Deck 15: Pneumonia

Question 1

The most commonly prescribed therapeutic agent used against Respiratory Syncytial Virus (RSV) is:

A) methicillin (Staphcillin).
B)flouroquinolone (Ofloxacin).
C)virazole (Ribavirin).
D)metronidazole (Flagyl).

Answer 1

virazole (Ribavirin).

Question 2

Your patient has bilateral pneumonia. What findings can be expected on the CT scan?
1) Depressed diaphragms
2) Elongated heart
3) Air bronchograms
4) Consolidation

A)3, 4
B)1, 2
C)2, 3, 4
D)1, 2, 3, 4

Answer 2

3, 4

Question 3

Your patient has a bacterial pneumonia. What kills the invading bacteria?

A) Macrophages
B)Red blood cells
C)Polymorphonuclear leukocytes
D)Serum fluid

Answer 3

Polymorphonuclear leukocytes

Question 4

Which of the following can cause pneumonia?
1) Bacteria
2) Viruses
3) Prions
4) Fungi

A)1,2
B)2, 3
C)1, 2, 4
D)1, 2, 3, 4

Question 5

When a patient has pneumonia, what would be found in the alveolar effusion fluids?
1) Mucus
2) Serum fluid
3) Saliva
4) Red blood cells

A)1, 3
B)2, 4
C)2, 3
D)1, 2, 3, 4

Question 6

The following pulmonary infection is most commonly seen in patients with AIDS:

A) anaerobic.
B)Pneumocystis carinii.
C)Streptococcus pneumoniae (Diplococcus pneumoniae).
D)Legionella pneumophila.

Question 7

A patient has a pleural effusion related to her pneumonia. What can be used to help treat it?

A) Hyperinflation therapy
B)Supplemental oxygen
C)Thoracentesis
D)Percussion and postural drainage

Question 8

Overall, most cases of pneumonia are caused by:

A) viruses.
B)Gram-negative bacteria.
C)protozoa.
D)fungi.

Question 9

If a patient has pneumonia, which of the following can increase the risk of life-threatening illness or death?
1) Weakened immune system
2) COPD
3) Marfan's syndrome
4) Heart disease

A)1, 3
B)2, 4
C)1, 2, 3
D)1, 2, 4

Question 10

A 28-year-old patient who has dogs, parakeets, and cats as pets has been admitted with pneumonia. It is suspected that she acquired the infection from one of her pets. What organism is likely to be found in her sputum?

A) Bacteroides melaninogenicus
B)Staphylococcus aureus
C)Chlamydia psittaci
D)Haemophilus influenzae

Question 11

Which of the following is the most important in determining the cause of the patient's pneumonia?

A) Radiograph
B)Sputum examination
C)History
D)Breath sounds

Question 12

The most commonly prescribed class of antibiotic used against Gram-positive bacterial organisms is:

A) penicillin (Amoxicillin).
B)isoniazid (INH).
C)cephalosporins (Cefotaxime).
D)ketoconazole (Nizoral).

Question 13

Chest assessment findings on a patient with pneumonia would include all of the following EXCEPT:

A) bradycardia.
B)whispered pectoriloquy.
C)dull percussion note.
D)increased vocal fremitus.

Question 14

The most commonly prescribed aerosolized antibiotic used against Pneumocystis carinii is:

A) penicillin (Penicillin G).
B)tobramycin (TOBI).
C)tetracycline (Achromycin).
D)pentamidine isethionate (NebuPent).

Question 15

Ventilator-acquired pneumonia (VAP) is defined as pneumonia that develops:

A) between 24 and 48 hours after endotracheal intubation.
B)more than 48 to 72 hours after endotracheal intubation.
C)less than 24 hours after mechanical ventilation is started.
D)more than 48 to 72 hours after mechanical ventilation is started.