100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Pulmonary ROSH Review Questions and Answers |100% Pass CA$17.90   Add to cart
Quickly navigate to
Preview
  2.  
  3. ROSH
  4.  
  5. ROSH

Exam (elaborations)

Pulmonary ROSH Review Questions and Answers |100% Pass
 5 views  0 purchase
  • Course
  • ROSH
  • Institution
  • ROSH

Pulmonary ROSH Review Questions and Answers |100% Pass A 25-year-old man presents for evaluation of fever and cough. He reports last week that he was diagnosed with influenza. In the last 2 days he developed a worsening cough productive of large amounts of sputum. Vital signs are T 101°F, HR 9...

[Show more]

Preview 4 out of 151  pages

Document information

  • September 15, 2024
  • 151
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • pulmonary rosh review questions and answers 100

Written for

  • ROSH
  • ROSH

Seller

avatar-seller
SophiaBennett

Reviews received

Content preview

©SOPHIABENNETT
EXAM_SOLUTIONS GUARANTEED SUCCESS 2024/2025 ACADEMIC YEAR




©SOPHIABENNETT 9/3/24 2024/2025

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM



Pulmonary ROSH Review Questions
and Answers |100% Pass


A 25-year-old man presents for evaluation of fever and cough. He reports last week that

he was diagnosed with influenza. In the last 2 days he developed a worsening cough

productive of large amounts of sputum. Vital signs are T 101°F, HR 98, BP 120/60, RR

18, and 95% oxygen saturation on room air. His chest X-ray demonstrates a lobar

infiltrate in the left lower lobe. Which of the following would you most likely expect to see

on the patient's Gram stain?




Gram negative bacilli

Gram negative diplococci

Gram positive bacilli

Gram positive cocci in clusters - Answer✔️✔️-Correct Answer ( D )

Explanation:

The patient had a recent influenza infection and now presents with a lobar infiltrate.

Staphylococcus aureus pneumonia is classically associated with causing post-influenza

bacterial pneumonia. On Gram stain this is seen as Gram positive cocci in clusters

Question: In which population is Klebsiella pneumonia most commonly seen in? -

Answer✔️✔️-COPD, Alcoholics and the elderly.

Bacterial Pneumonia Overview - Answer✔️✔️-Bacterial Pneumonia



Page | 1

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM




S. pneumonia: most common, rusty colored sputum, rigors, gram+ paired lancets

Klebsiella: alcoholics, currant jelly sputum, bulging fissures,

S. aureus: IVDA, postinfluenza, elderly, gram+ cocci in clusters

H. influenzae: COPD, gram negative pleomorphic rods

Pseudomonas: cystic fibrosis, nursing home resident and cyanosis

Health care associated pneumonia: pseudomonas, MRSA

Outpatient, healthy: macrolide or doxycycline

Outpatient, comorbidity: respiratory tract fluoroquinolone (RTF)

Inpatient: RTF

ICU: antipneumococcal ß-lactam (ceftriaxone or cefotaxime) + either azithromycin or an

RTF

You evaluate a 65-year-old patient for shortness of breath and note on exam decreased

breath sounds at the left lung base. You are suspicious of a small pleural effusion. In

which of the following views on the chest radiograph is the small pleural effusion most

likely to be detected?



Lateral

Lateral decubitus left side down

Lateral decubitus right side down

Posterior-anterior (PA) - Answer✔️✔️-Correct Answer ( B )

Explanation:




Page | 2

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


Classic physical signs of a pleural effusion include diminished breath sounds, dullness

to percussion, decreased tactile fremitus, and occasionally a localized pleural friction

rub. Chest radiograph confirms the suspicion of pleural effusion. The classic

radiographic appearance of a pleural effusion is blunting of the costophrenic angle on

the upright chest radiograph




Pleural Effusion

Transudate: CHF (most common)

Exudate: infection > malignancy, PE

↓ Breath sounds + dull percussion + ↓ tactile fremitus

CXR: blunting of the costophrenic angle

Question: A pleural effusion is most difficult to detect in which radiographic position? -

Answer✔️✔️-Supine.

Which of the following complications can be prevented by simultaneously administering

pyridoxine and isoniazid in a patient with tuberculosis exposure?



Color blindness

Hepatitis

Peripheral neuropathy

Renal failure - Answer✔️✔️-Correct Answer ( C )

Explanation:




Page | 3

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller SophiaBennett. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$17.90. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

84669 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$17.90
  • (0)
  Add to cart