Pneumonia Topic Discussion

1. Which of the following is TRUE regarding the development of pneumonia? 

• 1. Pneumonia is an acute inflammatory condition within the parenchyma of the lung.

• 1. Immunocompromised individuals are at an increased risk of developing pneumonia. 

• Pneumonia often develops as a consequence of bacterial colonization and microaspiration of upper respiratory tract secretions during a period of impaired host pulmonary defense mechanisms.

• All of the above

1. Which of the following is NOT among the minor criteria that would suggest the need for admission?

• 1. Uremia

• 1. Leukopenia

• Decreased respiratory rate

• 1. Low PaO2/fraction of inspired oxygen ratio

1. Which of the following pathogens is most frequently identified as the cause of pneumonia in long-term care facilities?

• S. aureus

• P. aeruginosa

• 1. S. pneumoniae

• C. pneumoniae

1. A 31 year old male was admitted to the hospital 6 days ago complaining from chest pain and coughing. He has a chronic lung disease and is on corticosteroids. Which one of the following causative agents is more commonly detected as gram-positive cocci in clusters on a good-quality sputum gram stain?

• S.aureus

• Anaerobes

• 1. P. aeruginosa

• MRSA

1. A 42 year-old male came to the primary care with chest pain and cough. What type of pneumonia does he have?

• CAP

• HAP

• VAP

1. A 47 year old man presents with dyspnea, fever and a wet cough (with sputum), started 4 days ago. The laboratory findings indicated an increased WBC level. Patient has no past medical history or allergies. Which of the following is the best treatment option for this patient?

• Levofloxacin 750 mg IV Q24H

• 1. Vancomycin 15mg/kg

• 1. Aztreonam 2 g IV Q8H

• Linezolid 600 mg IV Q12H

1. A patient is admitted with community-acquired pneumonia. Sputum cultures show that the patient is infected with a gram positive bacterium. The patient is allergic to Penicillin. Which medication would the patient most likely be prescribed?

• 1. Cefepime 2 g IV Q8H

• 1. Vancomycin 15 mg/kg IV Q12H

• Azithromycin 500 mg IV Q24H

• Imipenem 500 mg IV Q6H

1. A 44 year old female was admitted to the hospital last month for cellulitis, and presents to an outpatient facility today with shortness of breath, fever, and a purulent cough. The provider is wondering how long this patient’s treatment should be. Which of the following durations is most appropriate for this patient?

• 4 days

• 5 days

• 7 days

• 14 days

1. A 28 year old male is admitted to the hospital for sepsis. 28 hours into his stay, he begins to develop a fever, fatigue, and shortness of breath. Based on this information, what type of pneumonia does this patient have?

• CAP

• HAP

• VAP

1. What is the purpose of a PSI score?

• In what setting a patient should be treated (in vs out)

• Whether or not a patient is at risk for MDRO

• 1. Duration of IV antibiotic treatment

• Duration of PO antibiotic treatment