Fever / Dr.sadiq

Question 1

What the fever?

Answer 1

Elevation of core body temperature more than 38 c, it’s response to cytokines and acute phase protein, occurs in infected and non infected diseases.

Question 2

Feeling hot and sweating guide to fever ( true or false )

Answer 2

False, not necessary

Question 3

What accurate ways to measure body temperature?

Answer 3

Axillary and aural ways less accurate than oral and rectal

Question 4

What Rigors mean?

Answer 4

Shivering followed by excessive sweating

Question 5

What causes of Rigors?

Answer 5

Rapid rise in body temperature from any cause

Question 6

What causes of night sweating?

Answer 6

Infected disease such as TB or infective endocarditis

Question 7

Excessive sweating occurs in alcohol or anxiety or hot environmental with increase body temperature (true or false )

Answer 7

False, without increasing body temperature

Question 8

What diagnosis or causes of fever with severe headache and photophobia?

Answer 8

Meningitis

Question 9

Fever with ……… most common in young children or elderly

Answer 9

Delirium/ هذيان

Question 10

If patient have fever with myalgia what most common diagnosis?

Answer 10

Viral infections such as influenza and sepsis

Question 11

Fever with Shock maybe accompany with ……….. and …………

Answer 11

Sever infectious and sepsis

Question 12

About history taking in infectious diseases if fever and cough lasting 2 days or one month what mean?

Answer 12

• Acute respiratory infections
• TB

Question 13

What management to parent with fever?

If patient have fever with sever sweating what management?

Answer 13

• Antipyretic/ paracetamol
  and tepid sponging (كمادات)
• Replacment of salts and water is important

Question 14

Oral temperature unreliable for fever in old age (true or false)

Answer 14

True

Question 15

Fever in old age associated with……… and ………..

Answer 15

Confusion and delirium

Question 16

What most common infections diseases in nursing home residents?

Answer 16

Pneumonia, UTI التهاب المسالك البولية , soft tissue infection and gastroenteritis

Question 17

What the prominent causes of pyrexia of unknown origin (PUO)?

Answer 17

Infective / TB, intra abdominal abscess, Urinary tract infection, endocarditis infection

Non infective / arthritis and trauma

Question 18

…………. Mainly in female patients medical or nursing background

Answer 18

Factitious fever

Question 19

What muchausen’s syndrome mean?

Answer 19

Rare psychological and behavioural conditions in which somebody made or induce symptoms of illness in themselves

Question 20

What neutropenic fever means?

Answer 20

Patient with neutrophils count less than 0.5 and axillary temperature more than 38,5 c

Question 21

What causes of neutropenia fever?

Answer 21

Bacterial and fungal infections especially gram + bacteria

Question 22

Neutropenic fever associated with ………….

Answer 22

dwelling catheters

Question 23

What the therapy of this Type of fever?

Answer 23

pipracillin + tazobactam I.v
and anti fungal therapy

Question 24

If fever not resolved within 3-5 days
what therapy?

Answer 24

alternative anti fungal therapy with azole group ( fluconazole, itraconazole, ketaconazole)

Question 25

What the difference between bacteraem and septicaemia?

Answer 25

Bacteraem /
Presenting of organism in blood in healthy patients without symptoms

Septicaemia/
Presenting of organism in blood
And causes disease