PULMONARY ROSH REVIEW EXAM LATEST
2024-2025 WITH 189 ACTUAL QUESTIONS AND
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Terms in this set (189)
,A 25-year-old man Correct Answer ( D )
presents for evaluation of Explanation:
fever and cough. He The patient had a recent
reports last week that he influenza infection and now
was diagnosed with presents with a lobar infiltrate.
influenza. In the last 2 Staphylococcus aureus
days he developed a pneumonia is classically
worsening cough associated with causing post-
productive of large influenza bacterial pneumonia.
amounts of sputum. Vital On Gram stain this is seen as
signs are T 101°F, HR 98, BP Gram positive cocci in clusters
120/60, RR 18, and 95%
oxygen saturation on
room air. His chest X-ray
demonstrates a lobar
infiltrate in the left lower
lobe. Which of the
following would you most
likely expect to see on the
patient's Gram stain?
Gram negative bacilli
Gram negative diplococci
Gram positive bacilli
Gram positive cocci in
clusters
Question: In which COPD, Alcoholics and the elderly.
population is Klebsiella
pneumonia most
commonly seen in?
, Bacterial Pneumonia
S. pneumonia: most common, rusty colored sputum,
rigors, gram+ paired lancets
Klebsiella: alcoholics, currant jelly sputum, bulging
fissures,
S. aureus: IVDA, postinfluenza, elderly, gram+ cocci in
clusters
H. influenzae: COPD, gram negative pleomorphic
Bacterial Pneumonia rods
Overview Pseudomonas: cystic fibrosis, nursing home resident
and cyanosis
Health care associated pneumonia: pseudomonas,
MRSA
Outpatient, healthy: macrolide or doxycycline
Outpatient, comorbidity: respiratory tract
fluoroquinolone (RTF)
Inpatient: RTF
ICU: antipneumococcal ß-lactam (ceftriaxone or
cefotaxime) + either azithromycin or an RTF
, You evaluate a 65-year- Correct Answer ( B )
old patient for shortness Explanation:
of breath and note on Classic physical signs of a pleural effusion include
exam decreased breath diminished breath sounds, dullness to percussion,
sounds at the left lung decreased tactile fremitus, and occasionally a
base. You are suspicious localized pleural friction rub. Chest radiograph
of a small pleural effusion. confirms the suspicion of pleural effusion. The classic
In which of the following radiographic appearance of a pleural effusion is
views on the chest blunting of the costophrenic angle on the upright
radiograph is the small chest radiograph
pleural effusion most likely
to be detected?
Pleural Effusion
Lateral Transudate: CHF (most common)
Lateral decubitus left side Exudate: infection > malignancy, PE
down ↓ Breath sounds + dull percussion + ↓ tactile fremitus
Lateral decubitus right CXR: blunting of the costophrenic angle
side down
Posterior-anterior (PA)
Question: A pleural Supine.
effusion is most difficult to
detect in which
radiographic position?
2024-2025 WITH 189 ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ 100% GUARANTEED PASS!
Practice questions for this set
Learn
Studied 7 terms
Nice work, you're crushing it
Continue studying in Learn
Terms in this set (189)
,A 25-year-old man Correct Answer ( D )
presents for evaluation of Explanation:
fever and cough. He The patient had a recent
reports last week that he influenza infection and now
was diagnosed with presents with a lobar infiltrate.
influenza. In the last 2 Staphylococcus aureus
days he developed a pneumonia is classically
worsening cough associated with causing post-
productive of large influenza bacterial pneumonia.
amounts of sputum. Vital On Gram stain this is seen as
signs are T 101°F, HR 98, BP Gram positive cocci in clusters
120/60, RR 18, and 95%
oxygen saturation on
room air. His chest X-ray
demonstrates a lobar
infiltrate in the left lower
lobe. Which of the
following would you most
likely expect to see on the
patient's Gram stain?
Gram negative bacilli
Gram negative diplococci
Gram positive bacilli
Gram positive cocci in
clusters
Question: In which COPD, Alcoholics and the elderly.
population is Klebsiella
pneumonia most
commonly seen in?
, Bacterial Pneumonia
S. pneumonia: most common, rusty colored sputum,
rigors, gram+ paired lancets
Klebsiella: alcoholics, currant jelly sputum, bulging
fissures,
S. aureus: IVDA, postinfluenza, elderly, gram+ cocci in
clusters
H. influenzae: COPD, gram negative pleomorphic
Bacterial Pneumonia rods
Overview Pseudomonas: cystic fibrosis, nursing home resident
and cyanosis
Health care associated pneumonia: pseudomonas,
MRSA
Outpatient, healthy: macrolide or doxycycline
Outpatient, comorbidity: respiratory tract
fluoroquinolone (RTF)
Inpatient: RTF
ICU: antipneumococcal ß-lactam (ceftriaxone or
cefotaxime) + either azithromycin or an RTF
, You evaluate a 65-year- Correct Answer ( B )
old patient for shortness Explanation:
of breath and note on Classic physical signs of a pleural effusion include
exam decreased breath diminished breath sounds, dullness to percussion,
sounds at the left lung decreased tactile fremitus, and occasionally a
base. You are suspicious localized pleural friction rub. Chest radiograph
of a small pleural effusion. confirms the suspicion of pleural effusion. The classic
In which of the following radiographic appearance of a pleural effusion is
views on the chest blunting of the costophrenic angle on the upright
radiograph is the small chest radiograph
pleural effusion most likely
to be detected?
Pleural Effusion
Lateral Transudate: CHF (most common)
Lateral decubitus left side Exudate: infection > malignancy, PE
down ↓ Breath sounds + dull percussion + ↓ tactile fremitus
Lateral decubitus right CXR: blunting of the costophrenic angle
side down
Posterior-anterior (PA)
Question: A pleural Supine.
effusion is most difficult to
detect in which
radiographic position?
