Whole CLt: Clinical Approach to Fever

Question 1

Which of the following is NOT a component of the qSOFA score used in identifying patients with sepsis?
a) Respiratory Rate ≥22 breaths per minute
b) Altered mentation
c) Systolic blood pressure ≤100 mmHg
d) Diarrhea

Answer 1

d) Diarrhea

Question 2

Among the listed “ESKAPE” bacteria causing the majority of hospital-acquired infections, which one is associated with causing Purpura fulminans?
a) Enterococcus faecieum
b) Staphylococcus aureus
c) Klebsiella pneumoniae
d) Pseudomonas aeruginosa

Answer 2

b) Staphylococcus aureus

Question 3

A patient admitted to the hospital presents with fever after four days. Which investigation would NOT typically aid in the diagnosis of the fever’s cause in this scenario?
a) Swabbing infected bed sores
b) Obtaining a deep tissue biopsy
c) Performing blood cultures
d) Swabbing in theatre after debridement and cleaning

Answer 3

a

Question 4

Match the following fever presentations with their potential diagnostic considerations:

A. Otalgia
B. Haemoptysis
C. Sore mouth and Odynophagia
D. Anorexia, Weight loss, Malaise
E. Joint pain, Muscle pain

1. ________ may indicate potential infections like sinusitis, while also considering malignancy or non-infectious causes like temporomandibular joint disorder.
   2.________ could suggest pulmonary tuberculosis, lung abscess, or malignancy among other differential diagnoses.
   3.________ might signify conditions such as chronic infections (e.g., tuberculosis), malignancies, or autoimmune disorders.

4.________ could be indicative of viral infections, rheumatic fever, or connective tissue diseases.

Answer 4

1. C
2. B
3. D
   4.E