Dunphy Brown missed questions Flashcards

1
Q

The abx of choice for the tx of Streppococcus pneumoniae infection is

  • dicloxacillin
  • erythromycin
  • PCN
  • Ampicillin clavulanate
A

-PCN

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2
Q

Of all the adults who smoke, what percetnage who quit are successful in their efforts?

  • 8%
  • 15%
  • 30%
  • 2.5%
A

-8%

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3
Q

Which of the following underlying lung diseases is the most common cause of a secondary spontaneous pneumothorax?

  • COPD
  • lung abscess
  • cystic fibrosis
  • tuberculosis
A

-COPD

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4
Q

The 2 most predominant organisms constituting the normal flora of the oropharynx are

  • Steptococci & Stahylococci
  • Streptococci & Moraxella Catarrhalis
  • Staphylococci & Candida albicans
  • various protozoa & staphylococci
A

-Steptococci & Stahylococci

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5
Q

Hyperresonance on percussion of the chest occurs with

  • emphysema
  • pneumonia
  • pleural effusion
  • lung tumor
A

-emphysema

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6
Q

which statement about viral croup is typically true?

  • children typically present with a high fever
  • a persistent sever cough is usually present
  • it is usually preceded by a prodromal period of 12-72 hours
  • there is usually no complaint of hoarseness
A

-it is usually preceded by a prodromal period of 12-72 hours

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7
Q

which group is at the highest risk for TB?

  • foreign born individuals
  • substance abusers
  • racial and ethnic minorities
  • nursing home residents
A

-racial and ethnic minorities

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8
Q

Michael, age 52, has a gradual onset of dry cough, dyspnea, chills, fever, general malaise, HA, confusion, anorexia, diarrhea, myalgias, & arthralgias. Whic dx do you suspect?

-bronchopneumonia
-legionnaires’ disease
primary atypical pneumonia
pneumocystis jiroveci pneumonia

A

-legionnaires’ disease

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9
Q

the causative agent of the CAP seen most often in the client with an alcohol problem is

  • pneumococcus
  • mycoplasma
  • legionella
  • H. influenzae
A

-pneumococcus

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10
Q

unexplained nocturnal cough in an older adult should suggest

  • allergies
  • asthma
  • CHF
  • viral syndrome
A

-CHF

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11
Q

Which of the following individuals most likely will have a false-negative reaction to the Mantoux test?

  • Marvin, age 57
  • Jane, who is on a short course of corticosteroid therapy for an acute exacerbation of asthma
  • Jerry, who has lymphoid leukemia
  • Mary, who recently was exposed to someone coughing
A

-Jerry, who has lymphoid leukemia

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12
Q

Which of the following medications commonly prescribe for TB cannot be taken by pregnant women?

  • INH
  • RIF
  • PZA
  • EMB
A

-PZA

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13
Q

What should be considered in all clients with adult-onset asthma or in clients with asthma that worsens in adulthood?

  • occupational asthma
  • a suppress immune system
  • another immunologic disease
  • concurrent COPD
A

-occupational asthma

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14
Q

jessica, age 9 months, is brouht into the clinic by her mother. She has a low-grade fever, stridor with agitation, some retractions, and a cough, but not drooling. You dx viral croup. Your next step would be to

  • hospitalize jessica
  • start abx therapy
  • order supportive tx
  • begin tx with corticosteroids
A

-begin tx with corticosteroids

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