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Treating Common Infections in Patients with Diabetes

Quiz for CE Credit

This quiz consists of multiple choice questions with one correct answer.
Please select one answer for each question, then click the Submit Answers button at the end of the quiz.

1. The CURB-65 prediction rule is a simplified algorithm for triaging patients with pneumonia and deciding on the immediate course of treatment. C = Confusion, U = BUN greater than 20, R= Respiratory Rate greater than 30, B= Blood Pressure Systolic less than 90 or Diastolic less than 60, and 65 = age, with one point for each factor.

2. According to the Infectious Disease Society, it is important to us caution with use of quinolone antibiotics in people with diabetes as it may lead to hypoglycemia or hyperglycemia, can cause collateral damage caused by C-diff, and can mask tuberculosis.

3. Diabetes increases the risk of reactivation of latent TB Infection by a factor of 3.

4. According to the Centers for Disease Control, the Tuberculosis death rates for American Indian patients in the United States are 15 times greater than the rate for white patients.

5. When a patient’s HgbA1c is greater than 8%, CD4 Lymphocyte proliferation is impaired and these cells don’t function properly to destroy bacteria.

6. Although it is not possible to hospitalize every person with diabetes who has an ulceration, it is worth consideration if the person has failed to respond to treatment with oral antibiotics.

7. Necrotizing fasciitis is very serious, requiring immediate treatment and hospitalization.

8. The Infectious Disease Society recommends that any patient with a purulent wound be evaluated and treated for MRSA.

9. If you have an infected ulcer and you are able probe to bone, there’s a good chance that person has osteomyelitis, and needs an MRI and perhaps bone biopsy to definitively diagnosis the osteomyelitis and damage to the bone.

10. When people with diabetes get UTIs they’re at risk for complications such as these: perinephric abscess, gerota fascia, papillary necrosis, and pyelonephritis