2026\2027
A 32 year old man has acute bronchitis. He is a non smoker and is otherwise healthy. How should he be
managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive.
- correct answer A. Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests would you perform as the Nurse
Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI
- correct answer B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is otherwise healthy. What is the
most likely etiology?
A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae
- correct answer D. Haemophilus influenzae
A 76 year old man has acute productive cough, fever 100-101 F for the past 3-4 days. He is a non smoker
and is otherwise healthy. Which likely diagnosis should be included in your differential?
,A. Acute bronchitis
B. Pneumonitis
C. Pneumonia
D. COPD
E. Bronchiectasis
F. Pertussis
- correct answer C. Pneumonia
Which of the following warrant a chest x-ray when an acute cough is present?
A. Temp 100.4
B. HR 86
C. Rales, consolidation
D. >65 years of age
E. RR 26
- correct answer A. C. E.
Abnormal vital signs (increased RR or HR, temp >100.4)
Rales, consolidation
>75 years of age with cough
A 76 year old male has a chest x-ray that shows infiltrates. Which of the following medication is first-line
treatment?
A. Amoxicillin 1 gram TID
B. Doxycycline 100 mg BID
C. Azithromycin 500 mg on first day, then 250 mg daily
D. Clarithromycin 500 mg BID
- correct answer A. Amoxicillin 1 gram TID
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-ray that shows
infiltrates. Which of the following medications is first line treatment?
A. Amoxicillin
, B. Levofloxacin
C. Azithromycin
D. Doxycycline
- correct answer B. Levofloxacin
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-ray that shows
infiltrates. Which of the following is the most likely pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection
- correct answer A. H. flu.
A 56 year old male has suspected COPD. Which of the following symptoms are indicative of COPD?
A. Progressive dyspnea
B. Acute cough
C. Sputum productive over the past 2 months
D. FEV1/FVC ratio >0.70
E. Alpha-1 antitrypsin deficiency
- correct answer A. C. E.
Chronic cough >8 weeks and FEV1/FVC ration <0.70.
A 56 year old male has been diagnosed with COPD. Which of the follow medications is considered first-
line?
A. SABAs (albuterol)
B. LABAs (salmeterol)
C. Inhaled anticholinergics (ipratropium)
D. LAAC (aclindinium)
- correct answer A. SABAs (albuterol) is first-line
Which of the following diagnoses decrease Hgb over time?