ACNP- Pneumonia Questions and
Answers
Abx for pseudomonas Correct Ans-antipneumococcal, anti-pseudomonal beta lactam
(pipercillin-tazobactam (Zosyn), Cefepime, imipenem, meropenem PLUS: either cipro or
levaquin OR above beta lactam pluse aminoglycoside and azithromycin OR above BL pluse
aminoglycoside and an antipneumooccal fluoroquinolone
Abx for CA-MRSA PNA Correct Ans-vanco or linezolid
Pneumothorax ressonance Correct Ans-hyperressonance on affected side
Fremitus Correct Ans-diminished on affected side
mediastinal shift Correct Ans-away from affected (toward unaffected side)
Site for chest tube placement Correct Ans-4th or 5th ICS, MAL
Needle thoracostomy site Correct Ans-2nd ICS, MCL
PE and Heparin dosing Correct Ans-80u/kg bolus with infusion of 18 u/kg/hr- PTT 1.5-2X
normal
Answers
Abx for pseudomonas Correct Ans-antipneumococcal, anti-pseudomonal beta lactam
(pipercillin-tazobactam (Zosyn), Cefepime, imipenem, meropenem PLUS: either cipro or
levaquin OR above beta lactam pluse aminoglycoside and azithromycin OR above BL pluse
aminoglycoside and an antipneumooccal fluoroquinolone
Abx for CA-MRSA PNA Correct Ans-vanco or linezolid
Pneumothorax ressonance Correct Ans-hyperressonance on affected side
Fremitus Correct Ans-diminished on affected side
mediastinal shift Correct Ans-away from affected (toward unaffected side)
Site for chest tube placement Correct Ans-4th or 5th ICS, MAL
Needle thoracostomy site Correct Ans-2nd ICS, MCL
PE and Heparin dosing Correct Ans-80u/kg bolus with infusion of 18 u/kg/hr- PTT 1.5-2X
normal