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Quiz Questions (14 questions)
1. Tuberculous pneumonia is the most likely cause for unresolved pneumonia presenting with cough, malaise, anorexia, fever, night sweats, hemoptysis, and weight loss.
2. CRB-65 score assesses confusion, respiratory rate, blood pressure, and age to determine the severity of pneumonia.
3. A CRB-65 score of 4 points indicates confusion, respiratory rate ≥ 30/min, systolic BP < 90 mmHg, and age ≥ 65 years.
4. Pneumonia caused by atypical organisms is a reasonable explanation for a negative bacterial growth result from a sputum sample collected before antibiotics were started.
5. Sputum culture can help specify the cause of pneumonia.
6. SBP < 90 mmHg can justify ICU admission in patients diagnosed with pneumonia.
7. Increased vocal fremitus is a physical sign suggestive of consolidation on chest examination.
8. Legionella pneumophila is considered an atypical cause of pneumonia.
9. Streptococcus pneumoniae is the most frequently identified organism in community acquired pneumonia.
10. Macrolide is the most appropriate antibiotic regimen for a 37-year-old athlete with community acquired pneumonia.
11. Respiratory Fluoroquinolone is the most appropriate antibiotic regimen for a 67-year-old accountant with community acquired pneumonia, hypertension, and diabetes.
12. Admission to the ICU is the most appropriate destination for a patient with pneumonia, confusion, hypotension not corrected by IV fluids, respiratory rate of 32/min, and PaO2/FiO2 <250.
13. Gram negative bacilli are the most frequently identified organisms in late onset hospital-acquired pneumonia.
14. Respiratory Fluoroquinolone is the most appropriate antibiotic regimen for a 37-year-old teacher with community acquired pneumonia and hypertension treated with enalapril.
Previous Exam Questions (14 questions)
1. Based on the patient's presentation of worsening chest pain, shortness of breath, fever, increased tactile vocal fremitus on the left side, bronchial breathing and crepitations over the left base, and productive cough with green sputum, the most likely diagnosis is pneumonia.
2. A chest X-ray is essential to confirm the diagnosis of pneumonia in a patient presenting with chest pain, shortness of breath, fever, and respiratory symptoms.
3. Given the patient's diagnosis of pneumonia, positive sputum culture for Streptococcus pneumoniae, elevated WBC count, elevated C-reactive protein, and prior ineffective treatment with IV amoxicillin, the most appropriate next step is to change the treatment to levofloxacin monotherapy.
4. A systolic blood pressure of 85 mmHg requiring IV fluids can justify ICU admission in a patient with pneumonia.
5. The most likely cause of the patient's symptoms of mild fever, headache, malaise, nonproductive cough, scratchy throat, and bilateral interstitial infiltrates on chest X-ray is Mycoplasma pneumoniae.
6. Serological testing is needed for the diagnosis of atypical pneumonia.
7. For a patient with no comorbidities who has not received antibiotics in the preceding 3 months and is suspected of having atypical pneumonia, azithromycin is the most appropriate treatment choice.
8. The most likely diagnosis for Mr. Robertson, a 68-year-old man presenting with worsening chest pain, shortness of breath, and a productive cough, is pneumonia.
9. A chest X-ray is essential to confirm the diagnosis of pneumonia in Mr. Robertson.
10. Given Mr. Robertson's condition and resistance to IV amoxicillin, changing the treatment to Levofloxacin monotherapy is the most appropriate next step.
11. A systolic blood pressure of 85 mmHg and the need for IV fluids can justify ICU admission for Mr. Robertson.
12. Mycoplasma pneumoniae is the most likely cause of the patient's symptoms, including mild fever, headache, malaise, nonproductive cough, and bilateral interstitial infiltrates on chest X-ray.
13. Serological testing is needed for the diagnosis of atypical pneumonia.
14. Azithromycin is the most appropriate treatment choice for the patient with no comorbidities who hasn't received antibiotics in the preceding 3 months.
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**Pneumonia: Diagnosis and Treatment** Let me explain pneumonia. **Pneumonia** is an inflammatory condition of the lung affecting primarily the small air sacs known as **alveoli**. It is typically caused by infection with viruses or bacteria and less commonly by other microorganisms, certain drugs,...
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