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CMN 568 UNIT 2 Questions and Answers Graded A+
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Exam of 8 pages for the course CMN 568 at CMN 568 (CMN 568 UNIT 2)
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CMN 568 UNIT 2Community Acquired Pneumonia often occurs in the elderly: Thus, it's important to note
the differences in how they would present. In addition to dyspnea,
tachypnea, and inspiratory crackles -- What additional symptoms or change in timing
would be seen? SELECT ALL THAT APPLY
A: cough with or without sputum
B: low temperature
C: subacute onset of symptoms
D: acute change in mental status - answerABD
A: cough with or without sputum
B: low temperature
D: acute change in mental status
What is the MOST sensitive sign in the elderly presenting with pneumonia?
A: tachypnea
B: low-grade fever
C: mental status change
D: inspiratory crackles - answerA. Tachypnea
55 yr. old patient presents to your clinic with dyspnea, fever, and inspiratory crackles
heard on auscultation. You suspect CAP. Your next intervention would be?
A: Order blood work, EKG, CXR
B: Order PFTs
C: Order spirometry test with PRN bronchodilator
D: Order PO antibiotics - answerD. Order PO abx
During your initial work-up for patient with CAP, you order a rapid nasal swab to detect
Influenza. Your patient questions why this
is necessary. Your response is?
A: Most often, influenza is the cause
B: A positive test will determine treatment
C: Influenza could complicate CAP disease progression
D: I need to obtain this test to report to Health Department - answerB: A positive test will
determine treatment
, T or F: CXR cannot identify causative organism or distinguish bacterial from viral
pneumonia - answerTrue
A 35-yr. old patient with hx of recent corticosteroid use reports to your clinic and is
diagnosed with CAP. You check the eMAR and
determine this patient has received azithromycin 4 wks ago. What is the recommended
outpatient abx choice?
A: clarithromycin
B: amoxicillin
C: clindamycin
D: levaquin - answerD. Levaquin
MOST IMPORTANT FOR THIS EXAM ESPECIALLY:
Answer: D any patient w/ risk of drug resistance receives a respiratory fluoroquinolone
or a macrolide + b-lactam (Drug resistance factors =
abx <90 days, >65yr old, comorbid illness, immunosuppression, exposed to a child in
daycare)
A patient schedules an appointment with you regarding a persistent cough for 3 weeks.
You look in the medical record and see his last
visit was the diagnosis of CAP. What is your intervention for this patient?
A: Order a repeat CXR to evaluate current treatment
B: Order repeat labs to evaluate for persistent infection
C: Schedule an appointment 4 weeks from today
D: Perform a rapid flu swab to evaluate for flu - answerC: Schedule an appointment 4
weeks from today
Remember: Cough and fatigue may last up to 4 weeks. Routine CXR not needed if
patient is improving.
Answer: C
What clinical prediction rule can help guide the decisions concerning whether to admit
or treat a patient with CAP outpatient?
A: Pneumonia Severity Index
B: Modified Wells Score
C: CURB-65
D: CIWA score - answerC. CURB-65
Estimates mortality
A score of "1-2" using the CURB-65 means what? - answerAdmit to hospital
A score of "1-2" using the CURB-65 means what? - answerAdmit to ICU
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