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IT2 Exam 2

Total questions: 43

Worksheet time: 28mins

Name
Class
Date
1.

Which are a part of the upper respiratory tract?

a)

Sinusitis

b)

Pharyngitis

c)

Pneumonia

d)

Meningitis

2.

Which is inflammation of lung caused by a pathogen?

a)

Pneumonia

b)

Pnemonitis

3.

What is inflammation of the lung that is NOT caused by a pathogen?

a)

Pneumonia

b)

Pharyngitis

c)

Pneumonitis

4.

What are some clinical symptoms of upper respiratory tract infections?

a)

Fever

b)

Chills

c)

Nasal Congetion

d)

Cold

e)

Facial pressure

5.

What are symptoms of lower respiratory tract infections?

a)

Fever

b)

Post nasal drip

c)

Sputum production

d)

Dyspnea

e)

Pheuritic chest pain

6.

At what time should antibiotics be recommended for sinusitis?

a)

>10 days

b)

Severe symptoms (3-4 days)

c)

Symptoms worsen after initial improvement

d)

None of these

e)

When person is in contact with others and may risk spread

7.

Which are severe symptoms of sinusitis?

a)

Fever >102

b)

Pus discharge

c)

Severe pain

d)

Chest pain

e)

Sinus pressure

8.

What are the main pathogens to worry about for sinusitis?

a)

Strep (+)

b)

H.influenzae (-)

c)

M.catarhalis (-)

d)

Klebsiella (-)

9.

Which conditions RARELY gets treated because vast majority of cases are viral?

a)

Sinusitis

b)

Pneumonia

c)

Pharyngitis

10.

What would be the 1st line empirical treatment for sinusitis?

a)

Augmentin

b)

Ceftriaxone

c)

Doxycycline

d)

Levofloxacin

11.

Which are the common bacterial pathogens of the upper respiratory tract?

a)

S.pneumoniae (+)

b)

H.influenzae (-)

c)

M.catarrhalis (-)

d)

Anaerobes

12.

Would cephalexin be a good treatment for Sinusitis treatment?

a)

Yes

b)

No

13.

Patient comes in experiencing facial pressure, maxillary pain, hyposmia/anosmia, fever/cough, nasal congestion/post nasal drip. What is the most appropriate antibiotic?

a)

None

b)

Augmentin

c)

Doxycycline

d)

Moxifloxacin

14.

Which bacteria would you worry about for pharyngitis?

a)

Staph

b)

Strep

c)

MRSA

d)

Klebsiella

15.

Which describes CAP?

a)

If patients get admitted with pneumonia

b)

Come into the hospital without pneumonia

c)

Patient acquired pneumonia while on a ventilator

16.

Common pathogens for sinusitis?

a)

S.pneumoniae

b)

H.influenzae

c)

M.catarrhalis

d)

Staph

17.

Common bacterial pathogens for lower respiratory tract infections?

a)

Viral

b)

Bacterial

c)

Fungal

d)

Anaerobic

18.

What bacteria is the main cause of pharyngitis?

a)

Strep

b)

Staph

c)

Klebsiella

d)

Legionella

19.

Which condition is rarely treated with antibiotics because it is <10% caused by bacteria?

a)

Sinusitis

b)

Meningitis

c)

Pneumonia

20.

Would Cefuroxime be a good choice for Sinusitis?

a)

Yes

b)

No

21.

Out of all of these choices which would be the BEST choice for sinusitis?

a)

Cefuroxime

b)

Cefepime

c)

Cephalexin (Keflex)

d)

Ceftazidime

22.

If patient is in hospital/ER and is being treated for pneumonia and the main pathogen is strep which would be the best antibiotic?

a)

Penicillin

b)

Vancomycin

c)

Amoxicillin

d)

Augmentin

23.

Why wouldn’t Penicillin be an ideal choice for the patient with pneumonia?

a)

Renal adjustment required

b)

Too broad coverage

c)

Too narrow of coverage

d)

Has to be taken 4 times a day compliance becomes an issue

24.

Which pneumonia is developed >2 or more days AFTER admitted into hospital?

a)

CAP

b)

HAP

c)

VAP

25.

A patient requires a medication for an infection. The patient has NO comorbidities and is seemingly healthy with no signs of drug resistance. What would be a treatment of choice?

a)

Zosyn

b)

Amoxicillin

c)

FQ

d)

Aminoglycosides

26.

Select the most common pathogens for CAP?

a)

Strep

b)

Staph

c)

Haemophilus

d)

Moraxella

e)

Chlamydia

27.

What are the most common pathogens that cause CAP?

a)

Mycoplasma

b)

Klebsiella

c)

Chlamydia

d)

Mycoplasma

e)

Haemophilus

28.

A patient comes in and requires treatment for CAP, you start the patient on Amoxicillin and they fail to show improvement. They also show worsening of symptoms. What bacteria is NOT covered?

a)

Gram +

b)

Gram -

c)

Atypicals

29.

If a patient is started on Amoxicillin and is showing no signs of improvement. What could you switch the patient to?

a)

Macrolides

b)

Doxycyline

c)

Augmentin

d)

Vancomycin

30.

Which medications can you add onto a regimen to add atypical coverage?

a)

Doxycycline

b)

Azithromycin

c)

Aztreonam

d)

Augmentin

31.

A patient comes in with HF what would be the first line treatment for CAP?

a)

Augmentin

b)

Azithromycin

c)

Amoxicillin

d)

Zosyn

32.

A patient with comorbidities comes back after being prescribed Augmentin + Azithromycin, what is NOT covered?

a)

Pseudomonas

b)

Gram +

c)

Gram -

d)

Atypicals

33.

A patient with chronic kidney disease comes in to be treated for CAP what would be a first line treatment?

a)

Augmentin

b)

Azithromycin

c)

Zosyn

d)

Vancomycin

34.

A patient is switched to Zosyn + Azithromycin and FAILS to get better. What would you want to cover for?

a)

MRSA

b)

Pseudomonas

c)

Atypical

d)

Anaerobes

35.

Which of these are patients that are shown to be early onset?

a)

2 days

b)

3 days

c)

4 days

d)

5 days

36.

Which of these patient’s are shown to be late onset?

a)

2 days

b)

3 days

c)

4 days

d)

5 days

e)

7 days

37.

Which of these would you add for MRSA coverage?

a)

Linezolid

b)

Zosyn

c)

Vancomycin

d)

Penicillin

38.

Which of these would be target pathogens for those with late onset CAP?

a)

Pseudo

b)

MRSA

c)

Anaerobes

d)

Aypicals

39.

Would Cefuroxime be a valid treatment for sinusitis?

a)

Yes

b)

No

40.

Which of these medications would be a good antibiotic to give for a patient with Sinusitis?

a)

Cefuroxime

b)

Cefepime

c)

Cephalexin

d)

Dicloxacillin

41.

What are the common pathogens that need to be covered for sinusitis?

a)

Gram (+)

b)

Gram (-)

c)

Atypicals

d)

MRSA

42.

What are the main pathogens to be covered for pharyngitis?

a)

Strep

b)

Staph

c)

Anaerobes

d)

Atypical

43.

What are the common pathogens that need to be covered for CAP?

a)

Strep

b)

Moraxella

c)

Haemophilus

d)

Mycoplasma