Internal-Medicine

Answers: 92–105 227
103. (G) Salmonellosis is an acute infection resulting
from ingestion of food containing bacteria and
is characterized by abdominal pain and diarrhea.
Salmonella gastroenteritis is not usually
treated with antibiotics because the length of
the illness is not shortened, but the length of
time the organism is carried is increased.
Antibiotics are used for more serious systemic
Salmonella infections. (Kasper, p. 897)
104. (F) Preventive measures are not used because
smallpox is thought to be eradicated worldwide,
and vaccination may be associated with
serious side effects. As humans are the only
reservoir for smallpox, there is no longer any
risk of infection from natural sources. However,
smallpox could be used in bioterrorism.
(Kasper, p. 1284)
105. (B) Patients with tetanus develop hypertonus,
seizures, respiratory distress, and asphyxia
unless they are treated with diazepam and
muscle relaxants. The treatment of tetanus
requires diazepam, muscle relaxants, antitoxin,
respiratory care, and managing autonomic dysfunction.
Antibiotics are given but are probably
of little help. (Kasper, p. 840)