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4. Mycobacterium tuberculosis is a common respiratory pathogen; why?
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- 2. You are an epidemiology consultant to a large factory. You conduct a study of the occurrence of a particular respiratory disease among the workers, and find that the cumulative incidence of the disease among workers exposed to chemical A is 200 per 100,000, and the cumulative incidence of the disease among work- ers not exposed to chemical A is 20 per 100,000. Calculate the risk attributable to exposure to chemical A. (Adapted from Koepsell and Weiss. Epidemiologic Methods. p. 209.)3. how these infections by Pseudomonas aeruginosa, Staphylococcus aureus,Propionibacterium acnes and Streptococcus pyogenes could lead to more serious conditions such as endocarditis?4. A patient presents with multiple skin boils that are caused by Staphylococcus aureus. Why is Staphylococcus aureus more likely to cause a skin infection than E. coli?
- 4. Male patient Howard Long, 50 year of age , has been identified as having bronchiectasis. For 35 years, he smoked one pack of cigarettes per day. He's had recurrent bronchial infections for a very long time. He constantly produces a lot of purulent sputum while coughing. Even when at rest, the patient laments being out of breath. The tips of his fingers are clubbed. Bronchial dilatation can be seen on the chest CT scan. (Learning Objectives 2, 5, and 6) a.How should the nurse explain to the patient and family the pathophysiology of bronchiectasis as it is related to the symptoms the patient is experiencing? b.How should the nurse explain to the patient and family the goals of medical management that may be used to treat bronchiectasis? c.What does the nursing management for bronchiectasis entail?3. What is a nosocomial infection? Explain why the urinary tract, lower respiratory tract, and give an surgical wounds are the most common sites of nosocomial infections? explanation for all three sites.5. A 35-year-old man comes to the physician because of a 3-day history of fever, chills, muscle aches, headache, and diarrhea. He immigrated to the USA from Nigeria 12 years ago, but he recently returned from a 2-week visit to his native country. He takes no medications. His temperature is 38.8°C (101.8°F), pulse is 94/min, respirations are 16/min, and blood pressure is 125/82 mm Hg. Physical examination shows diaphoresis, scleral icterus, and a supple neck. The remainder of the examination shows no abnormalities. Which of the following is most likely to confirm the suspected diagnosis in this patient? A) Examination of stool for ova and larvae B) Gram stain and culture of cerebrospinal fluid for bacteria C) Peripheral blood smears for protozoa D) Serologic testing for filaria E) Urine antigen testing for fungi A or C
