AANP board certification exam questions with answers

AANP board certification exam questions with answers how long will a cough last for acute bronchitis? up to three weeks is completely normal how do you treat acute bronchitis? 95% cases are viral-- tessalon pearls to help with cough. * prednisone is never the answer ** Brainpower Read More explain the following views of chest xrays: AP, PA, PA and lateral which one do you want for a pneumonia patient? AP- shows the heart predominantly because its from front to back PA- shows the lungs predominantly because its back to front lateral shows fluid line what is the gold standard for diagnosing community acquired pneumonia chest xray- PA/lateral, repeat post treatment in 6 weeks (repeat not really done anymore) treatment guidelines for CAP- healthy adult no comorbidities MAD LUNG amoxicillin 1 gram TID (best choice) doxycycline 100 mg twice daily macrolide (mycin) in areas with low macrolide resistance so not the best choice treatment guidelines for CAP- adult with comorbidities monotherapy: respiratory quinolone (levofloxacin 750 mg daily) combination therapy: augmentin or cephalosporin PLUS macrolide or doxy what are common respiratory fluoroquinolones? Think FLOXACIN-- moxifloxacin, gemifloxacin, levofloxacin what are common macrolides for CAP think "MYCIN" -- azithromycin, clarithromycin what are common 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 give levaquin (fluoroquinolones no in pregnancy due to fetal ligament destruction, doxycycline no in pregnancy stains tooth bones in fetus) how long do you give antibiotics to patient with pneumonia? 5-10 days, you always want to continue antibiotics for 3 more days after clinically stable (no fever) When do you get a chest xray for pneumonia? it is the gold standard for diagnosis, you do not need to do resolution chest xray unless things are lingering or you suspect something else. When do you give pneumococcal vaccine? adults > 65 years old you give PPSV23 or you can give both PCV 13 and PPSV23 but must be 1 year apart adults > 65 with immunocompromising condition give both pcv 13 and ppsv23 adults 19-64 at increased risk of pneumococcal disease (asthma, copd, smokers, cv dz) - give PPSV23 only