#june2020mccqe1
A 75-year-old woman is brought to the emergency department because of a 2-day history of generalized weakness and fever. The patient is a nursing home resident and requires a chronic indwelling urinary catheter.
On physical examination, temperature is 38.4°C (101.1°F), blood pressure is 132/72 mm Hg, pulse rate is 95/min, and respiration rate is 22/min. Examination findings are otherwise normal.
The leukocyte count is 13,000/μL (13 × 109/L) with 11% immature band forms. Urinalysis shows 20-25 leukocytes/hpf. A complete metabolic profile is normal. Arterial oxygen saturation is 95% by pulse oximetry with the patient breathing ambient air. Urine culture and two sets of blood cultures obtained in the emergency department are growing Escherichia coli.
Which of the following terms best describes this patient's illness?
(A) Sepsis
(B) Septic shock
(C) Severe sepsis
(D) Systemic inflammatory response syndrome
A 75-year-old woman is brought to the emergency department because of a 2-day history of generalized weakness and fever. The patient is a nursing home resident and requires a chronic indwelling urinary catheter.
On physical examination, temperature is 38.4°C (101.1°F), blood pressure is 132/72 mm Hg, pulse rate is 95/min, and respiration rate is 22/min. Examination findings are otherwise normal.
The leukocyte count is 13,000/μL (13 × 109/L) with 11% immature band forms. Urinalysis shows 20-25 leukocytes/hpf. A complete metabolic profile is normal. Arterial oxygen saturation is 95% by pulse oximetry with the patient breathing ambient air. Urine culture and two sets of blood cultures obtained in the emergency department are growing Escherichia coli.
Which of the following terms best describes this patient's illness?
(A) Sepsis
(B) Septic shock
(C) Severe sepsis
(D) Systemic inflammatory response syndrome