CME Posttest: Chronic fatigue syndrome; the febrile infant pt. 2

1. Patients with chronic fatigue syndrome (CFS) generally do not have

a. Postexertional fatigue

b. Lymphadenopathy

c. Lack of motivation

d. Mylagias

2. When tested, patients with CFS score highest on points related to

a. Physical symptoms

b. Loss of interest in daily activities

c. Feelings of worthlessness

d. Degree of self-criticism

3. Studies on abnormalities in the hypothalamus-pituitary-adrenal axis have shown that people with CFS have

a. Higher levels of circulating cortisol

b. Increased excretion of urinary free cortisol

c. Higher levels of dehydroepiandrosterone

d. Reduced response to corticotrophin

4. A biological process that differs significantly between persons with CFS and those with depression is

a. Pulse rate

b. Appetite

c. Skin temperature

d. Response to pain

5. Sleep studies show that patients with CFS often have

a. Reduced rapid eye movement (REM) latency

b. Increased REM density

c. Increased slow-wave deep sleep

d. Frequent awakenings

6. A good starting point for differentiating between depression and CFS is the

a. Mini-Mental Status Examination

b. Hospital and Anxiety Depression Scale

c. Beck Depression Inventory

d. General Health Questionnaire

THE FEBRILE INFANT, PAGE 44

7. In their study, Byington and colleagues found that six patients with no viral infection had

a. Meningitis

b. Cellulitis

c. Conjunctivitis

d. Candidiasis

8. Smitherman's team concluded that serious bacterial infection occurs much less frequently in infants with

a. Varicella-zoster virus

b. Respiratory syncytial virus

c. Influenza A virus

d. Rotavirus

9. Which of the following is still a major concern, even in infants with a viral infection?

a. Acute otitis media

b. Pneumonia

c. Bacterial gastroenteritis

d. Urinary tract infection (UTI)

10. An obstacle in the evaluation of the febrile infant aged 4 days and younger is an elevated level of

a. Tissue necrosis factor

b. C-reactive protein

c. Procalcitonin (PCT)

d. Interleukin-6

11. The best PCT cutoff value for distinguishing between invasive and localized bacterial infections is

a. 2 ng/mL

b. 4 ng/mL

c. 8 ng/mL

d. 16 ng/mL

12. A valuable test for ruling out a UTI in the febrile neonate is

a. Leukocyte esterase

b. Enhanced urinalysis

c. Urine culture and sensitivity