cvs revision mtf

7/25/2019 CVS Revision MTF

1/11

CVS REVISION

Topics: Bacteremia, SIRS & sepsis-relateddisorders/

Infective endocarditis.Block: Cardiovascular System C!S"

#BBS $ear % Semester Session '%/'%(

Lecturer-in-charge: MS


2/11

%. T)e follo*in+ statements are TR/0S:

. SIRS is a systemic response *)ic) can1e due to isc)emia.

B. SIRS criteria includes leukocytosis and

a1normal 1ody temperature.C. Transient 1acteremia presents *it)

)i+) fever.

2. 3rimary #42S develops as a

conse5uence of SIRS.. 6roup B Streptococcus is t)e most

common cause of neonatal 1acteremia.

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3/11

. T)e follo*in+ statements are TR/0S:

. ndoto7in activates monocytes andmacrop)a+es.

B. Interleukinsare released 1y activated

macrop)a+es in SIRS.C. 3atients *)o )ave under+one

splenectomy are at increased risk ofenterococci disease.

2. Severe sepsis is de8ned as SIRS plus1acteremia.

. T)e 8rst indicator of septic s)ock inc)ildren is tac)ycardia.

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4/11

(. T)e follo*in+ statements are TR/0S:

. 3rimary viremia is associated *it))i+)er viral load.

B. T)e levels of anticoa+ulation factors

are increased in sepsis.C. T)e release of nitric o7ide from

endot)elial cells can lead to septics)ock.

2. Staphylococcus epidermidiscausesdevice-associated 1acteremia.

. Tetracycline is t)e dru+ of c)oice insepsis.

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5/11

9. T)e follo*in+ statements are TR/0S:

. Sta+e III of SIRS is de8ned 1y t)erelease of interlukines into t)ecirculation.

B. oradrenaline is a potent vasodialator.

C. Secondary #42S is due to direct insultof t)e causative microor+anism.

2. itric o7ide is a potent vasodialator.

. Penicillium marnefei ungemia is

commonly associated with intravenouscat)eters.

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6/11

;. T)e follo*in+ statements are TR/0S:

. disseminated intravascular coa+ulationis a complication of sepsis.

B. T)e term sepsis denotes SIRS *it)

R2S.

C. 3atients *it) sepsis usually su


7/11

=. T)e follo*in+ statements are TR/0S:

. I!2 endocarditis is due to )i+)-pressure +radients and tur1ulent >o* .

B. m1oli formation is a complication ofinfective endocarditis.

C. arly prost)etic valve endocarditis isdue to endot)eliali?ation of sutures.

2. 3ulmonary valves are t)e mostcommon valves a


8/11

@. T)e follo*in+ statements are TR/0S:

. Staphylococcus aureuscan infect onlynormal )eart valves.

B. Bartonellaspecies infective endocarditisis associated *it) ne+ative 1lood

cultures.C. Streptococcus is usually associated *it)

acute infective endocarditis.

2. I!2 infective endocarditis is usually

associated *it) )i+) +rade fever.. 3rost)etic valve endocarditis 3!" is

termed as early *)en t)e symptomsappear *it)in =' days of insertion.

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9/11

A. T)e follo*in+ statements are TR/0S:

. Staphylococcus aureus is t)e mostcommon causative a+ent of prost)eticvalve endocarditis.

B. C +roup is one of t)e causativea+ents of culture-ne+ativeendocarditis.

C. Dane*ay lesions are small, tendersu1cutaneous nodules on t)e pads oft)e 8n+ers or toes t)at last for only)ours or days.

2. Splinter )emorr)a+e is a clinicalpresentation of infective endocarditis.

. ever of more t)an (A is a maEor 2uke

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10/11

F. T)e follo*in+ statements are TR/0S:

. T)e treatment of prost)etic valvesinfective endocarditis is !ancomycinplus 6entamicin.

B. T)e ve+etation o


11/11

%'. T)e follo*in+ statements are TR/0S:

. T)e prop)ylactic re+ime used for

moderate risk patients *)o *ill 1e)avin+ a +astrointestinal sur+ery isampicillin.

B. T)e treatment re+ime of infective

endocarditis is t)ree *eeks of )i+)dose anti1iotic.

C. nterococci infective endocarditis isusually nosocomial ac5uired infection.

2. I! !ancomycin *it) +entamycin areused for I!2 associated infectiveendocarditis.

. 3rop)yla7is for oral procedures is

directed mainly a+ainst streptococcus.

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