You work in a small rural area, seeing patients. An 18 year old female comes to

Question

You work in a small rural area, seeing patients. An 18 year old female comes to see you, complaining of fever, shaking chills, nausea, vomiting, and a fine rash on her body. She complains of "aches all over" This began the previous afternoon. She is currently menstruating.
A. She is most likely suffering front
     1. menstrual cramps
     2. influenza
     3. impetigo
     4. toxic shock syndrome
     5. roseola
B. The illness that this patient is suffering from is caused by
     1. streptococcus pyogenes
     2. neisseria gonorrhea
     3. staphylococcus aureus
     4. streptococcus pneumonia
     5. staphylococcus saprophyticus
C. Ultra absorbent tampons produce which cation that creates a favorable habitat for this pathogen
    1. sodium
    2. potassium
    3.calcium
    4.manganese
    5. magnesium
D. The organism that causes this illness has been known to be resistant to all of the following except
    1. amoxicillin
    2. penicillin
    3. methcillin
    4. oxacillin
    5. synercid

This is all microbiology for the record.

Explanation / Answer

A. 4. Toxic shock syndrome. High fever, rashes vomiting are symptoms inaddition to mensturation(Superabsorptive tampons used are known to cause Toxic shock syndrome). Although simillar symptoms symptoms are seen in other diseases combination of rash fever is specific. In Influenza symptom is fever without rashes; impetigo rashes alone ;Rosela rash after fever;menstruation cramp only body pain. S

B.3. staphylococcus aureus. Carboxymethyl cellulose fibers of superabsorptive tampons are responsible in harboring staphylococcus aureus bacterium and producing toxins in vagina.

C.5.Magnesium ions- Ultraabsorptive tampoons binds with magnesium ions and staphylococcus aureus to thrive magnesium rich enviorment and growth of this organism is much slower in magnesium deficienct conditions.

D 5. synercid (quinupristin-dalfopristin). staphylococcus aureus is aquired resistance to beta lactam antibiotics(penicilin, oxalin methcillin and ampicilin),

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