Lange—Pulmonology || with 100% Errorless Answers.

A 19-year-old male college student presents with a 4-day history of fever, headache, sore throat, myalgia, malaise, and a nonproductive cough. On examination, you note an erythematous pharynx without exudate. The lung examination is unimpressive. A chest x-ray reveals a right-sided lower lobe patchy infiltrate. Which of the following is the most likely cause? (A) Klebsiella pneumoniae (B) Mycoplasma pneumoniae (C) Staphylococcus aureus (D) Streptococcus pneumoniae (E) Viral pneumonia correct answers (B) Mycoplasma pneumoniae A 40-year-old woman presents with the sudden onset of cough productive of blood-speckled sputum, chest pain with cough, shaking chills, high fever, and myalgias for the last 12 hours. On examination, she appears acutely ill, is tachypneic, and is coughing. Auscultation of the chest reveals rales and chest x-ray reveals unilateral lobar consolidation consistent with pneumonia. Which of the following is the most likely cause? (A) Aspiration pneumonia (B) Chlamydia pneumoniae (C) M. pneumoniae (D) S. aureus (E) S. pneumoniae correct answers (E) S. pneumoniae A 3-year-old patient presents with sudden onset of coughing and wheezing, which began at the dinner table this evening. Vital signs are pulse 120, respirations 26, and temperature 98.6ºF. The most likely diagnosis is a partial obstruction secondary to tracheal foreign body. What is the next step in the management of this patient? (A) Bronchoscopy (B) Chest physiotherapy (C) Fluid challenge (D) Intubation (E) Tracheostomy correct answers (A) Bronchoscopy An otherwise healthy 30-year-old patient presents with a 3-week history of cough and malaise. The history reveals that prior to this episode he had an upper respiratory tract infection that was treated with acetaminophen, bed rest, and fluids. The physical examination reveals a normal lung examination and no fever. The patient is coughing while in the office. The chest x-ray is normal. What is the most effective treatment for this patient? (A) Albuterol HFA (B) Clarithromycin (C) Flumadine (D) Fluticasone (E) Prednisone correct answers (A) Albuterol HFA A 32-year-old patient with a 3-week history of fever, malaise, weight loss, joint pain, and dry cough presents to your office. The chest x-ray reveals bilateral hilar adenopathy with no