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CMN 568 - Exam 2 Questions and Answers Fully Solved
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Exam of 13 pages for the course CMN 568 at CMN 568 (CMN 568 - Exam 2)
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CMN 568 - Exam 2Most commonly seen with adults: viral or bacterial CAP? - answer Bacterial
Most commonly seen with children: viral or bacterial CAP? - answer Viral
What is the typical antibiotic treatment for CAP in adults? *pt is healthy and NO Abx use
in 90 days* - answer Amoxicillin or doxycycline
If a patient has persistent pleural collections, what will you do? - answer Send to ER for
possible thoracentesis
If CXR says "cavitary lesions or opacities", what will you do? - answer ISOLATE and
send to ER for TB workup
Abx for CAP in pt >65/use of abx in 90 days/hx of drug resistance, what Abx will you
give? - answer Macrolide or doxycycline
T/F: Is it uncommon for a cough to last up to 4 weeks after covid/PNA? - answerF - it is
common for a cough to last up to 4 weeks
CURB-65 criteria - answerConfusion
Urea: BUN >7mmo/L (20mg/dl)
RR >30
BP: systolic <90 or diastolic <60
AgeL >65
How do you score CURB-65 and how is each score treated? - answer0: outpatient tx is
most likely safe
1-2: admit to hospital for care
3-4: URGENT referral. Admit to ICU!
Key indicator of lung abscess - answerCough with foul-smelling sputum --> send for
CXR
Most common cause of pleural effusion - answerCHF
Treatment for OSA - answer- Weight loss
- Strict avoidance of ETOH
- Avoidance of hypnotic meds
- Nasal CPAP (can be curative for many pts)
, - UPPP (uvopalatopharyngoplasty) --> resection of pharyngeal soft tissue which
eliminates snoring
What can cause a falsely elevated d.dimer? - answerCancer & pregnancy
Most common cause of a PE? - answerDVT
Most common ages for those with RSV? - answer< 5 or
> 65
In a patient who has recently traveled to Southeast Asia/Egypt, what would you be
concerned for? - answerAvian flu
Stage 1 of Pertussis - answerCatarrhal
Insidious onset of the following:
- Lacrimation
- Sneezing
- Coryza
- Anorexia
- Malaise
- Hacking in night cough that becomes diurnal (starts at night then occurs during the
daytime)
Stage 2 of Pertussis - answerParoxysmal stage
- Bursts of rapid, consecutive coughs followed by deep, high-pitched inspiration (whoop)
Stage 3 of Pertussis - answerConvalescence
- Begins at 4 weeks after onset with decrease in frequency and severity of paroxysms of
cough
How long do symptoms of Pertussis last? - answer6 weeks and has 3 stages
An adult with a cough lasting more than 2 weeks could be indicative of what? -
answerPertussis
What should you be concerned about if a pt presents with a high fever, chronic
headache and states they were recently at a resort and spent most of their time in the
hot tub? - answerLeigonnaires disease
What is pneumonia? - answerInfection of the pulmonary parenchyma
Risk factors of CAP - answer- Advanced age
- Smoking
- Alcoholism
- Co-morbid conditions: especially COPD and asthma
- Immunosuppression
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