Board Review Questions of the Week – Immunocompromised Patient

Adam WandermanFM Question of the Week, Personal Education, Question of the Week

Med-Challenger, Board Review Practice Question, Question of the Week, Quick Quiz

Free immunocompromised patient board review questions sample from Med-Challenger.

Med-Challenger offers immunocompromised patient review along with everything else for diagnosing and treating allergy and immunology disorders for solid-organ transplant patients with in-depth review questions with detailed explainations. More free allergy and immunology review questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:

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This week’s case-based question:


A 52-year-old man with a status of 21 days post–renal transplant is taking glucocorticoids and calcineurin inhibitors. He presents with altered mental status, dyspnea, cough, hemoptysis, eosinophilia (40%), fever, nausea, vomiting, rash, and diarrhea with intermittent hematochezia. The patient’s bronchoalveolar lavage, blood cultures, cerebrospinal fluid (CSF) cultures, and stool samples are all significant for the presence of filariform larvae (see Figure).

Figure.

In addition, gram staining of the blood and CSF samples are significant for gram-negative organisms. The patient quickly progresses to respiratory distress syndrome and is transferred to the intensive care unit.

Which statement correctly describes this pathogen?

Answer Options

The infection is most commonly donor-derived in nature.
In the process of autoinfection, adult females reside in the lungs.
It may be associated with enteric gram-negative bacteremia and meningitis.
There is no impact on the pulmonary system in the immunocompromised patient.

And the answer is …


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