • 50-100 ml/kg of ORS over 2-4 hours

Why are home remedies like soda, fruit juices, and tea not suitable for rehydration?

  • They can cause electrolyte disturbances
  • They have high osmolalities and low sodium concentrations (correct)
  • They have low osmolalities and high sodium concentrations
  • They can cause dehydration

What is the primary concern with using antidiarrheal medication in gastrointestinal infections?

  • It can cause electrolyte disturbances
  • It can worsen dehydration
  • It can lead to severe abdominal distention and even death (correct)
  • It can cause diarrhea

Which of the following is NOT an indication for admission?

<p>Mild dehydration with adequate hydration (C)</p> Signup and view all the answers

What is the recommended treatment for minimal dehydration?

<p>2-10 mL/kg ORS for each diarrhea and vomiting (B)</p> Signup and view all the answers

What is a sign of dehydration in infants?

<p>Sunken eyes (A)</p> Signup and view all the answers

What is the recommended treatment for severe dehydration?

<p>IVF only (D)</p> Signup and view all the answers

What is the recommended treatment for moderate dehydration?

<p>50-100 ml/kg of ORS over 2-4 hours (B)</p> Signup and view all the answers

What is the likely cause of seizure in the patient?

<p>Shigella (B)</p> Signup and view all the answers

What is the significance of asking about the patient's breastfeeding history?

<p>To determine the nutritional status of the patient (D)</p> Signup and view all the answers

What is the purpose of asking about the amount of stool in the history of diarrhea?

<p>To estimate the fluid loss (A)</p> Signup and view all the answers

What is the significance of examining the level of consciousness in a patient with diarrhea?

<p>To assess the severity of dehydration (B)</p> Signup and view all the answers

What is the purpose of asking about the patient's travel history?

<p>To determine the risk of Hepatitis A (B)</p> Signup and view all the answers

What is the likely indication for contact and travel history in the patient?

<p>Hepatitis A (D)</p> Signup and view all the answers

What is a common cause of diarrhea that the patient should be asked about?

<p>Recent antibiotic use (C)</p> Signup and view all the answers

Which symptom is commonly associated with Hepatic Disease?

<p>Dark urine (D)</p> Signup and view all the answers

What is a characteristic symptom of Cystic Fibrosis?

<p>Recurrent chest infections (B)</p> Signup and view all the answers

Which of the following is a symptom of Malabsorption Disease?

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

What is a characteristic feature of IBD?

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

Which of the following is a key component of a patient's history in evaluating gastrointestinal symptoms?

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

What is a symptom of Hyperthyroidism?

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

Which of the following is a key component of a patient's history in evaluating lactose intolerance?

<p>Family history of lactose intolerance (D)</p> Signup and view all the answers

Which bacterial infection can potentially cause fulminant hepatic failure?

<p>Bacillus cereus (D)</p> Signup and view all the answers

What is a common symptom of Yersinia enterocolitica infection that mimics another condition?

<p>Appendicitis-like symptoms (D)</p> Signup and view all the answers

What is the recommended treatment for children with mild-to-moderate gastroenteritis?

<p>ORS (A)</p> Signup and view all the answers

Which pathogen often requires supportive care but can become severe in immunodeficient individuals?

<p>Cryptosporidium (B)</p> Signup and view all the answers

Which infection has a notable symptom of muscle pain in addition to diarrhea?

<p>Listeria (C)</p> Signup and view all the answers

Which pathogen has an incubation period (IP) of 2-4 weeks?

<p>Entamoeba histolytica (D)</p> Signup and view all the answers

Which infection is associated with a risk of liver and lung abscesses?

<p>Entamoeba histolytica (A)</p> Signup and view all the answers

What type of analysis is commonly used to diagnose Bacillus cereus infection?

<p>Stool analysis &amp; culture (B)</p> Signup and view all the answers

Which treatment is indicated for invasive Listeria infections?

<p>Ampicillin (A)</p> Signup and view all the answers

What is the typical recovery time for most Bacillus cereus patients?

<p>6-24 hours (D)</p> Signup and view all the answers

Which bacteria is associated with complications such as Guillain-Barré syndrome and reactive arthritis?

<p>Campylobacter jejuni (B)</p> Signup and view all the answers

What is the incubation period of Staphylococcus aureus?

<p>1-6 hours (B)</p> Signup and view all the answers

Which bacteria has a characteristic symptom described as 'rice water stools'?

<p>Vibrio Cholera (C)</p> Signup and view all the answers

What is the recommended supportive treatment for ETEC (Traveler diarrhea)?

<p>TMP-SMX as needed (D)</p> Signup and view all the answers

Which bacterial infection typically has a duration of 3-7 days and ranges from self-limited watery diarrhea to more severe symptoms?

<p>Salmonella enterica (A)</p> Signup and view all the answers

What diagnostic method is common for identifying both Staphylococcus aureus and ETEC (Traveler diarrhea)?

<p>Stool analysis &amp; culture (D)</p> Signup and view all the answers

What is a commonly used treatment for Vibrio Cholera that affects close epiphysis?

<p>Doxacycline (B)</p> Signup and view all the answers

For which bacterial infection is a vaccine available particularly in endemic areas?

<p>Salmonella enterica (Non-typhoidal) (D)</p> Signup and view all the answers

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