AANP board certification exam
Study online at https://quizlet.com/_9onfp0
1. how long will a cough last for acute bron- up to three weeks is completely normal
chitis?
2. how do you treat acute bronchitis? 95% cases are viral-- tessalon pearls to help with
cough. ** prednisone is never the answer ***
3. explain the following views of chest AP- shows the heart predominantly because its
xrays: AP, PA, PA and lateral from front to back
which one do you want for pneumonia PA- shows the lungs predominantly because its
patient? back to front
lateral shows fluid line
4. what is the gold standard for diagnosing chest xray- PA/lateral, repeat post treatment in
community acquired pneumonia 6 weeks (repeat not really done anymore)
5. treatment guidelines for CAP- healthy MAD LUNG
adult no comorbidities amoxicillin 1 gram TID (best choice)
doxycycline 100 mg twice daily
macrolide (mycin) in areas with low macrolide
resistance so not the best choice
6. treatment guidelines for CAP- adult with monotherapy: respiratory quinolone (lev-
comorbidities ofloxacin 750 mg daily)
combination therapy: augmentin or
cephalosporin PLUS macrolide or doxy
7. what are common respiratory fluro- Think FLOXACIN-- moxifloxacin, gemifloxacin,
quinolones? levofloxacin
8. what are common macrolides for CAP think "MYCIN" -- azithromycin, clarithromycin
9. what are common tetracyclines for CAP doxycycline
10. what are common beta lactams for CAP
1/7
, AANP board certification exam
Study online at https://quizlet.com/_9onfp0
amoxicillin, augmentin (amox with clav), cefpo-
doxime, cefuroxime
11. how would you treat a pregnant 29 year Amoxicillin 1 g TID-- cant give levaquine (flouro-
old with pneumonia? quinolones no in pregnancy due to fetal liga-
ment destruction, doxycycline no in pregnancy
stains tooth bones in fetus)
12. how long do you give antibiotics to pa- 5-10 days, you always want to continue antibi-
tient with pneumonia? otics for 3 more days after clinically stable (no
fever)
13. When do you get a chest xray for pneu- it is the gold standard for diagnosis, you do not
monia? need to do resolution chest xray unless things
are lingering or you suspect something else.
14. When do you give pneumococcal vac- adults > 65 years old you give PPSV23 or you
cine? can give both PCV 13 and PPSV23 but must be
1 year apart
adults > 65 with immunocompromising condi-
tion give both pcv 13 and ppsv23
adults 19-64 at increased risk of pneumococcal
disease (asthma, copd, smokers, cv dz) - give
PPSV23 only
adults 19-64 with asplenia, cochlear implants,
csf leak-- give pCV13 NOW then PPSV23 in 8
weeks , then PPSV23 in 5 years.
15. What is the diagnostic criterion for COPD FEV1/FVC ratio of < 0.70
16. What are characteristics of COPD midlife onset, symptoms slowly progressive, ex-
posure to lung irritant, DOE is progressive,
chronic cough and chronic sputum production
2/7
Study online at https://quizlet.com/_9onfp0
1. how long will a cough last for acute bron- up to three weeks is completely normal
chitis?
2. how do you treat acute bronchitis? 95% cases are viral-- tessalon pearls to help with
cough. ** prednisone is never the answer ***
3. explain the following views of chest AP- shows the heart predominantly because its
xrays: AP, PA, PA and lateral from front to back
which one do you want for pneumonia PA- shows the lungs predominantly because its
patient? back to front
lateral shows fluid line
4. what is the gold standard for diagnosing chest xray- PA/lateral, repeat post treatment in
community acquired pneumonia 6 weeks (repeat not really done anymore)
5. treatment guidelines for CAP- healthy MAD LUNG
adult no comorbidities amoxicillin 1 gram TID (best choice)
doxycycline 100 mg twice daily
macrolide (mycin) in areas with low macrolide
resistance so not the best choice
6. treatment guidelines for CAP- adult with monotherapy: respiratory quinolone (lev-
comorbidities ofloxacin 750 mg daily)
combination therapy: augmentin or
cephalosporin PLUS macrolide or doxy
7. what are common respiratory fluro- Think FLOXACIN-- moxifloxacin, gemifloxacin,
quinolones? levofloxacin
8. what are common macrolides for CAP think "MYCIN" -- azithromycin, clarithromycin
9. what are common tetracyclines for CAP doxycycline
10. what are common beta lactams for CAP
1/7
, AANP board certification exam
Study online at https://quizlet.com/_9onfp0
amoxicillin, augmentin (amox with clav), cefpo-
doxime, cefuroxime
11. how would you treat a pregnant 29 year Amoxicillin 1 g TID-- cant give levaquine (flouro-
old with pneumonia? quinolones no in pregnancy due to fetal liga-
ment destruction, doxycycline no in pregnancy
stains tooth bones in fetus)
12. how long do you give antibiotics to pa- 5-10 days, you always want to continue antibi-
tient with pneumonia? otics for 3 more days after clinically stable (no
fever)
13. When do you get a chest xray for pneu- it is the gold standard for diagnosis, you do not
monia? need to do resolution chest xray unless things
are lingering or you suspect something else.
14. When do you give pneumococcal vac- adults > 65 years old you give PPSV23 or you
cine? can give both PCV 13 and PPSV23 but must be
1 year apart
adults > 65 with immunocompromising condi-
tion give both pcv 13 and ppsv23
adults 19-64 at increased risk of pneumococcal
disease (asthma, copd, smokers, cv dz) - give
PPSV23 only
adults 19-64 with asplenia, cochlear implants,
csf leak-- give pCV13 NOW then PPSV23 in 8
weeks , then PPSV23 in 5 years.
15. What is the diagnostic criterion for COPD FEV1/FVC ratio of < 0.70
16. What are characteristics of COPD midlife onset, symptoms slowly progressive, ex-
posure to lung irritant, DOE is progressive,
chronic cough and chronic sputum production
2/7
