A 58-Year-Old Man Comes to the Emergency Department with a 1-Day

question 234

Multiple Choice

A 58-year-old man comes to the emergency department with a 1-day history of fever, headache, and vomiting.  He underwent kidney transplantation last year.  His temperature is 39.4 C (103 F) , blood pressure is 130/80 mm Hg, pulse is 98/min, and respirations are 16/min.  Neck stiffness is present on physical examination.  Cerebrospinal fluid (CSF) results are as follows: Gram-positive rods with tumbling motility at room temperature are seen on CSF microscopy.  How was this patient's infection most likely transmitted?

• A)Arthropod bite
• B)Contaminated food
• C)Needlestick
• D)Respiratory droplets
• E)Unprotected sex

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Definitions:

Memory Problem

Involves difficulties in recalling information, which can result from various factors such as aging, stress, or neurological disorders.

Neurotransmitter

Chemical substances that transmit signals across a synapse from one neuron to another 'target' neuron or to a muscle or gland cell.

Acetylcholine

A neurotransmitter in both the peripheral and central nervous system that plays a crucial role in muscle activation and influences various functions in the body, including arousal, attention, memory, and motivation.

Dopamine

A neurotransmitter in the brain that plays major roles in reward, motivation, and the regulation of mood and movement.