CMN 568 Unit II: Questions With Solutions (Detailed &
Verified)
Acute Infection of the Pulmonary Parenchyma In a Patient That is acquired in
the community Right Ans - Community Acquired Pneumonia
Community Acquired Pneumonia (CAP) Right Ans - a type of pneumonia
that results from contagious infection outside of a hospital or clinic
8th Leading cause of death in the United States
Which of the following are risk factors for CAP?
Select All That Apply:
A. Advanced Age
B. Down Syndrome
C. Alcoholism
D. Co-Morbid Conditions (Asthma/COPD)
E. Smoking
F. Immunosuppresion Right Ans - A, C, D, E, F
What are signs and symptoms of CAP? Right Ans - Cough, fever, pleuritic
chest pain, dyspnea, fatigue, chills, malaise, headache, appears acutely ill,
rigor, sweats, nausea, anorexia, diarrhea
What are some common signs on physical exam? Right Ans - Fever
Tachycardia
Tachypnea
Rales (Inspiratory crackles, or bronchial breath sounds)
Oxygen desat
Mental status changes
Dullness to percussion over areas of consolidation
What is the most common bacterial cause of CAP? Right Ans - Strep
pneumoniae
, What are some other common bacterial causes of CAP? Right Ans -
Haemophilus influenzae
STREP. PNEUM
Mycoplasma pneumoniae,
M. Catarrhalis
Legionella
Staph aureus,
Chlamydia pneumoniae,
Neisseria meningitidis,
Klebsiella pneumoniae,
His super mean mom laughed so crazy near Klebville
What viruses can cause CAP? Right Ans - RSV, Influenza, Adenovirus
Which pneumonia is more common in children? Right Ans - Viral
Which type of pneumonia is more common in adults? Right Ans - Bacterial
What diagnostic tests are done to identify causative organism for CAP?
Right Ans - Sputum gram stain
Urinary antigen tests for S. Pneum and Legionella
Rapid Antigen tests for Influenza*
What medications are recommended for the empiric treatment of outpatients
with CAP that is previously health with no antibiotic use in past in 3 months.
Right Ans - Macrolide (Azithromycin) (500mg)/d x 1 day then 250 mg/d x 4
days
OR
Clarithroymycin (500mg) BID x 5 Days
OR
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