PULM Tx

Question 1

What is 1st line empiric tx for CAP outpatient who does NOT have recent abx use or comordid conditions?

Answer 1

Macrolide OR Doxy

Question 2

What is 1st line tx of CAP if comorbid conditions or recent abx use?

Answer 2

Fluoroquinolones

Question 3

What is 1st line tx for CAP INpatient?

Answer 3

B lactam + (Macrolide OR Doxy)

OR

Broad spectrum FQ

Question 4

1st line tx of CAP in ICU

Answer 4

B lactam + macrolide

OR

B-lactam + broad spectrum FQ

Question 5

1st line for HAP

Answer 5

**pseudomonas infection risk**

anti-pseudomonal B lactam + (anti- Pseudomonal AG or FQ)

Question 6

1st line for HAP with suspicion of MRSA

Answer 6

Because it is still HAP, you have a pseudomonal infection risk so you must still use anti-pseudomonal B-lactam + (anti-pseudomonal AG or FQ)

+

ADD Vancomycin

Question 7

1st line for HAP w/ suspicion of Legionella

Answer 7

Because it is still HAP, you have a pseudomonal infection risk so you must still use anti-pseudomonal B-lactam + (anti-pseudomonal AG or FQ)

+

ADD Levofloxacin or Azithromycin

Question 8

What is an example of a B-lactam?

Answer 8

Ceftriaxone

Question 9

Pulm sxs of TB

Answer 9

chronic, productive cough, pleuritic chest pain

Question 10

What sxs will you see in advanced TB?

Answer 10

hemoptysis

Question 11

Constitutional sxs of TB

Answer 11

night sweats, fever/chills, fatigue, anorexia, weight loss.

Question 12

PE of TB

Answer 12

signs of consolidation

Question 13

MC conditions involving Extra pulm TB

Answer 13

vertebral (Pott’s dz)

Lymph nodes (scrofula)