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Exam (elaborations)

AANP board certification exam 100% VERIFIED SOLUTIONS LATEST UPDATE 2023

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AANP board certification exam 100% VERIFIED SOLUTIONS LATEST UPDATE 2023 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 ** explain the following views of chest xrays: AP, PA, PA and lateral which one do you want for 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 fluroquinolones? 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 levaquine (flouroquinolones 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?

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February 6, 2024
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