Case Pres: CAP Flashcards

1
Q

Streptococcus pneumoniae

A

most common cause of CAP

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2
Q

Which of the following is TRUE regarding the development of pneumonia?

A

A) Pneumonia is an acute inflammatory condition within the parenchyma of the lung.
B) Immunocompromised individuals are at an increased risk of developing pneumonia.
C) Pneumonia often develops as a consequence of bacterial colonization and microaspiration of upper respiratory tract secretions during a period of impaired host pulmonary defense mechanisms.

ALL OF THE ABOVE

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3
Q

Which of the following is TRUE regarding the classification of pneumonia?

A

Pneumonia is broadly classified as either healthcare-associated or nosocomial.

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4
Q

Approximately how many adult outpatient visits are related to community-acquired pneumonia annually?

A

4.2 million

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5
Q

4 . All of the following are risk factors for community-acquired pneumonia, EXCEPT:

A

A) Female gender

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6
Q

Approximately what percentage of adult cases of community-acquired pneumonia involve both bacterial and viral pathogens?

A

30% of adult cases of CAP

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7
Q

All of the following are common symptoms of community-acquired pneumonia in adults, EXCEPT:

A

Sputum production

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8
Q

In adults with community-acquired pneumonia, which of the following is NOT among the minor criteria that would suggest the need for ICU admission?

A

C) Decreased respiratory rate

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9
Q

Which of the following statements regarding viral and bacterial causes of community- acquired pneumonia in children is TRUE?

A

As many as 80% of cases of community- acquired pneumonia in children younger than 2 years of age can be attributed to a virus.

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10
Q

All of the following signs and symptoms may predict a likelihood of community-acquired pneumonia in children, EXCEPT:

A

Rales

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11
Q

Which of the following laboratory tests is recommended for diagnosis of community- acquired pneumonia in children?

A

Rapid antigen testing

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12
Q

For fully immunized infants and school- aged children who are hospitalized with community-acquired pneumonia, treatment with which antibiotic is recommended?

A

ampicillin or penicillin G

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13
Q

The primary preventive strategy for community-acquired pneumonia is

A

immunization with pneumococcal and influenza vaccines.

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14
Q

According to national surveys, what is the overall rate of pneumococcal vaccination among adults 65 years of age and older?

A

69%

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15
Q

Which of the following pathogens is most frequently identified as the cause of mild-to-moderate pneumonia in long-term care facilities?

A

S. pneumoniae and H. influenzae

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