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Lower Respiratory Tract Infections_ PNP Certification Questions
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Lower Respiratory Tract Infections_ PNP Certification Questions
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1-28 of 28The most common clinical presentation of pneumonia includes:
A) Cough, fever, tachypnea, and abdominal pain
B) Hemoptysis, putrid breath, and weight loss
C) Sudden chest pain, cyanosis
D) Retractions, stridor
, A: Cough, fever, tachypnea, and abdominal pain are typical signs of pneumonia.
Retractions and stridor are associated with croup.
A 4-week-old presents to your office in mid-January with a 1-week history of nasal congestion
and occasional cough. On the evening prior to this visit, the infant developed a temperature
of 102°F, refused to breastfeed, and had paroxysmal coughing and noisy, labored breathing.
On exam, you note an ill-appearing infant who is lethargic with tachypnea, wheezing, and
intercostal retractions. The infant does not attend day care but has a 3-year-old sibling who is
in day care and who recently had a "cold." Considering the clinical presentation, what is the
most likely cause of the infant's illness?
A) Mycoplasma pneumonia
B) RSV bronchiolitis
C) Aspiration pneumonia
D) Streptococcal infection of the pharynx
B:
December through March is a typical season for respiratory syncytial virus (RSV),
and it is commonly seen in infants 0-12 months of age. This presentation of fever,
tachypnea, and wheezing with retractions is classic.
Unilateral wheezing is a finding suggestive of:
A) Croup
B) Asthma
C) Foreign body aspiration
D) Cystic fibrosis
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