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CMN 574.1 FB Exam Questions and Answers 100% Solved
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CMN 574.1 FB Exam Questions and Answers 100% Solved 574.1 Fact: Gonococcal Arthritis Treatment: 1. In most cases, patients suspected of the disease should be admitted to the hospital to exclude endocarditis 2. The rapid rise in resistant strains to penicillin makes inpatient treatment advisab...

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  • October 31, 2024
  • 111
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
CMN 574.1 FB Exam Questions and

Answers 100% Solved


574.1 Fact: Gonococcal Arthritis Treatment:

1. In most cases, patients suspected of the disease should be admitted to

the hospital to exclude endocarditis

2. The rapid rise in resistant strains to penicillin makes inpatient treatment

advisable - ✔✔3. Step-down treatment from parenteral to oral antibiotics is

no longer recommended

4. Once improvement has been achieved for 24-48 hours, patients receive

ceftriaxone 250mg IM every 24 hours to complete a 7-14 day course

574.1 Fact: Urethral, throat, cervical, and rectal cultures should be done in

all patients with suspected gonococcal arthritis since they are often positive

in the absence of local symptoms - ✔✔xxx

574.1 Rhabdomylolysis is associated with:

A. Crush injuries

B. Prolonged immobility

C. Drug toxicities

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
D. All of the above - ✔✔D. all of the above

574.1 T/F Sjogren syndrome can occur in isolation or in association with

another rheumatic disease. - ✔✔True

574.1 Fact: Gonococcal arthritis Clinical Findings:

1. 1-4 days of migratory polyarthralgias involving the wrist, knee, ankle, or

elbow

2. Thereafter, 2 patterns emerge: a) tenosynovitis that affects the wrists,

fingers, ankles, or toes [60% of patients]; b) purulent monarthritis that

involves the knee, wrist, ankle, or elbow [40% of patients]

3. Most patients will have asymptomatic but highly characteristic skin

lesions consisting of 2-10 small necrotic pustules distributed over the

extremities, especially the palms and soles - ✔✔xxx

574.1 T/F There is no evidence that patients with prosthetic joints

undergoing procedures should receive antibiotic prophylaxis to prevent joint

infection. - ✔✔T. Although the American Academy of Orthopedic Surgeons

advocates prescribing antibiotic prophylaxis for any patient with a prosthetic

joint replacement undergoing a procedure that can cause bacteremia

(McPhee p. 827)

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
574.1 The synovial fluid analysis in nongonococcal acute bacterial arthritis

usually reveals a Leukocyte count that exceeds:

A. 20,000

B. 30,000

C. 40,000

D. 50,000

Bonus: Often, the WBC count is even greater than ________ - ✔✔D.

Bonus: > 100,000.

574.1 Which of the following is critical for diagnosis of nongonococcal acute

bacterial arthritis:

A. Blood cultures

B. MRI

C. Synovial fluid analysis

D. CT - ✔✔C. synovial fluid analysis

574.1 Which joint is most frequently involved in nongonococcal acute

bacterial arthritis:

A. Hip

B. Knee

C. Shoulder

D. Ankle - ✔✔B.

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
574.1 What is the key risk factor for nongonococcal acute bacterial arthritis:

A. Bacterermia

B. Prosthetic joints

C. Compromised Immunity

D. Loss of skin integrity

E. All of the above - ✔✔E. all of the above.

574.1 Which organism is the most common cause of nongonoccocal septic

arthritis:

A. Methicillin-resistant S aureus

B. Escherichia coli

C. Psedomonas aeruginosa

D. Staphylococcus aureus - ✔✔d. Staphylococcus aureus

574.1 Fact: Reactive Arthritis:

1. Precipitated by gastrointestinal or sexually transmitted infection (though

can occur without an apparent preceding infection)

2. Predominance in males after an STI (ratio males to females 9:1)

3. Extra-articular manifestations include urethritis, conjunctivitis, uveitis,

and mucocuteaneous lesions

4. Arthritis is commonly asymmetric and involves the large weight-bearing

joints (knee and ankle) - ✔✔5. While most signs of the disease disappear

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