4 indications for cxr w acute cough - Correct
Answer-Abnormal VS, rales, consolidation,
>75 yo, fever
Who gets PPSV23 vaccine: - Correct Answer--
Single dose 65 or older
-Single dose 19-64 if chronic illness, smoker,
grp home
-Immunocompromised receive another dose
at 5 YR interval
-ALWAYS get dose at 65 even if received
earlier doses as long as 5 Years has passed!!
Bacteria MC responsible for pneumonia
deaths: - Correct Answer-Strep pneumonae
(Gram +)
Vendarsol
,3 MC bacteria in CAP: - Correct Answer-S.
Pneumoniae
Mycoplasma pneumoniae (walking
pneumonia)
Chlamydophila pneumoniae
Best initial abx for CAP if no abx in last 3
mths: - Correct Answer-Doxycycine or
Macrolide (Azithromycin or Clarithromycin)
bc they cover for Atypical!
Best initial abx for CAP if comorbidities or
abx in last 90 - Correct Answer-Resp
quinolone (levofloxacin, gemifloxacin,
moxifloxacin) or IF ALLERGY
Beta-lactam (PCN or cephalosporin) PLUS
macrolide
Course of antibiotics for pneumonia: - Correct
Answer-3 days longer than s/s of infection.
, Confirms COPD on PFTs: - Correct Answer-
FEV1/FVC <70%
COPD staging: - Correct Answer-Bigger
number more severe
Med is crucial for COPD pts: - Correct
Answer-SABA!! Albuterol, xopenex,
Beta1 receptors: - Correct Answer-Heart
Beta2 receptors: - Correct Answer-Lungs
Maintenance drug of choice for all levels of
asthma: - Correct Answer-ICS (Inhaled
corticosteroid)
Classifies persistent asthma: - Correct
Answer->2 days /wk symptoms; nighttime sx
>3 x month
Postitive PPD readings differ for
immunocompromized: - Correct Answer-Smaller size
of induration positive if immunocompromized (>15 mm if
healthy, >5mm if HIV)
Baciille Calmette Guerin vaccine protect against: - Correct
Answer-BCG vaccine for TB. Given in other countries.
Vendarsol
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