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CMN 568 - UNIT 2 – ALL Questions and Answers | Latest Update

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  • CMN 568

After exposure to toxic fumes, a pt gradually develops cough and dyspnea, he most likely has: 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...

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  • September 26, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CMN 568
  • CMN 568
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CMN 568 - UNIT 2 – ALL Questions and
Answers | Latest Update
After exposure to toxic fumes, a pt gradually develops cough and dyspnea, he most likely

has:


✓ 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


✓ 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


✓ Prednisone 1mg/kg/day for 1-3 months




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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 immunity lead to infections with viruses, fungi, mycobacteria, and protozoa.


✓ 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.


✓ Risk factors for HCAP




Three factors distinguish nosocomial pneumonia from CAP:


✓ (1) different infectious causes.

(2) different antibiotic susceptibility patterns, specifically, a higher incidence of drug

resistance.



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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
(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.


✓ pharynx; stomach




Within ___ hours of admission, ___% of seriously ill hospitalized patients have their upper

airway colonized with organisms from the hospital environment.


✓ 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.


✓ obstructing bronchial lesion




Representative material for culture of anaerobic organisms can be obtained only by


a. transthoracic aspiration


b. thoracentesis


c. bronchoscopy with a protected brush.

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, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
d. all of the above


✓ 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


✓ 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.


✓ True




____________ alone is inadequate treatment for anaerobic pleuropulmonary infections

because an increasing number of anaerobic organisms produce B-lactamases


✓ PCN



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