AANP board certification exam
How lengthy will a cough final for acute bronchitis?
Up to a few weeks is absolutely regular
how do you deal with acute bronchitis?
95% instances are viral-- tessalon pearls to assist with cough. * prednisone is in no way the
answer **
explain the subsequent views of chest xrays: AP, PA, PA and lateral
which one do you need for pneumonia patient?
AP- suggests the heart predominantly due to the fact its from front to lower back
PA- shows the lungs predominantly due to the fact its returned to front
lateral suggests fluid line
what is the gold wellknown for diagnosing community received pneumonia
chest xray- PA/lateral, repeat post remedy in 6 weeks (repeat now not without a doubt
executed anymore)
remedy guidelines for CAP- healthy adult no comorbidities
MAD LUNG
amoxicillin 1 gram TID (great choice)
doxycycline one hundred mg twice every day
macrolide (mycin) in regions with low macrolide resistance so now not the best preference
remedy recommendations for CAP- adult with comorbidities
monotherapy: breathing quinolone (levofloxacin 750 mg daily)
mixture therapy: augmentin or cephalosporin PLUS macrolide or doxy
what are commonplace respiratory fluroquinolones?
Think FLOXACIN-- moxifloxacin, gemifloxacin, levofloxacin
what are common macrolides for CAP
suppose "MYCIN" -- azithromycin, clarithromycin
what are commonplace tetracyclines for CAP
, doxycycline
what are common beta lactams for CAP
amoxicillin, augmentin (amox with clav), cefpodoxime, cefuroxime
how would you treat a pregnant 29 year old with pneumonia?
Amoxicillin 1 g TID-- cant supply levaquine (flouroquinolones no in pregnancy because of
fetal ligament destruction, doxycycline no in being pregnant stains tooth bones in fetus)
how long do you deliver antibiotics to patient with pneumonia?
Five-10 days, you constantly need to maintain antibiotics for 3 extra days after clinically
strong (no fever)
When do you get a chest xray for pneumonia?
It's far the gold preferred for prognosis, you do not need to do resolution chest xray except
matters are lingering or you watched some thing else.
When do you supply pneumococcal vaccine?
Adults > sixty five years vintage you give PPSV23 or you can deliver each PCV 13 and
PPSV23 but need to be 1 12 months apart
adults > 65 with immunocompromising circumstance supply both pcv 13 and ppsv23
adults 19-sixty four at extended threat of pneumococcal disorder (allergies, copd, smokers,
cv dz) - supply PPSV23 most effective
adults 19-64 with asplenia, cochlear implants, csf leak-- supply pCV13 NOW then PPSV23
in eight weeks , then PPSV23 in 5 years.
What is the diagnostic criterion for COPD
FEV1/FVC ratio of < 0.70
What are characteristics of COPD
midlife onset, symptoms slowly progressive, exposure to lung irritant, DOE is progressive,
chronic cough and chronic sputum production
what are characteristics of asthma
onset early in life, symptoms vary widely from day to day, symptoms worse at nighttime/early
AM, allergic rhinitis, eczema, family history, obesity
How lengthy will a cough final for acute bronchitis?
Up to a few weeks is absolutely regular
how do you deal with acute bronchitis?
95% instances are viral-- tessalon pearls to assist with cough. * prednisone is in no way the
answer **
explain the subsequent views of chest xrays: AP, PA, PA and lateral
which one do you need for pneumonia patient?
AP- suggests the heart predominantly due to the fact its from front to lower back
PA- shows the lungs predominantly due to the fact its returned to front
lateral suggests fluid line
what is the gold wellknown for diagnosing community received pneumonia
chest xray- PA/lateral, repeat post remedy in 6 weeks (repeat now not without a doubt
executed anymore)
remedy guidelines for CAP- healthy adult no comorbidities
MAD LUNG
amoxicillin 1 gram TID (great choice)
doxycycline one hundred mg twice every day
macrolide (mycin) in regions with low macrolide resistance so now not the best preference
remedy recommendations for CAP- adult with comorbidities
monotherapy: breathing quinolone (levofloxacin 750 mg daily)
mixture therapy: augmentin or cephalosporin PLUS macrolide or doxy
what are commonplace respiratory fluroquinolones?
Think FLOXACIN-- moxifloxacin, gemifloxacin, levofloxacin
what are common macrolides for CAP
suppose "MYCIN" -- azithromycin, clarithromycin
what are commonplace tetracyclines for CAP
, doxycycline
what are common beta lactams for CAP
amoxicillin, augmentin (amox with clav), cefpodoxime, cefuroxime
how would you treat a pregnant 29 year old with pneumonia?
Amoxicillin 1 g TID-- cant supply levaquine (flouroquinolones no in pregnancy because of
fetal ligament destruction, doxycycline no in being pregnant stains tooth bones in fetus)
how long do you deliver antibiotics to patient with pneumonia?
Five-10 days, you constantly need to maintain antibiotics for 3 extra days after clinically
strong (no fever)
When do you get a chest xray for pneumonia?
It's far the gold preferred for prognosis, you do not need to do resolution chest xray except
matters are lingering or you watched some thing else.
When do you supply pneumococcal vaccine?
Adults > sixty five years vintage you give PPSV23 or you can deliver each PCV 13 and
PPSV23 but need to be 1 12 months apart
adults > 65 with immunocompromising circumstance supply both pcv 13 and ppsv23
adults 19-sixty four at extended threat of pneumococcal disorder (allergies, copd, smokers,
cv dz) - supply PPSV23 most effective
adults 19-64 with asplenia, cochlear implants, csf leak-- supply pCV13 NOW then PPSV23
in eight weeks , then PPSV23 in 5 years.
What is the diagnostic criterion for COPD
FEV1/FVC ratio of < 0.70
What are characteristics of COPD
midlife onset, symptoms slowly progressive, exposure to lung irritant, DOE is progressive,
chronic cough and chronic sputum production
what are characteristics of asthma
onset early in life, symptoms vary widely from day to day, symptoms worse at nighttime/early
AM, allergic rhinitis, eczema, family history, obesity
