Pulmonary 4

Question 1

Target of AC/VC

Answer 1

Flow

Question 2

Target of AC/PC

Answer 2

Inspiratory pressure

Question 3

What causes a PC breath to cycle off?

Answer 3

Time

Question 4

Types of breaths in volume SIMV

Answer 4

VC, VA, PS, spontaneous

Question 5

Types of breath in pressure SIMV

Answer 5

PC, PA, PS, and unassisted

Question 6

Why is there a pressure plateau at the end of each AC/VC breath?

Answer 6

End-inspiratory pause (because it is time-cycled)

Question 7

ATS/IDSA criteria for severe CAP (major criteria)

Answer 7

Needs pressors or vent

Question 8

2 scenarios is which empiric MRSA coverage is recommended for Severe CAP

Answer 8

1. Prior respiratory MRSA

2. Parenteral Abx in last 90 days + MRSA risk factors

Question 9

How many minor criteria are needed to Dx severe CAP?

Answer 9

3

Question 10

Minor criteria for severe CAP (9)

Answer 10

RR ≥30/min, P/F ≤250, multilobar infiltrates, confusion, uremia, leukopenia, thrombocytopenia, hypothermia, or hypotension requiring aggressive fluid resuscitation

Question 11

Usual empiric Tx for severe CAP

Answer 11

β-lactam plus a macrolide or a β-lactam plus a fluoroquinolone

Question 12

Which are the atypical organisms for CAP?

Answer 12

Legionella, Mycoplasma, and Chlamydia

Question 13

Does Zosyn cover atypicals?

Answer 13

No!