Pneumonia
Pneumonia Knowledge Assessment
Test your knowledge about pneumonia with this engaging quiz! Dive into important concepts related to pneumonia, its causes, diagnosis, and treatment options. Are you ready to challenge yourself?
- Multiple-choice questions
- Fictional scenarios to enhance learning
- Assess your understanding of pneumonia-related medical knowledge
Name
1. This phase is characterized by successful containment of the infection and improvement in gas exchange.
Edema
Red hepatization
Gray hepatization
Resolution
2. Twins, Annie and Hallie, planned an Alaskan cruise tour with their parents in the hope of fixing their marriage. While looking at the glaciers, Annie met this 40 year-old handsome captain, named Capt. Allbvi Casiño, smoking cigar by the edge of the cruise ship. A few days later, He had fever, cough, and difficulty breathing. What is the most likely pathogen that caused his pneumonia?
Pseudomonas aeruginosa
Staphylococcus aureus
Haemophilus influenzae
Legionella pneumophila
3. After seeing Brienne and Jaime together after the war, Tormund (played by Kristofer Hivju) became an alcoholic to help him forget his sorrow. After a few months, he started having fever and productive cough. He went to a nearby apothecary owned by Lady Kathleen from the House of Cheng and as soon as milady saw his sputum, she knew exactly what he needed. What is the most likely pathogen that caused his pneumonia?
Staphylococcus aureus
Moraxella catarrhalis
Chlamydia pneumoniae
Klebsiella pneumoniae
4. Mr. Nick Miller, 53 year old male was admitted due to 5-day history of productive cough accompanied with fever and loss of appetite. Dr. Lim ordered for CBC, chest X-ray, and sputum GSCS. Which among the following laboratory results are the most accurate in diagnosing bacterial pneumonia?
CBC (Hgb 12/ Hct 42/ WBC 11/ 70- 28-2/ Plt 190) CXR (haziness in right lower lung field with minimal blunting of right CPA) Sputum GSCS (PMN >25/ EC 11-25 / gram positive cocci in pairs 2-3)
CBC (Hgb 13.2/ Hct 41 / WBC 12.3/ 73-24-3/ Plt 210) CXR (upper lobe infiltrates) Sputum GSCS (PMN >25/ EC <10/ gram positive cocci in chains 1-2)
CBC (Hgb 12.4/ Hct 40 / WBC 12/ 72- 25- 3/ Plt 192) CXR (streaky densities in right lower lobe) Sputum GSCS (PMN >25/ EC <10/ gram positive cocci in pairs 2-3)
CBC (Hgb 10/ Hct 41 / WBC 9/ 68-30-2/ Plt 220) CXR ( taken in poor inspiratory effort, pulmonary congestion cannot be ruled out, heart is enlarged) Sputums GSCS (PMN <25/ EC < 10/ yeast cells few)
5. Regina invited Karen to her party this coming weekend but Karen said: *cough *cough “I’m sick.” Being a good friend to Karen, Jannas Ian accompanied her to the ER, and was subsequently admitted. On day 7 of hospitalization, chest X-ray was requested which showed multiple air-filled cysts within the lung parenchyma. What is the most common organism causing these radiologic changes?
Legionella pneumophila
Coxiella burnetii
Burkholderia cepacia
Staphylococcus aureus
6. Dr. Grey will be operating on a 60-year old female patient next Friday. She was referred to Dr. ChristINA AGUILARa for CP clearance. Her ECG showed NSR at 88 with first degree AV block, but her chest X-ray showed multilobar infiltrates. Which among the variables listed are included to compute for the severity-of-illness- score of this patient?
Respiratory rate of 27 cpm
Urea of 6 mmol/L
Mean arterial pressure of ≤ 70
CBG of 65mg/dl
7. Luke and Johnny Walker were admitted due to pneumonia and was prescribed Ciprofloxacin 400mg/IV q12. Few days later, sputum culture and sensitivity showed resistance to Ciprofloxacin. Mobi-wan Chenobi wanted to investigate regarding pneumococcal resistance to the given drug. Which is true?
Changes in one or both target sites (topoisomerases II and IV) from mutations in the gyrA and parC genes
Target site-modification caused by methylation in 23S rRNA
Low affinity to binding proteins
All of the above
8. Aladdin, a street rat of Tondo, sought consult with Dr. Jesnin due to cough and fever. He was initially started on Ceftriaxone 2g/IV OD. However there’s still no improvement after 3 days of treatment. A sputum culture was done upon admission and showed Staphylococcus aureus positive for methicillin resistance. All of the following drug regimen can be used for this organism, EXCEPT
Piperacillin tazobactam 4.5 g/IV q6 + Levofloxacin 750mg/IV qd + Linezolid 600mg/IV q12
Piperacillin tazobactam 4.5 g/IV q6 + Ciprofloxacin 400mg/IV q12 + Linezolid 300mg/IV q12
Cefepime 2g/IV q12 + Levofloxacin 750mg/IV qd + Linezolid 600mg/IV q12
Meropenem 1g/IV q8 + Ciprofloxacin 400mg/IV q12 + Linezolid 600mg/IV q12
9. Owner of Erika’s Choice brought her fiancé, Capt. Ri Jung Hyuk, after being shot at the chest accompanied with head trauma. He was admitted at the ICU, GCS 5 and is currently intubated. Dr. Joon-Myeong “JM” explained the possibility of ventilator-associated-pneumonia to Ms. Erika. All of his following explanations are true EXCEPT.
The endotracheal tube and the concomitant need for suctioning can damage the tracheal mucosa, thereby facilitating tracheal colonization
Bacteria can form a glycocalyx biofilm on the tube’s surface that protects them from both antibiotics and host defenses.
The normal oropharyngeal flora is replaced by pathogenic microorganisms
All explanations are true. Dr JM wanted to be honest with Ms. Erika
10. Mr. Noah Centineo visits his wife, Zia who is suffering from Alzheimers dementia. He makes sure that he reads to her all their fond memories written in a notebook. One day, while going to her room, the house nurse offered the free vaccination for elderly. Which among the statements is TRUE.
The live attenuated influenza vaccine or nasal spray vaccine is still safe for elderly population.
Pneumococcal vaccine (PCV13) produces T cell–dependent antigens that result in long-term immunologic memory. This is recommended for the elderly and for younger immuno-compromised patients.
There is decreased risk of pneumococcal infection among patients without obstructive lung disease. Smokers should be strongly encouraged to stop smoking.
A pneumococcal polysaccharide vaccine (PPSV23) contains capsular polysaccharide from 13 of the most common pneumococcal pathogens affecting children is linked to an immunogenic protein.
PRC urged to waive board exams for new doctors amid COVID-19 pandemic Senator Francis Tolentino cited Section 12 of Republic Act No. 2382 or the Medical Act of 1959 which states in the presence of pandemics or national emergencies, “medical students who have completed the first four years of medical course, graduates of medicine, and registered nurses are allowed to render medical services upon authorization by the Secretary of Health without need of a certificate of registration.” His suggestion would be similar to Italy’s move waiving the licensure exam for 10,000 medical graduates as well as to United Kingdom, which opted for this emergency move during both World Wars. “Sa Italy, ginawa na nila ito. Hindi na nila pinakuha ng licensure examination ang 10,000 nilang medical graduates at pinayagan na silang maging ganap na mga doktor para agad silang makatulong sa COVID-19 health crisis nila doon,” If you are one of the medical students taking the board exam this year, would you agree with this statement? Elaborate your answer.
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