Test
Fever
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Preguntas del test (14)
1Pyrexia is defined as:
- AAn elevation in core temperature secondary to a changed thermoregulatory set point in the hypothalamus.
- BAn elevation in core temperature directly attributable to the release of pyrikines.
- CAn elevation in body temperature due to outside forces without a change in the thermoregulatory set point.
- DNone of the answer choices correctly define pyrexia.
2Exogenous pyrogens (such as infectious agents) bind the hypothalamus directly to alter the thermoregulatory set point.
- AVerdadero
- BFalso
3A fever of unknown origin can be described as a prolonged fever that has not responded to short course treatment, and for which initial tests have not revealed a specific cause.
- AVerdadero
- BFalso
4Which of the following are potential causes of FUO? Select all that apply.
- AHeat stroke
- BViral infections
- CProtozoal diseases
- DShock
- ENeoplasia
- FAuto-immune diseases
5When presented with a patient with an elevated temperature, a brief PE is all that is necessary. Your lab results will provide you with much better information than your exam will.
- AVerdadero
- BFalso
6When considering diagnosis for an FUO, which of the following is important to keep in mind?
- ATests run are definitive, so while they may be expensive, you can assure the owner that it's a one-time cost.
- BDiagnostics should always consider each problem individually, and each body system should be thoroughly explored before providing a conclusive diagnosis.
- CIf a patient is on medications, it is important that they remain on those medications throughout the testing process.
- DIf there is no higher yield problem apparent, diagnostics should begin with safe, non-invasive tests.
- EMore than one of these answer choices is correct.
7Stage One of the diagnostic approach to FUOs includes:
- ASimple, safe, and basic tests, such as blood work, radiographs, ultrasound, and a short antibiotic trial as needed.
- BSlightly more advanced testing, as we've already determined this is not an average fever: an echocardiogram, blood culture, and bone marrow aspirate may be called for.
- CBiopsies, anti-fungal trials, and soft-tissue scans, as most causative agents of FUOs can be identified through these methods.
- DNone of these answer choices are correct.
8Ultimately the rigmarole of diagnosing the causative agent of an FUO is moot. Therapeutic trials are our best option, and if they don't work, the side effects are minimal.
- AVerdadero
- BFalso
9If a patient is suffering from a severe fever or hyperthermia and the owner is unable to come in immediately, suggesting a cold water bath is appropriate medical advice.
- AVerdadero
- BFalso
10When it comes to treating a fever, which of the following is NOT appropriate?
- AFluid therapy can be indicated in severe or prolonged fevers.
- BWe always want to treat a fever, no matter the severity or the cause.
- CNSAIDs may be called for if the patient is not responding to other therapeutics.
- DUltimately, prognosis depends on the causative agent.
11Heat stroke can be characterized by which of the following? Select all that apply.
- AA fever typically higher than 106o F.
- BHeat generation beyond the body's capacity to dissipate it.
- CCompensation mechanisms to heat are overwhelmed.
- DThe release of pyrogens following an inflammatory response.
12Hyperthermia:
- AWill be high on your rule-out list for any animal presenting with an elevated temperature.
- BArises spontaneous, and its prognosis is often poor.
- CBecomes a greater risk for brachycephalic dogs, particularly those living in warmer climes.
- DIs characterized by a significant drop in patient temperature.
13Organ damage, particularly to the cardiovascular system and the gastrointestinal tract, often occurs in hyperthermia as a result of:
- AHypovolemia leading to ischemia.
- BDenaturing of the epithelium/endothelium.
- CEndotoxemia and subsequent sepsis.
- DSevere thrombocytopenia, leading to petechiae and ecchymoses.
14Which of the following are appropriate treatments for hyperthermia?
- ACold water baths.
- BCold water enemas.
- CClipping thick haircoats, especially in the abdomen and jugular areas.
- DNSAIDs
Información
- Descripción
- VMRCVM Gen. Vet Med course, class of 2016. Lecture 3.
- Autor
- voakes
- Idioma
- English
- Visitas
- 164
- Etiquetas
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