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UNIT 2 -ALL CMN 568 Exam Questions and Answers 100% Verified
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UNIT 2 -ALL CMN 568 Exam Questions and Answers 100% Verified
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UNIT 2 -ALL CMN 568 Exam Questions and Answers100% Verified
After exposure to toxic fumes, a pt gradually develops cough and dyspnea, he most likely has:
CORRECT ANS-Acute Bronchiolitis
Risk factors for development of bronchiolitis in the adult pt include:
a. exposure to toxic fumes
b. viral infection
c. organ transplant
d. systemic lupus erythematosus
e. all of the above CORRECT ANS-e. all of the above
Connective tissue disease (SLE)
Treatment for a pt with proliferative bronchiolitis includes________________ for ___-___
months, then tapered to 20-40 mg/day CORRECT ANS-Prednisone 1mg/kg/day for 1-3
months
T or F: When narrowing the dif. dx of causes of pna in the immunocompromised adult,
remember - Defects in humoral immunity predispose to bacterial infections; defects in cellular
, UNIT 2 -ALL CMN 568 Exam Questions and Answers
100% Verified
immunity lead to infections with viruses, fungi, mycobacteria, and protozoa. CORRECT
ANS-True
- Antibiotic therapy in the preceding 90 days.
- Acute care hospitalization for at least 2 days in the preceding 90 days.
- Residence in a nursing home or extended care facility.
- Home infusion therapy, including chemotherapy, within the past 30 days.
- Long-term dialysis within the past 30 days.
- Home wound care.
- Family member with an infection involving a multiple drug-resistant pathogen.
- Immunosuppressive disease or immunosuppressive therapy. CORRECT ANS-Risk factors
for HCAP
Three factors distinguish nosocomial pneumonia from CAP: CORRECT ANS-(1) different
infectious causes.
(2) different antibiotic susceptibility patterns, specifically, a higher incidence of drug
resistance.
, UNIT 2 -ALL CMN 568 Exam Questions and Answers
100% Verified
(3) the patients' underlying health status that puts them at risk for more severe infections.
Colonization of the ________ and possibly the ________ with bacteria is the most important
step in the pathogenesis of nosocomial pneumonia. CORRECT ANS-pharynx; stomach
Within ___ hours of admission, ___% of seriously ill hospitalized patients have their upper
airway colonized with organisms from the hospital environment. CORRECT ANS-48; 75%
Patients with anaerobic pleuropulmonary infection usually present with constitutional
symptoms such as fever, weight loss, and malaise, dentition is often poor, however, rarely
edentulous; if so, an
________ ________ ________is usually present. CORRECT ANS-obstructing bronchial
lesion
Representative material for culture of anaerobic organisms can be obtained only by
a. transthoracic aspiration
b. thoracentesis
, UNIT 2 -ALL CMN 568 Exam Questions and Answers
100% Verified
c. bronchoscopy with a protected brush.
d. all of the above CORRECT ANS-d. all of the above
Expectoration is inappropriate.
This anaerobic pleuropulmonary infection appears as a thick-walled solitary cavity
surrounded by consolidation.
a. Empyema
b. Necrotizing pna
c. Lung abscess
d. A and C CORRECT ANS-c. Lung abscess
T or F: Refer all pts with CXR findings consistent with anaerobic pleuropulmonary infection for
hospital admission, IV abx, and most likely a chest tube. CORRECT ANS-True
____________ alone is inadequate treatment for anaerobic pleuropulmonary infections
because an increasing number of anaerobic organisms produce B-lactamases CORRECT
ANS-PCN
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