Pneumonia

What is the most common cause of CAP?

• Staphylococcus Aureus

• Haemophilus Influenzae

• Streptococcus pneumonia

• Mycoplasma pneumonia

All of these are contributing factors of pneumonia except:

• Alcoholism

• post op lap appendectomy

• Osteoporosis

• Malnutrition

• Precedex (Dexmedetomidine)

What is a typical symptom of pneumonia in the elderly?

• Malaise

• GI upset

• Pleuritic pain

• Hypotension

Which patient should get an X-ray based on VS and clinical findings? Select all that apply

• Decreased breath sounds

• Respirations 16 bpm

• Absence of asthma

• Heart rate 103 bpm

• Temperature 98.9 ^oF

What is the standard for diagnosis pneumonia?

• Sputum culture

• Chest radiograph

• Sputum gram stain

• broncho-alveolar lavage

Causes of Atypical pneumonia: Select all that apply

• Mycoplasma Pneumonia

• Influenza

• Chlamydophila pneumonia

• Legionella species

Based on CURB-65 criteria indicate whether patient should be treated Inpatient or Outpatient

72-year old with confusion, BUN=19 mg/dL, RR= 27 bpm, BP= 88/56 mmHg

• Inpatient

• Outpatient

What is the prefered antibiotic treatment for a healthy patient with CAP, severe beta-lactam allergy, and no previous use of antibiotics over the past three months?

• Clarithromycin

• Amoxicillin

• Levofloxacin

• Ceftriaxone

What antibiotic would you prescribe to a 65 year old women with CAP, recently treated within the past two months with a beta-lactam for bacterial sinusitis?

• Amoxicillin-clavulanate

• High dose amoxicillin

• Clarithromycin

• Moxifloxacin

Ideally adults > 65 years should routinely receive the Prevnar 13 first then receive PPSV23 in 12 months.

• True

• False