A 43-Year-Old Man Comes to the Emergency Department Due to 2

question 142

Multiple Choice

A 43-year-old man comes to the emergency department due to 2 weeks of intermittent fevers, malaise, and headaches.  He has a history of HIV and has not been taking his antiretroviral drugs recently.  Five years ago, the patient spent a year in jail.  Temperature is 38.2 C (100.8 F) .  Cerebrospinal fluid (CSF) analysis shows markedly elevated protein and low glucose, and CSF cultures grow Mycobacterium tuberculosis.  Resistance testing shows the following: Which of the following best explains the resistance pattern seen in these bacteria?

• A)Altered structure of bacterial ribosomal proteins
• B)Altered structure of enzymes involved in DNA winding-unwinding
• C)Altered structure of enzymes involved in RNA synthesis
• D)Decreased activity of bacterial catalase-peroxidase
• E)Increased activity of enzymes involved in cell wall polysaccharide synthesis

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Definitions:

Service Quality Dimensions

Various aspects or factors through which customers evaluate the quality of a service, including reliability, responsiveness, assurance, empathy, and tangibles.

Responsiveness

The speed and quality of a reaction to inquiries, requests, or changing conditions, often used as a measure of good customer service or system performance.

Service Quality

A measure of how well the service level delivered matches customer expectations.

Gap Analysis

The process of comparing actual performance with potential or desired performance to identify differences, shortcomings, or opportunities for improvement.