Pance Question Pulmonary Practice questions with correct answers

A 19 yo male college student presents with a 4 day history of fever, headache, sore throat, myalgia, malaise and a nonproductive cough. On exam you not an erythematous pharynx without exudate. The lung exam is unimpressive. A chest X-ray reveals a right lower lobe patchy pneumonia. Which is the most likely cause? A: mycoplasma B: klebsiella C: Strep. Pneumoniae D: staph correct answer A: Mycoplasma A 40 yo female presents with a sudden onset of cough productive of blood speckled sputum, chest pain with a cough, shaking chills, high fever, and myalgias for the last 12 hours. On exam she appears acutely ill, is tachypneic, and coughing. Auscultation of the chest reveals crackles and CXR reveals unilateral lobar consolidation consistent with pneumonia. Which of the following is most likely the cause? A: Mycoplasma B: Strept pneumoniae C: Chlamydia D: aspiration pneumonia correct answer B: Strept pneumoniae A 3 yo patient presents with sudden onset of coughing and wheezing that began at the dinner table this evening. Vital signs are pulse 120, respirations 26, temperature 98.6. You evaluate the patient and determine that the diagnosis is most likely a partial obstruction secondary to tracheal foreign body. What is the next step in the management of this patient? A: Chest pysiotherapy B: intubation C: Tracheostomy D: Bronchoscopy correct answer D: Bronchoscopy