Pneumonia

Question 1

Pneumonia confirmed by

Answer 1

images

Question 2

Suspect pneumonia dx by

Answer 2

Chest X-Ray
• Blood cultures
• Respiratory cultures
• Urinary antigens

Question 3

What is CURB-65`

Answer 3

Confusion, (present =1point)
Uremia, (BUN >19mg/dL=1point)
Respiratory rate, (>30 =1point) 
Blood Pressure, (<90/60 =1point)
=/> 65 (=1point)

Question 4

CURB-65 score of 1

Answer 4

maybe outpatient

Question 5

CURB-65 of 5

Answer 5

ICU care

Question 6

Treatment of CAP outpatient

Answer 6

treat 5-7 days

Macrolide (azithromycin) or doxycycline

Question 7

Treatment of CAP outpatient with comorbities

Answer 7

Respiratory fluoroquinolone

• Beta-lactam + macrolide

Question 8

most common PNA pahtogens inpatient

Answer 8

staph aureus
gram negative bacilli
pseudomona
kleb
acinitibacter

Question 9

Risk factors of MDR

Answer 9

hospital in last 2 day treat with broad specturm

Question 10

Initial empiric therapy for HAP, VAP, HAP

Answer 10

cefepime

Question 11

procalcitonin release for localized infection

Answer 11

wont changes

Question 12

procalictonin above .5 and are symptomatics do you treat

Answer 12

yes

Question 13

75% of respiratory infections are caused

Answer 13

virus

Question 14

This shows multiple variables, stratifies patients into classes of mortality risk

Answer 14

pneumonia severity index

Question 15

This facilitates dx of pneumonia in ventilated patients (VAP), by assessing clinical condition, infiltrates and cultures

Answer 15

clinical pulmonary infection score

Question 16

What is the Pneumonia severity index

Answer 16

Looks at multiple comorbidity variables to separate patients into classes of mortality risk

Question 17

What is the Clinical pneumonia infections score, what is measured (CLT T PC)

Answer 17

Facilitates Dx of pneumonia in VAP
looks at condition,cultures, and infiltrate
Chest xray
Leukocyte
temperature

Thoracic secreation

PaO2
Cultures

Question 18

How many days would some one have to be out of a hospital or facility to have pneumonia classified as CAP

Answer 18

14 days

Question 19

Treatment of community acquired pneumonia without comorbidities? With comorbidities

Answer 19

w/o:
5 to 7 day with azithromycin or doxycycline

with:
Respiratory fluoroquinolone
Carbapenum and azithromycin

Question 20

inpatient treatment of community acquired pneumonia

Answer 20

fluoroquinolone

macrolide and carbapenem

Question 21

how long should patient be afebrile before stopping antibiotic

Answer 21

48 to 72 hours