An unconscious patient aspirated gastric contents. Which of the following anaerobic microorganisms would likely now be found in her lower respiratory tract?
1. Legionella pneumophila
2. Pseudomonas aeruginosa
3. Peptococci
4. Bacteroides fragilis
a. 1, 3
b. 3, 4
c. 1, 3, 4
d. 1, 2, 3, 4
B
Peptococci and B. fragilis are anaerobic microorganisms and may be present in the lower respiratory tract following aspiration.
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The ________-point gait is faster moving than the four-point gait and is used by patients who can bear some weight on both feet and have good balance
a. one b. two c. three d. four
Your patient is a 32-year-old male who has been successfully treated for depression with a selective serotonin reuptake inhibitor. The patient's wife is concerned, because over the past few days her husband has not slept and has been spending most of his time trading stocks online and making extravagant purchases. He has been talking about taking a trip to Spain to run with the bulls in Pamplona
She states that he is talking incessantly and seems "wired." The patient had a similar episode about a month ago that came on suddenly but resolved when the patient "crashed" and slept for several days. Which of the following is most consistent with this situation? A) Cocaine use B) Schizoaffective disorder C) Methamphetamine use D) Bipolar disorder