1) Maria Gomez is a 24 y/o female admitted to the hospital for painful inguinal lymphadenitis. An infectious disease (ID) consultation was ordered to determine the etiology of the lymphadenitis. Refer to the case study infectious disease consult report and respond to the following questions. The HPI details the problem-focused review that allows the consultant to identify the signs and symptoms to conduct a differential diagnosis and ultimately uncover the etiology of the lymphadenitis. The questions asked of Ms. Gomez begin to focus on potential sources of infection, including sexually transmitted diseases, cat scratch fever, wounds from shaving, or respiratory infection. The consultant questions her about sexual relationships to determine if there is a potential for HIV, which is an acronym for ____. a) human imunodeficency virus B) herpes infectious virus C) herpes virus, type IV D) human immunodeficiency virus 7) The ID specialist felt that the condition could be due to staph, which is an abbreviation for _______, which are _____. a) staphylococci; bacteria that form irregular groups or clusters resembling grapes B) staphylococcus; bacteria that form a chain C) staphylococcus; rod-shaped spore-forming bacteria D) staphylococci; long, slender, spiral-shaped bacteria with flexible walls 8) The ID specialist differential included strep. This is an abbreviated form for _____, which are ____________. a) streptoccoci; spiral-shaped bacteria that have flexible walls and are capable of movement B) streptococcus; bacteria that commonly infect wounds and cause serious problems such as toxic shock syndrome c) streptococci; bacteria that form a chain, some species are harmless and others cause illnesses D) streptococci; bloodborne bacterial infection transmitted by the bite of a vector 9) Another differential test was to rule out cat scratch fever that could be diagnosed by the presence of Bartonella antibodies. An antibody is ___________. a) a disease-fighting protein created by the immune system in response to the presence of a specific antigen; e.g., infectious agent B) any substance that the body regards as being foreign, including viruses, bacteria, toxins, and transplanted tissues c) a group of proteins that circulate in the blood in an inactive form D) a substance that produces an allergic reaction in an individual 10) Another differential is clostridium difficile, which is sometimes called an opportunistic infection. This type of infection is ___________. a) a severe, systemic response to an antigen in a weakened host B) a localized cellular response to a normally harmless antigen that is foreign to the body C) caused by a pathogen that does not usually result in illness, but it may when the host is weakened d) an overreaction by the body to a harmless substance that is foreign to the body .

1. 1) Maria Gomez is a 24 y/o female admitted to the hospital for painful inguinal lymphadenitis.
An infectious disease (ID) consultation was ordered to determine the etiology of the
lymphadenitis. Refer to the case study infectious disease consult report and respond to the
following questions.
The HPI details the problem-focused review that allows the consultant to identify the signs and
symptoms to conduct a differential diagnosis and ultimately uncover the etiology of the
lymphadenitis. The questions asked of Ms. Gomez begin to focus on potential sources of
infection, including sexually transmitted diseases, cat scratch fever, wounds from shaving, or
respiratory infection. The consultant questions her about sexual relationships to determine if
there is a potential for HIV, which is an acronym for ____.
a) human imunodeficency virus
B) herpes infectious virus
C) herpes virus, type IV
D) human immunodeficiency virus
7) The ID specialist felt that the condition could be due to staph, which is an abbreviation for
_______, which are _____.
a) staphylococci; bacteria that form irregular groups or clusters resembling grapes
B) staphylococcus; bacteria that form a chain
C) staphylococcus; rod-shaped spore-forming bacteria
D) staphylococci; long, slender, spiral-shaped bacteria with flexible walls
8) The ID specialist differential included strep. This is an abbreviated form for _____, which are
____________.
a) streptoccoci; spiral-shaped bacteria that have flexible walls and are capable of movement
B) streptococcus; bacteria that commonly infect wounds and cause serious problems such as
toxic shock syndrome
c) streptococci; bacteria that form a chain, some species are harmless and others cause illnesses
D) streptococci; bloodborne bacterial infection transmitted by the bite of a vector
9) Another differential test was to rule out cat scratch fever that could be diagnosed by the
presence of Bartonella antibodies. An antibody is ___________.

2. a) a disease-fighting protein created by the immune system in response to the presence of a
specific antigen; e.g., infectious agent
B) any substance that the body regards as being foreign, including viruses, bacteria, toxins, and
transplanted tissues
c) a group of proteins that circulate in the blood in an inactive form
D) a substance that produces an allergic reaction in an individual
10) Another differential is clostridium difficile, which is sometimes called an opportunistic
infection. This type of infection is ___________.
a) a severe, systemic response to an antigen in a weakened host
B) a localized cellular response to a normally harmless antigen that is foreign to the body
C) caused by a pathogen that does not usually result in illness, but it may when the host is
weakened
d) an overreaction by the body to a harmless substance that is foreign to the body