NU 664 CAP- EX1 Exam |! |! |! |! |!
with precise detailed |! |! |!
solutions
CAP: - Correct answer ✔- community acquired pna- 8th leading cause of death in US
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
An acute infection of the lung parenchyma that is not acquired in a hospital, long-term
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
care facility, or other recent contact with the health care system"
|! |! |! |! |! |! |! |! |! |!
• Acute infection of the lung
|! |! |! |! |!
- Lobar -(confined to a lobe)
|! |! |! |! |!
- Segmental -(a segment of the lobe)
|! |! |! |! |! |!
- Interstitial- (confined to interstitial tissue)
|! |! |! |! |!
- Bronchopneumonia- (confined to alveoli/bronchi)
|! |! |! |!
- can have mixed pna too→ lobar + segmental
|! |! |! |! |! |! |! |!
• Persons living in the community NOT hospitalized with the previous 2 weeks
|! |! |! |! |! |! |! |! |! |! |! |!
• Symptoms of an acute infection with or without infiltrate on CXR
|! |! |! |! |! |! |! |! |! |! |!
• CXR = gold standard for diagnosis
|! |! |! |! |! |!
• in practice people with negative CXR but +symptoms, still get treated - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔
immunizations for people 65+ or younger with comorbidities i.e. asthma, COPD, CHF -
|! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔pna and flu vaccines
|! |! |! |! |!
Who is at risk for CAP? - Correct answer ✔Extremes of age (very young/very old)
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
, |! Smokers
|! ETOH abuse |!
|! GERD
|! Chronic diseases( DM, COPD, CAD, CHF) |! |! |! |! |!
|! Institutionalization
TAKE A GOOD HISTORY: - Correct answer ✔How/when did the symptoms develop?
|! |! |! |! |! |! |! |! |! |! |!
Any current medications?- PPIs and antipsychotics can increase risk for weakened
|! |! |! |! |! |! |! |! |! |! |! |!
immune system |!
|! Tobacco? ETOH? Drugs? |! |!
|! Intake and output |! |!
|! Sick contacts? Children in daycare? Work environment
|! |! |! |! |! |!
HIV status/risk- screen high risk population, anyone between 13-64. should get tested
|! |! |! |! |! |! |! |! |! |! |! |! |!
for HIV ATLEAST ONCE IN THEIR LIFE! Do not need written consent anymore!
|! |! |! |! |! |! |! |! |! |! |! |!
|! PMH
|! Any chance of aspiration?
|! |! |!
|! Abx use in the past 3 months!!!! * maybe one worked, one didnt
|! |! |! |! |! |! |! |! |! |! |! |!
|! Previous hx of pneumonia? |! |! |!
Hep c screening - Correct answer ✔if your exposed to hep c by drug use, intranasal drug
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
use- screen anyone between 1945 and 1965 should have a one time Hep c screening- its
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
secondary intervention! |!
CAP Presentation in Adults - Correct answer ✔• Cough (may or may not be productive)
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
• Dyspnea
|!
• Fever
|!
• Hemoptysis
|!
with precise detailed |! |! |!
solutions
CAP: - Correct answer ✔- community acquired pna- 8th leading cause of death in US
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
An acute infection of the lung parenchyma that is not acquired in a hospital, long-term
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
care facility, or other recent contact with the health care system"
|! |! |! |! |! |! |! |! |! |!
• Acute infection of the lung
|! |! |! |! |!
- Lobar -(confined to a lobe)
|! |! |! |! |!
- Segmental -(a segment of the lobe)
|! |! |! |! |! |!
- Interstitial- (confined to interstitial tissue)
|! |! |! |! |!
- Bronchopneumonia- (confined to alveoli/bronchi)
|! |! |! |!
- can have mixed pna too→ lobar + segmental
|! |! |! |! |! |! |! |!
• Persons living in the community NOT hospitalized with the previous 2 weeks
|! |! |! |! |! |! |! |! |! |! |! |!
• Symptoms of an acute infection with or without infiltrate on CXR
|! |! |! |! |! |! |! |! |! |! |!
• CXR = gold standard for diagnosis
|! |! |! |! |! |!
• in practice people with negative CXR but +symptoms, still get treated - Correct answer
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
✔
immunizations for people 65+ or younger with comorbidities i.e. asthma, COPD, CHF -
|! |! |! |! |! |! |! |! |! |! |! |! |!
Correct answer ✔pna and flu vaccines
|! |! |! |! |!
Who is at risk for CAP? - Correct answer ✔Extremes of age (very young/very old)
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
, |! Smokers
|! ETOH abuse |!
|! GERD
|! Chronic diseases( DM, COPD, CAD, CHF) |! |! |! |! |!
|! Institutionalization
TAKE A GOOD HISTORY: - Correct answer ✔How/when did the symptoms develop?
|! |! |! |! |! |! |! |! |! |! |!
Any current medications?- PPIs and antipsychotics can increase risk for weakened
|! |! |! |! |! |! |! |! |! |! |! |!
immune system |!
|! Tobacco? ETOH? Drugs? |! |!
|! Intake and output |! |!
|! Sick contacts? Children in daycare? Work environment
|! |! |! |! |! |!
HIV status/risk- screen high risk population, anyone between 13-64. should get tested
|! |! |! |! |! |! |! |! |! |! |! |! |!
for HIV ATLEAST ONCE IN THEIR LIFE! Do not need written consent anymore!
|! |! |! |! |! |! |! |! |! |! |! |!
|! PMH
|! Any chance of aspiration?
|! |! |!
|! Abx use in the past 3 months!!!! * maybe one worked, one didnt
|! |! |! |! |! |! |! |! |! |! |! |!
|! Previous hx of pneumonia? |! |! |!
Hep c screening - Correct answer ✔if your exposed to hep c by drug use, intranasal drug
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
use- screen anyone between 1945 and 1965 should have a one time Hep c screening- its
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
secondary intervention! |!
CAP Presentation in Adults - Correct answer ✔• Cough (may or may not be productive)
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
• Dyspnea
|!
• Fever
|!
• Hemoptysis
|!
