QUESTIONS AND VERIFIED ANSWERS WITH
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,1. A 68-year-old male ANSWER: E
presents to your office A urine test for Legionella pneumophila antigen is
with a 2-day history of the preferred method to confirm Legionnaires'
headache, muscle aches, disease. This test is rapid and will only detect
and chills. His wife adds Legionella pneumophila antigen. A sputum culture
that his temperature has is the gold standard for the diagnosis of
been up to 104.1°F and Legionnaires' disease but it requires 48-72 hours. A
he seems confused chest radiograph does not confirm the diagnosis
sometimes. His but may show the extent of disease. Responding to
symptoms have not antibiotic treatment does not confirm a specific
improved with usual diagnosis.
care, including ibuprofen
and increased fluid
intake. He and his wife
returned from a cruise 10
days ago but don't recall
anyone having a similar
illness on the ship. This
morning he started to
cough and his wife was
,cough and his wife was
concerned because she
saw some blood in his
sputum. He also states
that he experiences
intermittent shortness of
breath and feels
nauseated. His blood
pressure is 100/70 mm
Hg, heart rate 98/min,
temperature 39.4°C
(102.9°F), and oxygen
saturation 95% on room
air.
Which one of the
following would be the
preferred method to
confirm your suspected
diagnosis of
Legionnaires' disease?
, A) Initiating azithromycin
(Zithromax) to see if
symptoms improve
B) A chest radiograph
C
2. Which one of the ANSWER: C
following factors related Risk factors for developmental dysplasia of the hip
to pregnancy and in infants include a breech presentation in the third
delivery increases the trimester, regardless of whether the delivery was
risk of developmental cesarean or vaginal. Other indications to evaluate
dysplasia of the hip in an infant for this condition include a positive family
infants? history, a history of previous clinical instability,
parental concern, a history of improper swaddling,
A) A large-for- and a suspicious or inconclusive physical
gestational age infant examination. Twin birth, a large-for-gestational age
B) Twin birth infant, and prematurity are not considered risk
C) Breech presentation factors.
D) Cesarean delivery
E) Premature birth