Pulmonary part 1 Questions With Complete Solutions
____ should always be considered in an adult who presents with
acute cough of > 5 days duration Correct Answer Pertussis
Patients present with URI symptoms for 1-2 weeks
The classic paroxysmal cough begins in the 2nd week of the
illness
the duration of cough are about 3 months even when treated
with antibiotics
______ is an ominous finding, especially in older patients. It
indicates a poor prognosis because it means that the immune
system is not responding to a potentially fatal pathogen Correct
Answer Leukopenia
_______ is an unusual symptom associated with bronchitis
Correct Answer Fever, or a temp > 101
Cough is the most common symptom (50% or more)
Purulent sputum from the sloughing of epithelial cells, not
bacterial infection
Pharyngitis within the first-3 days of the illness
Concurrent upper respiratory symptoms
_______ is the most common atypical pathogen that causes
Pneumonia Correct Answer Mycoplasma pneumoniae
_______ is the most common symptom associated with acute
bronchitis and almost always appear after day ____ of the
illness. ______ and _______ are common on days 1-3. Correct
Answer Cough
3
,Pharyngitis, nasal discharge/congestion
________ is the most common pathogen in CAP worldwide
Correct Answer Streptococcus pneumoniae
________ is usually audible when percussing a distended
abdomen or when a pneumothorax is present Correct Answer
Tympany (low-pitched musical sound)
3 most common bugs in CAP Correct Answer Strep pneumonia
(rust-colored), DRSP drug-resistant Strep Pneu
Atypical:
2. Mycoplasma Pneumonia (walking pneumonia, the #1 most
common in atypical)
3. Chlamydophila Pneumonia
Their last names are all Pneumonia, genius!
4. viral pathogens
A 4-year-old has ___________________ breathing Correct
Answer Diaphragmatic so using the abdominal muscles would
be normal.
Any type of retractions would be abnormal
A 6-year-old with moderate persistent asthma is diagnosed with
pneumonia after CXR. He developed a sudden onset of fever
with chills. He is in no distress. What is the preferred treatment
for him? Correct Answer Amoxicillin because this is likely
DRSP due to:
1. sudden onset of fever and chills
2. he has moderate persistent asthma, and is probably on a daily
ICS
, If this child is healthy, then more likely atypical pathogen and
therefore treat with a Macrolide, but this child is in my sick
category
a disease in which the respiratory tubules are permanently
enlarged.
Associated with chronic cough that produces copious amounts
of sputum that may be blood-tinged and is foul-smelling, or
purulent Correct Answer bronchiectasis
A highly communicable respiratory disease that presents with a
fever, rhinorrhea, and paroxysmal high-pitched cough Correct
Answer Pertussis
Highly communicable
A patient has been treated for pneumonia with antibiotics. He
has been fever-free for 2 days, but is still tired and coughing.
Intervention? Correct Answer Rest and fluids. No more abtx
coz Afebrile
A pleural friction rub produces Correct Answer dry, grating
sound
A term for normal breathing Correct Answer Eupneic
respirations
ABTX for atypical pneumonia Correct Answer A macrolide of
Doxy
ABTX for DRSP Correct Answer 1. Resp quinolone (moxy,
gemi, or levo). Important to use respiratory quinolones
____ should always be considered in an adult who presents with
acute cough of > 5 days duration Correct Answer Pertussis
Patients present with URI symptoms for 1-2 weeks
The classic paroxysmal cough begins in the 2nd week of the
illness
the duration of cough are about 3 months even when treated
with antibiotics
______ is an ominous finding, especially in older patients. It
indicates a poor prognosis because it means that the immune
system is not responding to a potentially fatal pathogen Correct
Answer Leukopenia
_______ is an unusual symptom associated with bronchitis
Correct Answer Fever, or a temp > 101
Cough is the most common symptom (50% or more)
Purulent sputum from the sloughing of epithelial cells, not
bacterial infection
Pharyngitis within the first-3 days of the illness
Concurrent upper respiratory symptoms
_______ is the most common atypical pathogen that causes
Pneumonia Correct Answer Mycoplasma pneumoniae
_______ is the most common symptom associated with acute
bronchitis and almost always appear after day ____ of the
illness. ______ and _______ are common on days 1-3. Correct
Answer Cough
3
,Pharyngitis, nasal discharge/congestion
________ is the most common pathogen in CAP worldwide
Correct Answer Streptococcus pneumoniae
________ is usually audible when percussing a distended
abdomen or when a pneumothorax is present Correct Answer
Tympany (low-pitched musical sound)
3 most common bugs in CAP Correct Answer Strep pneumonia
(rust-colored), DRSP drug-resistant Strep Pneu
Atypical:
2. Mycoplasma Pneumonia (walking pneumonia, the #1 most
common in atypical)
3. Chlamydophila Pneumonia
Their last names are all Pneumonia, genius!
4. viral pathogens
A 4-year-old has ___________________ breathing Correct
Answer Diaphragmatic so using the abdominal muscles would
be normal.
Any type of retractions would be abnormal
A 6-year-old with moderate persistent asthma is diagnosed with
pneumonia after CXR. He developed a sudden onset of fever
with chills. He is in no distress. What is the preferred treatment
for him? Correct Answer Amoxicillin because this is likely
DRSP due to:
1. sudden onset of fever and chills
2. he has moderate persistent asthma, and is probably on a daily
ICS
, If this child is healthy, then more likely atypical pathogen and
therefore treat with a Macrolide, but this child is in my sick
category
a disease in which the respiratory tubules are permanently
enlarged.
Associated with chronic cough that produces copious amounts
of sputum that may be blood-tinged and is foul-smelling, or
purulent Correct Answer bronchiectasis
A highly communicable respiratory disease that presents with a
fever, rhinorrhea, and paroxysmal high-pitched cough Correct
Answer Pertussis
Highly communicable
A patient has been treated for pneumonia with antibiotics. He
has been fever-free for 2 days, but is still tired and coughing.
Intervention? Correct Answer Rest and fluids. No more abtx
coz Afebrile
A pleural friction rub produces Correct Answer dry, grating
sound
A term for normal breathing Correct Answer Eupneic
respirations
ABTX for atypical pneumonia Correct Answer A macrolide of
Doxy
ABTX for DRSP Correct Answer 1. Resp quinolone (moxy,
gemi, or levo). Important to use respiratory quinolones
