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CMPP Test 3 | 287 Questions and Answers 100% Verified | Latest Update 2024
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CMPP Test 3 | 287 Questions and Answers 100% Verified | Latest Update 2024
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CMPP Test 3 | 287 Questions andAnswers 100% Verified | Latest Update
2024
severely immunocompromised patient; fungal form is not common to see (much
more commonly it's bacterial) - ANSWER pt population who may have fungal
endocarditis
left more frequently - ANSWER side of the heart that
Infectious Endocarditis - ANSWER Vegetation or growth typically on the cardiac
valves
Platelets, fibrin, and microorganisms (bacterial or fungal) - ANSWER main
components of the growth/collection in infectious endocarditis
tricuspid (suspect IV drug use in this case) - ANSWER if someone does have
right sided infectious endocarditis, this is the valve that is most likely affected
Congenital Heart Disease
Degenerative valvular disease
Intracardiac device (pacemaker, ICD) (foreign body)
Intravenous Drug Use (IDU) - ANSWER history of some of these cardiac
conditions may predispose a pt or make them more likely to develop infectious
endocarditis
,nosocomial - ANSWER hospital acquired
Source travels from another site to the heart (hence why we prophalaxtically treat
before dental procedures)
Nosocomial from catheter related Staph Aureus infections or from prosthetic valve
placement (usually from a central line)
Implantable devices usually have some point of contact
IV drug users are directly injecting into their bloodstream (dirty needles or dirty
skin) - ANSWER how the vegetation associated with infectious endocarditis
gets there
Strep. viridans & Staph. aureus - ANSWER most common pathogens associated
with left sided endocarditis
mitral - ANSWER Most commonly affected valve in left sided endocarditis
left sided endocarditis - ANSWER Systemic vascular involvement
Usually congenital & acquired valvular disease (prosthetics - mech or tissue is still
foreign)
Can be acute or subacute
Mitral Valve most commonly affected
Strep. viridans & Staph. aureus most common pathogens assocated with left sided
endo
right sided endocarditis - ANSWER Pulmonary vascular involvement
IV drug use
,Usually acute onset
Tricuspid valve most commonly affected
Staph. aureus most common pathogen
Staph. aureus - ANSWER most common pathogen for right sided endocarditis
fever of unknown origin - ANSWER common presentation of infective
endocarditis
echo - ANSWER test to confirm infective endocarditis diagnosis
tricuspid - ANSWER most commonly affected valve for right sided endocarditis
Petechiae
Splinter Hemorrhages
Janeway lesions
Osler Nodes
Roth Spots - ANSWER potential physical exam findings for infective
endocarditis (may not actually see any of these)
regrugant murmurs - ANSWER type of murmurs usually associated with
infective endocarditis
, petchiae - ANSWER non-blanching violaceous spots in skin; associated with
infective endocarditis; non specific (general for low platelets, could also have with
rocky mountain spotted fever)
Splinter hemorrhages - ANSWER vertical hemorrhages under the nails;
assocaited with infective endocarditis; non specific
janeway lesions - ANSWER non-tender hemorrhagic macules on palms & soles;
associated with infective endocarditis; non tender
Osler nodes - ANSWER tender nodules on the pulp of fingers; associated with
infective endocarditis; painful purple pulpy pads - being on the pads of fingers, it's
painful - Ouch!
roth spots - ANSWER retinal hemorrhages; associated with infective
endocarditis; retinal red blood cell bleeding; round and in back of eye
From 3 different sites over 30-120 minutes - ANSWER how to take blood
cultures in the workup for infective endocarditis
a leukocytosis (nonspecific) or an anemia - ANSWER looking for this on a CBC
for infective endocarditis
ESR (erthyrocyte sedimentation rate) and CRP (c-reactive protein) - ANSWER
inflammation markers
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