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1
Q

Pneumonia classified by site of acquisition

A

D

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2
Q

Pneumonia classified by etiology

A

D

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3
Q

An acute infection of the pulmonary parenchyma acquired outside of
health care settings

A

O

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4
Q

An acute infection of the pulmonary parenchyma acquired in hospital
settings, which encompasses hospital-acquired pneumonia and ventilator-associated pneumonia

A

I

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5
Q

Pneumonia acquired ≥48 hours after hospital admission; includes pneumonia (HAP) both HAP and VAP

A

K

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6
Q

Pneumonia acquired ≥48 hours after endotracheal intubation

A

E

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7
Q

Retired term, which referred to pneumonia acquired in health care
facilities (eg, nursing homes, hemodialysis centers) or after recent hospitalization*

A

S

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8
Q

Pneumonia caused by “atypical” bacterial pathogens including ¶
Legionella spp, Mycoplasma pneumoniae, Chlamydia pneumoniae, Chlamydia psittaci, and Coxiella burnetii

A

S

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9
Q

Pneumonia resulting from entry of gastric or oropharyngeal fluid,
which may contain bacteria and/or be of low pH, or exogenous substances (eg, ingested food particles or liquids, mineral oil, salt or fresh water) into the lower airways

A

E

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10
Q

Aspiration of substances (eg, acidic gastric fluid) that cause an
inflammatory reaction in the lower airways, independent of bacterial infection

A

E

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11
Q

An active infection caused by inoculation of large amounts of bacteria
into the lungs via orogastric contents

A

I

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12
Q

The most common pathogen in

Medical word

ICU

A

D

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13
Q

Determine the appropriate site of treatment in adults

A

D

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14
Q

Septic shock require vasopresser

A

D

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15
Q

Respiratory failure require mechanical ventilation

A

D

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16
Q

CURB 65 score 0

A

S

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17
Q

CURB 65 score 1 or 2

A

S

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18
Q

CURB 65 score 3 to 5

A

D

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19
Q

PSI class 1 or 2

A

D

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20
Q

PSI class 3

A

D

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21
Q

PSI class IV or V

A

D

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22
Q

Feature that support ICU level care when patient have 3 and more

A

D

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23
Q

Altered mental status

A

S

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24
Q

Hypotension require fluid support

A

D

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25
Q

Temperature <36 C

A

S

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26
Q

Respiratory rate 30 and more

A

S

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27
Q

PaO2/FiO2 ratio < 250

A

S

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28
Q

Blood urea nitrogen >20 mg /dL

A

D

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29
Q

Leaukocyte count <4000

A

F

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30
Q

Platelets count <100,000

A

E

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31
Q

Multilobar infiltrate

A

D

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32
Q

Test needed for moderate risk

A

D

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33
Q

Test needed for sever risk

A

D

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34
Q

Blood culture

A

D

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35
Q

Sputum gram stain and culture

A

D

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36
Q

Urien streptococcus antigen

A

D

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37
Q

Legionella testing

A

D

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38
Q

Respiratory viral panel during season

A

S

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39
Q

COVID 19

A

S

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40
Q

HIV screening

A

D

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41
Q

Bronchoscopy

A

D

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42
Q

Age >65 years

A

S

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43
Q

Start within 4 hour

A

D

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44
Q

Start within 1 hour

A

D

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45
Q

Risk factor for MRSA

A

D

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46
Q

Risk factor for pseudomonas

A

D

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47
Q

Known colonization

A

S

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48
Q

Prior infection with MRSA

A

S

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49
Q

Gram positive cocci in cluster

A

D

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50
Q

Receipt of Iv antibiotic during hospitalization in the prior 3 month

A

D

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51
Q

Recent influza

A

S

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52
Q

Necrotizing or cavitary pneumonia

A

D

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53
Q

Presence of emphysema

A

K

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54
Q

End stage renal disease

A

D

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55
Q

Living in crowded

A

D

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56
Q

Contact sport participation

A

D

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57
Q

Gram negative bacilli

A

D

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58
Q

Prior infection with pseudomonas

A

D

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59
Q

Structural lung abnormalities

A

D

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60
Q

Frequent copd exacerbated require corticosteroids or antibiotic

A

D

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61
Q

Ant MRSA

A

D

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62
Q

Aminoglycoside

A

D

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63
Q

Respiratory fluoroquinolone

A

D

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64
Q

Anti pseudomonas fluoroquinolone

A

D

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65
Q

Anti pseudomonas/anti pneumococcal beta lactam

A

S

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66
Q

Anti pneumococcal beta lactam

67
Q

Macrolide

68
Q

Vancomycin

69
Q

Linezolid

70
Q

Gentamicin

71
Q

Tobramycin

72
Q

Amikacin

73
Q

Levofloxacin

74
Q

Moxifloxacin

75
Q

Gemifloxacin

76
Q

Ciprofloxacin

77
Q

Piperacillin tazobactam

78
Q

Cefepime

79
Q

Ceftazidime

80
Q

Impenem

81
Q

Meropenem

82
Q

Ceftrixone

83
Q

Cefotaxime

84
Q

Ceftaroline

85
Q

Ertapenem

86
Q

Ampicllin sulbactam

87
Q

Azithromycin

88
Q

Clarithromycin

89
Q

Does the patient have a sever beta lactam allergy

90
Q

MRSA and pseudomonas risk factor

91
Q

Pseudomonas risk factor only

92
Q

MRSA risk factor

93
Q

No MRSA or pseudomonas

94
Q

Anti pneumococcal beta lactam + doxycycline

95
Q

Anti pneumococcal beta lactam + Macrolide

96
Q

Anti pneumococcal beta lactam + doxycycline + anti MRSA

97
Q

Anti pneumococcal beta lactam + doxycycline + anti MRSA

98
Q

Anti MRSA + respiratory fluoroquinolone

99
Q

Levofloxacin + aztreonam + Aminoglycoside

100
Q

Levofloxacin + aztreonam + Aminoglycoside + anti MRSA

101
Q

Respiratory fluoroquinolone + aztreonam

102
Q

Anti MRSA + respiratory fluoroquinolone + aztreonam

103
Q

Transitioning inpatient with CAP from Iv to oral antibiotic

104
Q

Criteria met for change to oral

105
Q

Improve clinically

106
Q

Hemodynamics stable

107
Q

Able to take oral

108
Q

Improve in feve , respiratory StAtus, and white blood count

109
Q

Initial treatment with Iv fluoroquinolone

110
Q

Initial treatment with ceftrixone or cefotaxime + macrolide

111
Q

Switch to oral respiratory fluoroquinolone

112
Q

Amoxicillin
Amoxicillin clavulante
Third generation cephalosporin ( cefpodoxime)

+
Azithromycin
Clarithromycin
Doxycycline

113
Q

Avoid in patient with qt interval prolongation

114
Q

Has similar covers to ceftrixone and cefotaxime

115
Q

If patient has received 1.5 g azithromycin, …..

116
Q

Duration of antibiotic of cap for inpatient

117
Q

Minimal 7 days

118
Q

Longer courses >4 weeks and more

119
Q

Individualized duration

120
Q

A febrile for 48 to 72 hr

121
Q

Supplement oxygen not needed

122
Q

Heart rate >100

123
Q

Respiratory rate >24

124
Q

Systolic blood pressure 90 and less

125
Q

Discontinue antibiotic after 5 to 7 days

126
Q

Continue antibiotic until stable
Reevaluate at 7 days

127
Q

Recommended drug for streptococcus pneumonia

128
Q

Recommended drug for haemophilus infleunza

129
Q

Penicillin non resistant

130
Q

Penicillin resistant

131
Q

Non beta lactamase producing

132
Q

Beta lactamase production

133
Q

Pencil in G

134
Q

Amoxicillin

135
Q

Cefotaxime

136
Q

Ceftrixone

137
Q

Second or third generation cephalosporin

138
Q

Amoxicillin clavulnate

139
Q

Vancomycin

140
Q

Linezolid

141
Q

High dose amoxicillin

142
Q

Clarithromycin

143
Q

Azithromycin

144
Q

Cefazolin

145
Q

Cefadroxil

146
Q

Cephalexin

147
Q

Cephalothin

148
Q

Cephapirin

149
Q

Cephradine

150
Q

Cefuroxime

151
Q

Cefoxitin

152
Q

Cefotetan

153
Q

Cefaclor

154
Q

Cefprozil

155
Q

Cefepime

156
Q

Cefpirome

157
Q

Ceftaroline

158
Q

Ceftobiprole

159
Q

Ceftrixone

160
Q

Ceftibuten

161
Q

Cefotaxime

162
Q

Ceftazidime

163
Q

Cefpodoxime

164
Q

Cefixime

Infection (15 decks)

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