The next four questions refer to a case study of an influenza infection in an example individual. The details of the case study are presented here; please refer to them when answering the next four questions. -------------------------- Index (First) Case: A miner aged 38 years who worked at copper mine X. On August 11, the miner had onset of coughing and a sore throat, but continued coming to work. On August 16, with worsening signs and symptoms including fatigue, muscle aches, vomiting, and uncontrollable coughing, the patient was admitted to a hospital, where a chest radiograph showed bilateral infiltrates. Sputum cultures were negative but showed increased leukocyte counts. The patient was transferred to intensive care on August 21 and was treated with intravenous antibiotics (trimethoprim), which did not resolve symptoms. Patient samples tested positive for H1N1 influenza virus in PCR and ELISA assays, and the patient was treated with oseltamivir to inhibit viral spread. Viral titers were observed to decrease beginning on August 24, concomitant with a lessening of symptoms, and the patient was released on August 29 with no detectable virus. Fifteen of the patient’s co-workers and thirty individuals exposed at the hospital came down with respiratory symptoms and tested positive for H1N1 influenza in the following two weeks. All were treated with oseltamivir and recovered. Refer to the case study above. For the index case described, why was trimethoprim not useful? Group of answer choices Influenza has acquired resistance to this antibiotic over time The patient was resistant to trimethoprim A viral infection would not respond to an antibiotic The patient did not take the antibiotic for a long enough time Refer to the case study above. When was the index case patient least likely to spread the infection to others? Group of answer choices August 16 – August 23 August 11 – August 29 August 11 – August 15 After August 29 Refer to the case study above. For the index case described, what was the incubation period? Group of answer choices August 16 – August 19 August 11 – August 15 August 21 – August 23 The answer cannot be determined from the data provided Refer to the case study above. Which of the following were signs (not symptoms) associated with the infection? Choose all that apply. Group of answer choices Muscle aches Vomiting Leukocytes in sputum sample Fatigue

The next four questions refer to a case study of an influenza infection in an example individual. The details of the case study are presented here; please refer to them when answering the next four questions. -------------------------- Index (First) Case: A miner aged 38 years who worked at copper mine X. On August 11, the miner had onset of coughing and a sore throat, but continued coming to work. On August 16, with worsening signs and symptoms including fatigue, muscle aches, vomiting, and uncontrollable coughing, the patient was admitted to a hospital, where a chest radiograph showed bilateral infiltrates. Sputum cultures were negative but showed increased leukocyte counts. The patient was transferred to intensive care on August 21 and was treated with intravenous antibiotics (trimethoprim), which did not resolve symptoms. Patient samples tested positive for H1N1 influenza virus in PCR and ELISA assays, and the patient was treated with oseltamivir to inhibit viral spread. Viral titers were observed to decrease beginning on August 24, concomitant with a lessening of symptoms, and the patient was released on August 29 with no detectable virus. Fifteen of the patient’s co-workers and thirty individuals exposed at the hospital came down with respiratory symptoms and tested positive for H1N1 influenza in the following two weeks. All were treated with oseltamivir and recovered. Refer to the case study above. For the index case described, why was trimethoprim not useful? Group of answer choices Influenza has acquired resistance to this antibiotic over time The patient was resistant to trimethoprim A viral infection would not respond to an antibiotic The patient did not take the antibiotic for a long enough time Refer to the case study above. When was the index case patient least likely to spread the infection to others? Group of answer choices August 16 – August 23 August 11 – August 29 August 11 – August 15 After August 29 Refer to the case study above. For the index case described, what was the incubation period? Group of answer choices August 16 – August 19 August 11 – August 15 August 21 – August 23 The answer cannot be determined from the data provided Refer to the case study above. Which of the following were signs (not symptoms) associated with the infection? Choose all that apply. Group of answer choices Muscle aches Vomiting Leukocytes in sputum sample Fatigue

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter24: Medications That Affect The Respiratory System

Section: Chapter Questions

Problem 1RQ

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Question

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Index (First) Case: A miner aged 38 years who worked at copper mine X.

On August 11, the miner had onset of coughing and a sore throat, but continued coming to work. On August 16, with worsening signs and symptoms including fatigue, muscle aches, vomiting, and uncontrollable coughing, the patient was admitted to a hospital, where a chest radiograph showed bilateral infiltrates. Sputum cultures were negative but showed increased leukocyte counts. The patient was transferred to intensive care on August 21 and was treated with intravenous antibiotics (trimethoprim), which did not resolve symptoms. Patient samples tested positive for H1N1 influenza virus in PCR and ELISA assays, and the patient was treated with oseltamivir to inhibit viral spread. Viral titers were observed to decrease beginning on August 24, concomitant with a lessening of symptoms, and the patient was released on August 29 with no detectable virus.

Fifteen of the patient’s co-workers and thirty individuals exposed at the hospital came down with respiratory symptoms and tested positive for H1N1 influenza in the following two weeks. All were treated with oseltamivir and recovered.

Refer to the case study above. For the index case described, why was trimethoprim not useful?

Group of answer choices

Influenza has acquired resistance to this antibiotic over time

The patient was resistant to trimethoprim

A viral infection would not respond to an antibiotic

The patient did not take the antibiotic for a long enough time

Refer to the case study above. When was the index case patient least likely to spread the infection to others?

Group of answer choices

August 16 – August 23

August 11 – August 29

August 11 – August 15

After August 29

Refer to the case study above. For the index case described, what was the incubation period?

Group of answer choices

August 16 – August 19

August 11 – August 15

August 21 – August 23

The answer cannot be determined from the data provided

Refer to the case study above. Which of the following were signs (not symptoms) associated with the infection? Choose all that apply.

Group of answer choices

Muscle aches

Vomiting

Leukocytes in sputum sample

Fatigue

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