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Comprehensive AANP Review/ Complete Study Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from Tiffeny Wade) 1846 Questions with Definitive Solutions. $17.69
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Comprehensive AANP Review/ Complete Study Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from Tiffeny Wade) 1846 Questions with Definitive Solutions.
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Course
Comprehensive AANP
Institution
Comprehensive AANP
Comprehensive AANP Review/ Complete Study Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from Tiffeny Wade) 1846 Questions with Definitive Solutions. Terms like:
Treatment for Atypical PNA
1st line and alternative? - Answer: Macrolides
Okay to give antitussives as cough is mostly non-producti...
Comprehensive AANP Review/ Complete Study
Guide (LEIK/Barkley/Fitzgerald) pt. 3 (printed from
Tiffeny Wade) 1846 Questions with Definitive
Solutions.
Treatment for Atypical PNA
1st line and alternative? - Answer: Macrolides
Okay to give antitussives as cough is mostly non-productive
Doxycycline 100mg BID x10days
Treatment for Pertussis - Answer: Azithromycin or Clarithromycin (7 days); chemoprophylaxis
for close contacts, respiratory droplet precautions
,SABA, daily moderate dose ICS, or low dose ICS and LABA
CLASSIC CASE & FINDINGS:
Cough mainly dry, productive later with small amount of sputum, frequent paroxysms of
coughing, low grade fever, mild wheezing, chest pain with cough, headache
Lungs: from clear to severe wheezing
Percussion: resonant
Chest x-ray: Normal
Afebrile to low-grade fever - Answer: Acute Bronchitis
the patient you are evaluating is having a severe asthma flare. You have assessed that his
condition is appropriate for office tx. You expect to find the following on physical examination:
a. tripod posture
b. inspiratory crackles
c. increased vocal fremitus
d. hyperresonance on thoracic percussion - Answer: d. hyperresonance on thoracic percussion
Early bacterial PNA chest x-ray findings - Answer: May be normal
,[Whispered Pectoriloquy:] Abnormal (whispered words louder)
What pulmonary diagnosis? - Answer: CAP PNA
____________a common preventable and treatable disease, is characterized by persistent
airflow limitation that is usually progressive and associated with an enhanced chronic
inflammatory response in the airways and the lung to noxious particles or gase - Answer: COPD
which of the following best describes asthma?
a. intermittent airway inflammation with occasional
bronchospasm
b. a disease of bronchospasm that leads to airway
inflammation
c. chronic airway inflammation with superimposed
bronchospasm
d. relatively fixed airway constriction - Answer: c. chronic airway inflammation with
superimposed
bronchospasm
High risk populations for TB - Answer: Immigrants, migrant farm workers, illegal drug users,
homeless, inmates of jails and nursing homes, HIV-infected, immunocompromised
Chest x-ray and CBC findings in Atypical PNA - Answer: Usually diffuse rather than consolidated
infiltrates; CBC may be normal
_________ TB
Intact immune system causes macrophages to sequester bacteria in the lymph nodes
(mediastinum) in the form of granulomas - Answer: Latent
Page 3 of 366
, Asthma
Green zone on PEFR
80-100% expected volume, maintain or reduce meds - Answer: 80-100% expected volume,
maintain or reduce meds
Asthma controllers consist of what types of medications? (3) - Answer: Inhaled corticosteroids
(ICS)
Leukotriene modifiers (LTM)
Inhaled corticosteroids combined with long-acting beta2-agonist (ICS/LABA).
CLASSIC CASE & FINDINGS
[Clinical Presentation]
Fever, anorexia, fatigue, night sweats, mild non-productive cough (early phase), in later stages
productive cough with hemotypsis and weight loss.
Cavitations and adenopathy and granulomas in hila of lungs - Answer: TB
Prescribing Strategy for COPD
(4) - Answer: 1. Short acting anticholinergic PRN or SA Beta2 PRN, then
2. Long acting anticholinergic or LABA; plus rescue med, then
3. ICS + LABA or LA anticholinergic; plus rescue med, then
4. ICS + LABA and/or LA anticholinergic; plus rescue med
COPD Exacerbations - Answer: Oral Steroids for Exacerbations
• Shorten recovery time
• Improve lung function (FEV1) and arterial hypoxemia (PaO2)
• Reduce the risk of early relapse, treatment failure, and length of hospital stay
• A dose of 40 mg prednisone per day for 5 days is recommended
Page 4 of 366
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