Cough

Question 1

Physical Findings in bacterial Pneumonia would included with the lung exam:

Answer 1

+ egophony

+ bronchophony

Question 2

Tour Diagnosis is GERD what lead to to believe this.

Answer 2

Tight pants

cough

Question 3

What would be the most appropriate test in the diagnosis of Asthma.

Answer 3

Bronchial Provacation

Question 4

Your pt. presents with a fever, productive cough, malaise,

you suspect pneumonia. What organism would do you suspect.

Answer 4

Streptococcus pneumonia

Question 5

Most common organism causing CAP

Answer 5

Streptococcus Pnewmonia

Question 6

Acute cough last

Answer 6

less than 8 weeks

Question 7

1 cause of coughing in non smokers is

Answer 7

post nasal drip

Question 8

Cobble stoning of the pharyngeal mucosa is seen in

Answer 8

post nasal drip

Question 9

Chronic cough last longer than

Answer 9

8 weeks

Question 10

Top 3 reasons for pediatric cough is

Answer 10

1. URI
2. Allergic rhinitis
3. Asthma

Question 11

Most important way to determine the cause of a cough is the

Answer 11

history

Question 12

1 risk for cough is

Answer 12

smoking

Question 13

Most common virus URI

Answer 13

Rhino virus

Question 14

Most common cold virus can last on hard surfaces for

Answer 14

3 hrs on hard surface

Question 15

Most common way to spread a virus

Answer 15

hand shake

Question 16

Incubation Of a URI

Answer 16

1-3 days

Question 17

Most common s/s of URI

Answer 17

1. nasal discharge
2. sneezing
3. cough

Question 18

Physical findings of URI Lungs are

Answer 18

Normal (clear)

Question 19

Do you do a diagnostic test commonly for a URI

Answer 19

No only for red or purulent phynageal area.

Question 20

Which throat culture is performed for a suspect infection with a URI

Answer 20

Strep/Monospot

Question 21

Strep Score or 0-1 is

Answer 21

r/o infection

Question 22

Strep score of 1-3

Answer 22

order rapid strep and treat

Question 23

Strep score of 4-5

Answer 23

probable strep / treat

Question 24

Which pathogen causes Pertussis

Answer 24

Bordetella Pertussis

Question 25

Major symptom of pertussis is

Answer 25

prolonged cough

Question 26

Gold standard in the diagnosis of pertussis is

Answer 26

Swap with the isolation of B/Pertussis

Question 27

Does acute bronchitis need antibiotics

Answer 27

No

Question 28

Typical bacterial pathogen for acute bronchitis

Answer 28

Streptococcus Pneumonie

Question 29

What type of presentation would you expect to find with Acute bronchitis

Answer 29

Acute dry cough w/wo sputum

Question 30

What would you expect the lung exam be with acute bronchitis?

Answer 30

Course rhonchi
Scattered crackles
bronchial secretions

Question 31

On a chest xray what would you see with acute bronchitis

Answer 31

No signs of infiltrate

Question 32

Pneumonia is

Answer 32

acute inflammation of the terminal airways, due to infection

Question 33

Pneumonia is caused by

Answer 33

aspiration
aerolization
homogenous spred

Question 34

Risk factors for CAP

Answer 34

LOC
RR>30
B/P 30

Question 35

PORT score of 3 pt. should be treated

Answer 35

IP/or OP

Question 36

PORT score of 5 pt. should be treat

Answer 36

IP ICU

Question 37

PORT score of >3pt should be

Answer 37

Placed in the hospital

Question 38

CAP begins

Answer 38

with in 48 hrs of admission

Question 39

CAP on an Xray shows

Answer 39

Acute infiltrate

Question 40

CAP with auscultation of the lungs you expect

Answer 40

localized rails

altered breath sounds

Question 41

Most common pathogens seen with CAP

Answer 41

Strep Pneumonia

Question 42

Hospital acquired Pneumonia starts

Answer 42

48 hrs after admission

Question 43

Expect to see the pt. presentation with HAP

Answer 43

Fever

cough

Question 44

Which pathogen is seen with HAP

Answer 44

Pseudomonas

Question 45

Chest xray with HAP

Answer 45

New or progressive paranchymymal infiltrate