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CMN 568 - Exam 2 Actual Questions And Verified Detailed Answers
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CMN 568 - Exam 2 Actual Questions And VerifiedDetailed Answers 2024-2025
Most commonly seen with adults: viral or bacterial cap?
bacterial
most commonly seen with children: viral or bacterial cap?
viral
what is the std abx tx for cap in adults? pt is healthy and no abx use in 90 days
amoxicillin or doxycycline
if a patient has persistent pleural collections, what will you do?
send to er for possible thoracentesis
If CXR says "cavitary lesions or opacities", what will you do?
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?
Macrolide or doxycycline
T/F: Is it uncommon for a cough to last up to 4 weeks after covid/PNA?
F - it is common for a cough to last up to 4 weeks
CURB-65 criteria
Confusion
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?
0: 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
Cough with foul-smelling sputum --> send for CXR
Most common cause of pleural effusion
CHF
Treatment for OSA
- 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?
Cancer & pregnancy
Most common cause of a PE?
DVT
Most common ages for those with RSV?
< 5 or
> 65
In a patient who has recently traveled to Southeast Asia/Egypt, what would you be
concerned for?
Avian flu
Stage 1 of Pertussis
Catarrhal
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
Paroxysmal stage
- Bursts of rapid, successive coughs followed by deep, high-pitched inspiration (whoop)
Stage 3 of Pertussis
Convalescence
- Begins at 4 weeks after onset with decrease in frequency and severity of paroxysms of
cough
How long do symptoms of Pertussis last?
6 weeks and has 3 stages
An adult who has had a cough > 2 wks may have what?
Pertussis
A pt presents to you with high fever, chronic headache and states he recently went to a
resort and spent most of his time in the hot tub. What do you worry about?
Leigonnaires disease
What is pneumonia?
Infection of the pulmonary parenchyma
Risk factors of CAP
Advanced age
Smoking
Alcoholism
Co-morbid conditions: especially COPD and asthma
Immunosuppression
Common S/S of CAP
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