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ISPN模拟试题82

发表日期:2017-01-13 | 来源 :国际护士网 | 作者 :www.the-nurses.com |点击数: 次 收听:
 
163. Report of which activity would suggest the possibility of histoplasmosis in a client presenting with cough, fever, joint pain, and fatigue?
a. Swallowing water from a hose
b. Eating rare meat
c. Cleaning dirt from a bird roost
d. Handling unwashed fruits

164. Which finding when a PPD is read 2 1⁄2 days after it is planted indicates a positive reaction?
a. Reddened area 10 mm in diameter
b. Indurated area 12 mm in diameter
c. Blistered area 4 mm in diameter
d. Blanched area of at least 8 mm in diameter

注释:
Histoplasmosis荚膜组织浆菌病,组织胞浆菌病

Rationale

163. Correct answer: c.
The causative organism of histoplasmosis is the fungus Histoplasma capsulatum, which is found in bird feces so cleaning a bird roost is a source of exposure. It is not passed person to person. Neither is it contracted by swal-lowing water, eating rare meat, or handling unwashed fruit.

164. Correct answer: b.
Ten mm or more of induration is highly significant for past or present infection with the tubercle bacillus. Erythema alone does not indicate a positive result. Blistering or blanching do not indicate a positive result.

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