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Pneumonia Topic Discussion Quiz!

Total questions: 10

Worksheet time: 12mins

Name
Class
Date
1.

A patient presents to the Emergency Department and is admitted to the hospital. Later that day, the patient begins developing a productive cough and is diagnosed with pneumonia. What type of pneumonia does this patient have?

a)

Hospital Acquired Pneumonia (HAP)

b)

Community Acquired Pneumonia (CAP)

c)

Emergency Department Associated Pneumonia (EDAP)

d)

Ventilation Acquired Pneumonia

2.

What is the treatment duration of CAP?

a)

At least 3 days

b)

At least 5 days

c)

At least 7 days

d)

At least 10 days

3.

Which of the following patients with CAP should have a Gram Stain and Culture of Lower Respiratory Secretions ordered at the time of their diagnosis?

a)

78-year-old female presenting to her ambulatory care clinic for CAP treatment

b)

56-year-old male admitted for CAP. The patient received Zosyn 2 weeks ago for an unrelated intraabdominal infection.

c)

34-year-old female receiving levofloxacin monotherapy for management of her inpatient CAP.

d)

86-year-old male with structural lung disease, who is intubated.

4.

CURB-65 score for the following patient:

A 73-year-old female presents to the ED with altered mental status, fever, and a productive cough. The patient's BP is 104/70 mmHg, RR is 26, and BUN is 24.

4 lines
5.

Based on the patient's CURB-65 score of 3, the patient should be treated (a)   ?

6.

Which outpatient antibiotic course is the most appropriate for a patient with mild CAP who has no comorbidities?

a)

Ciprofloxacin 750 mg PO BID daily for 5 days

b)

Ceftriaxone 1-2 grams daily for 5 days

c)

Levofloxacin 750 mg PO daily + Augmentin 875 mg for 7 days

d)

Amoxicillin 1 gram PO TID x 5 days

7.

What are some risk factors that would require a patient's treatment to cover MRSA and/or Pseudomonas?

4 lines
8.

What is the treatment duration of HAP/VAP?

a)

At least 5 days

b)

At least 7 days

c)

At least 10 days

d)

At least 14 days

9.

A patient is diagnosed with aspiration pneumonia. Which pathogens are most concerning and what agent should be used to treat the patient?

a)

Atypical bacteria - macrolides

b)

Viruses - Tamiflu (oseltamivir)

c)

MDR bacteria (MRSA) - vancomycin

d)

Anaerobes - UNASYN

10.

A patient is diagnosed with HAP. PMH significant for recent bacteremia, for which the patient received ceftriaxone, and COPD (structural lung disease). What would you like to treat the patient with?

a)

Cefepime + Gentamicin + Linezolid

b)

Ertapenem + Daptomycin

c)

Ciprofloxacin + Vancomycin

d)

Aztreonam + Levofloxacin + Zosyn