100 True/False questions based on Chapter 9: Fever from DiPiro's Pharmacotherapy: A Pathophysiologic Approach, 12th Edition.

 

100 True/False questions based on Chapter 9: Fever from DiPiro's Pharmacotherapy: A Pathophysiologic Approach, 12th Edition.

 

Nehad J. Ahmed

 

Written using Copilot

 

 

✅ True/False Questions on Fever

🔹 Key Concepts

1. Fever is always caused by infection. ❌
2. The hypothalamus regulates body temperature. ✅
3. Fever involves a reset of the hypothalamic set point. ✅
4. Hyperthermia responds well to antipyretics. ❌
5. NSAIDs are the preferred treatment for fever in all patients. ❌
6. Acetaminophen is safer than NSAIDs for most patients. ✅
7. Fever can result from medications. ✅
8. Fever is defined as a body temperature above 37°C. ❌
9. Fever is a controlled physiological response. ✅
10. Hyperpyrexia is a medical emergency. ✅

🔹 Patient Care Process

11. The first step in managing fever is to assess the patient. ❌
12. Collecting travel history is important in fever evaluation. ✅
13. Fever diaries are not useful in follow-up care. ❌
14. Patient beliefs about medication should be considered. ✅
15. OTC medications are always safe for fever. ❌
16. Fever treatment goals include reducing discomfort. ✅
17. Cooling blankets should be used alone to treat fever. ❌
18. Fever can be self-treated in all cases. ❌
19. Medication adherence affects fever management. ✅
20. Social history is irrelevant in fever assessment. ❌

🔹 Epidemiology & Etiology

21. Fever is a common reason for emergency department visits. ✅
22. Children under 15 are less likely to visit the ED for fever. ❌
23. Fever can be caused by autoimmune disorders. ✅
24. Drug-induced fever is rare and easily diagnosed. ❌
25. Malignancies can present with fever. ✅
26. Fever is more common in tropical travelers. ✅
27. Fever is never caused by environmental exposure. ❌
28. Fever is the third leading cause of ED visits. ✅
29. Fever is often self-limiting. ✅
30. All fevers require antibiotic treatment. ❌

🔹 Mechanism of Disease

31. The anterior hypothalamus controls thermoregulation. ✅
32. Circadian rhythm affects body temperature. ✅
33. Fever is a result of increased peripheral heat production. ✅
34. Axillary temperature is higher than rectal temperature. ❌
35. Prostaglandins play a role in fever. ✅
36. Fever is a sign of immune system activation. ✅
37. Fever always indicates a serious illness. ❌
38. Fever can be caused by vigorous activity. ✅
39. Fever is a symptom, not a disease. ✅
40. Fever is unaffected by the time of day. ❌

🔹 Medication Causes

41. Penicillins can cause drug-induced fever. ✅
42. Allopurinol is a common cause of fever. ✅
43. Anticonvulsants are never associated with fever. ❌
44. Hydralazine may cause fever. ✅
45. Ibuprofen cannot cause fever. ❌
46. Methyldopa is linked to drug-induced fever. ✅
47. Sulfonamides are safe in all patients. ❌
48. Nitrofurantoin may cause fever. ✅
49. Cimetidine is unrelated to fever. ❌
50. Drug-induced fever resolves after stopping the medication. ✅

🔹 Temperature Measurement

51. Rectal temperature is typically higher than oral. ✅
52. Tympanic temperature is the most accurate. ❌
53. Fever point for axillary temperature is 37.4°C. ✅
54. Temporal temperature varies by age. ✅
55. Oral temperature is the standard for fever diagnosis. ✅
56. All thermometers give the same reading. ❌
57. Fever should be confirmed with a thermometer. ✅
58. Touching the forehead is a reliable method to detect fever. ❌
59. Temperature readings vary by site. ✅
60. Fever is diagnosed using consistent measurement tools. ✅

🔹 Special Populations

61. Hyperthermia is a controlled rise in temperature. ❌
62. Hyperpyrexia responds to antipyretics. ✅
63. Hyperthermia does not involve a change in hypothalamic set point. ✅
64. Children are more vulnerable to fever complications. ✅
65. Fever in infants under 3 months is always a red flag. ✅
66. Immunocompromised patients should seek care for fever. ✅
67. Fever in chemotherapy patients is not concerning. ❌
68. Fever with rash in children is a red flag. ✅
69. Fever with drooling and inability to swallow is serious. ✅
70. Fever in adults over 41°C is not dangerous. ❌

🔹 Assessment & Diagnosis

71. Fever can mimic other conditions. ✅
72. Hyperthyroidism may present like fever. ✅
73. Fever and hyperthermia are identical. ❌
74. Fever can result from recent travel. ✅
75. Fever with stiff neck may indicate meningitis. ✅
76. Fever with diarrhea may suggest bacterial infection. ✅
77. Fever with sore throat may be pharyngitis. ✅
78. Fever with ear pain may be otitis media. ✅
79. Fever with vomiting may be gastroenteritis. ✅
80. Fever with chest pain is not serious. ❌

🔹 Treatment & Follow-Up

81. Acetaminophen is safe in pregnancy. ✅
82. Ibuprofen is preferred in pregnancy. ❌
83. Aspirin is safe for children with flu. ❌
84. NSAIDs may cause GI bleeding. ✅
85. Acetaminophen is contraindicated in liver disease. ✅
86. Ibuprofen is safe in heart failure. ❌
87. Aspirin may cause Reye’s syndrome. ✅
88. Fever treatment includes hydration. ✅
89. Alcohol baths are recommended for fever. ❌
90. Fever therapy should reduce discomfort. ✅

🔹 Patient Education

91. Patients should use the same thermometer consistently. ✅
92. Fever diaries help monitor progress. ✅
93. Ice baths are safe for fever. ❌
94. Light clothing helps reduce fever. ✅
95. Fever treatment should be personalized. ✅
96. OTC medications should be used with caution. ✅
97. Patients should understand medication side effects. ✅
98. Cultural beliefs may affect treatment choices. ✅
99. Cost affects medication adherence. ✅
100.