chap 42: Pneumonia

Question 1

1. The most common bacterial pathogen in community-acquired pneumonia is:
2. Haemophilus influenzae
3. Staphylococcus aureus
4. Mycoplasma pneumoniae
5. Streptococcus pneumoniae

Answer 1

4. Streptococcus pneumoniae

Question 2

2. The first-line drug choice for a previously healthy adult patient diagnosed with community-acquired pneumonia would be:
3. Ciprofloxacin
4. Azithromycin
5. Amoxicillin
6. Doxycycline

Answer 2

2. Azithromycin

Question 3

3. The first-line antibiotic choice for a patient with comorbidities or who is immunosuppressed who has pneumonia and can be treated as an outpatient would be:
4. Levofloxacin
5. Amoxicillin
6. Ciprofloxacin
7. Cephalexin

Answer 3

1. Levofloxacin

Question 4

4. If an adult patient with comorbidities cannot reliably take oral antibiotics to treat pneumonia, an appropriate initial treatment option would be:
5. IV or IM gentamicin
6. IV or IM ceftriaxone
7. IV amoxicillin
8. IV ciprofloxacin

Answer 4

2. IV or IM ceftriaxone

Question 5

5. Samantha is 34 weeks pregnant and has been diagnosed with pneumonia. She is stable enough to be treated as an outpatient. What would be an appropriate antibiotic to prescribe?
6. Levofloxacin
7. Azithromycin
8. Amoxicillin
9. Doxycycline

Answer 5

2. Azithromycin

Question 6

6. Adults with pneumonia who are responding to antimicrobial therapy should show improvement in their clinical status in:
7. 12 to 24 hours
8. 24 to 36 hours
9. 48 to 72 hours
10. 4 or 5 days

Answer 6

3. 48 to 72 hours

Question 7

7. Along with prescribing antibiotics, adults with pneumonia should be instructed on lifestyle modifications to improve outcomes, including:
8. Adequate fluid intake
9. Increased fiber intake
10. Bedrest for the first 24 hours
11. All of the above

Answer 7

1. Adequate fluid intake

Question 8

8. John is a 4-week-old infant who has been diagnosed with chlamydial pneumonia. An appropriate treatment for his pneumonia would be:
9. Levofloxacin
10. Amoxicillin
11. Erythromycin
12. Cephalexin

Answer 8

3. Erythromycin

Question 9

9. Wing-Sing is a 4-year-old patient who has suspected bacterial pneumonia. He has a temperature of 102°F, oxygen saturation level of 95%, and is taking fluids adequately. What would be appropriate initial treatment for his pneumonia?
10. Ceftriaxone
11. Azithromycin
12. Cephalexin
13. Levofloxacin

Answer 9

1. Ceftriaxone

Question 10

10. Giselle is a 14-year-old patient who presents to the clinic with symptoms consistent with mycoplasma pneumonia. What is the treatment for suspected mycoplasma pneumonia in an adolescent?
11. Ceftriaxone
12. Azithromycin
13. Ciprofloxacin
14. Levofloxacin

Answer 10

2. Azithromycin