pneumonia

Question 1

causative agents of pna in a patient without comorbidities?

Answer 1

S. pneumoniae(gram +)
M. pneumoniae
C. pneumoniae
respiratory viruses ie: influenza A&B, RSV

Question 2

causative agents of pna in a patient with comorbidities?

ie: Chronic heart, lung, liver, or renal disease, DM alcoholism, current malignancy, or asplenia

Answer 2

S. pneumoniae(gram +)
H. influenzae (Gram -)
M. pneumoniae
C. pnuemoniae
Legionella spp.
respiratory viruses ie: influenza A&B, RSV

Question 3

True or false
M. pneumoniae
C. pneumoniae
are cough-transmitted and often seen in areas where people are in close proximity
jails, LTC, colleges

Answer 3

True

Question 4

A PAthogen that is largely limited to post influenza pna?

Answer 4

S. aureus

Question 5

treatment options for PNA without comorbidities

Answer 5

PO doxy
or
PO azithromycin, clarithromycin, or erythromycin however you must take into consideration macrolide resistance in your area

Question 6

What is one of the most sensitive and specific clinical finding in PNA, especially in children and the elderly?

Answer 6

Tachypnea

Question 7

Clinical finding that occurs with sudden opening of distal fluid-filled airways?

Answer 7

crackles or rales that do not have full resolution after cough they are noted in PNA and HF

Question 8

Consolidation noted on x-ray is most often associated with?

Answer 8

bacterial PNA

Question 9

Clinical exam findings noted with consolidation?

Answer 9

Dullness to percussion, increased tactile fremitus, bronchial and tubular breath sounds with late inspiratory crackles.

Question 10

Clinical presentation of pleuritic friction rub

Answer 10

pt reports sharp localized pain with deep inhalation, movement or cough