Your-Doctor Multiple Choice Questions (MCQ)

Category: Cardiology--->Valvular heart disease and Endocarditis
Page: 5

Question 21#Print Question

A 51 year old farmer presents with low-grade fever and a recent history of weight loss. He has been investigated by his GP and general physicians but no cause has been identified for his symptoms. His inflammatory markers are raised and a TTE shows a 0.5 × 0.3 cm echogenic mass attached to the non-coronary cusp of the aortic valve. Endocarditis is suspected, although multiple blood cultures are negative.

Which one of the following organisms is the most likely cause of persistently negative cultures? 

a. Streptococcus constellatus
b. Coagulase-negative staphylococci
c. Cardiobacterium hominis
d. Streptococus sanguis
e. Coxiella burnetii

Question 22#Print Question

Which one of the following statements regarding outpatient parenteral antibiotic therapy (OPAT) for infective endocarditis is true?

a. OPAT can be considered in oral-streptococci-positive endocarditis in stable patients with no complications in the critical phase (0–2 weeks)
b. Complications are rare in the first 2 weeks
c. OPAT in patients who have received inpatient therapy for 3 weeks can be considered despite the presence of heart failure
d. Daily post-discharge evaluation physician review is necessary for OPAT
e. Neurological features are not a contraindication to OPAT

Category: Cardiology--->Valvular heart disease and Endocarditis
Page: 5 of 5