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AHN 572 pulmonary 1 Questions with Detailed Verified Answers

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AHN 572 pulmonary 1 Questions with Detailed Verified Answers

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AHN 572 pulmonary 1 Questions with
Detailed Verified Answers
Epiglottitis symptoms Answer: rapid onset sore throat, out of
proportion to exam findings

epiglottitis risk Answer: diabetics

treatment epiglottitis Answer: abx, 2/3rd gen cephalosporins,
iv decadron

2nd gen - cefoxitin, cefotetan

3rd gen - ceftraixone, ceftazidime

epiglottitis monitoring Answer: airway/continuous pulse ox

epiglottitis x ray Answer: Thumbprint sign on the lateral neck
view

pharyngitis cause Answer: group a beta hemolytic
streptococcus

Pharyngitis symptoms Answer: fever, anterior cervical
adenopathy, sore throat

pharyngitis treatment Answer: penicillin preferred (pcn v,
amoxicillin, pcn g), cephalosporins (cephalexin, cefadroxil,
cefuroxime, cefpodoxime, cefdinir, cefixime)

1st generation cephalosporins Answer: cefazolin

2nd generation cephalosporins Answer: ceftin, cefoxitin,
cefotetan

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3rd generation cephalosporins Answer: cefpodoxime,
ceftraixone, ceftazidime, cefotaxime

4th generation cephalosporins Answer: Cefepime

5th generation cephalosporins Answer: -Ceftaroline

Carbapenems Answer: imipenem, meropenem, ertapenem,
doripenem

monobactams Answer: aztreonam

Beta-lactams Answer: zosyn, unasyn, augmentin

macrolides Answer: azithromycin, clarithromycin

Fluoroquinolones Answer: Moxifloxacin, gemifloxacin,
levofloxacin

Aminoglycosides Answer: gentamicin, tobramycin, amikacin

Glycopeptides Answer: Vancomycin

Oxazolidinones Answer: Linezolid

CAP symptoms Answer: fever, cough, dyspnea,

sweats, chills, rigors, CP, pleurisy, hemoptysis, fatigue,
myalgias, HA

CAP exam findings Answer: inspiratory crackles, bronchial
breath sounds, dullness to percussion,

fever, tachypnea, tachycardia, desaturation

CAP: Diagnostic Tests Answer: sputum culture - pt with
severe disease/pt treated for mrsa or pseudomonas

urinary antigen for s. pneumoniae or legionella

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rapid antigen flu test

ABG

CBC

Blood culture

CAP imaging Answer: infiltrates on CXR

patchy opacities

lobar consolidation

air bronchograms

O2 parameters Answer: MI or stroke - supplement if less than
90%

at risk for hypercapnia 88-92%

100% O2 Answer: cluster HA, sickle cell, pneumothorax,
carbon monoxide poisoning

nasal cannula Answer: 1-6 L/min, 4% FiO2 increase with each
liter

Bernoulli's Principle Answer: oxygen delivered and stored in
nasopharynx cavity, pulled into trachea regardless of oral or
nasal inspiration

simple face mask Answer: 5-8 L/min, 40-60%,

careful with CO2 retainers and aspiration risk

Venturi mask Answer: up to 60%, very precise

nonrebreather mask Answer: 11-15l, up to 100%

fill reservoir bag , then collapse 1/3

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