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1. A patient reports persistent cough, fever, and pleuritic chest
pain. Most likely diagnosis?
A. GERD only
B. Community-acquired pneumonia
C. Migraine only
D. Otitis externa
Rationale: Fever, cough, and pleuritic pain commonly indicate
pneumonia.
2. Which assessment finding supports pneumonia?
A. Clear lungs only
B. Crackles with decreased breath sounds
C. Bradycardia only
D. Jaundice only
Rationale: Consolidation often causes crackles or diminished
sounds.
3. Which outpatient treatment is commonly considered for
uncomplicated bacterial pneumonia?
A. Antifungal cream
, B. Appropriate oral antibiotic therapy
C. Opioids only
D. Insulin
Rationale: Bacterial CAP is commonly treated with oral antibiotics
based on guidelines.
4. Which vaccine helps prevent pneumonia complications?
A. Rotavirus
B. Pneumococcal vaccine
C. Varicella newborn only
D. Tdap monthly
Rationale: Pneumococcal vaccination reduces risk of serious
infection.
5. Which symptom suggests pulmonary embolism?
A. Chronic constipation only
B. Sudden dyspnea with pleuritic chest pain
C. Dry scalp only
D. Toe numbness only
Rationale: PE often presents abruptly with shortness of breath and
chest pain.
6. Which patient has the highest risk for pulmonary embolism?
A. Healthy jogger
B. Recent surgery with prolonged immobility
, C. Child with cold
D. Person with acne
Rationale: Surgery and immobility strongly increase VTE risk.
7. Which diagnostic test is commonly used to evaluate suspected
PE in stable patients?
A. Colonoscopy
B. CT pulmonary angiography
C. EEG
D. Bone scan only
Rationale: CT angiography is commonly used to detect pulmonary
emboli.
8. Which symptom suggests asthma exacerbation?
A. RLQ pain only
B. Wheezing with shortness of breath
C. Hematuria only
D. Dry skin only
Rationale: Bronchospasm commonly causes wheezing and dyspnea.
9. Which medication is a rescue inhaler for asthma?
A. Fluticasone
B. Albuterol
C. Montelukast
D. Tiotropium only
, Rationale: Albuterol is a short-acting bronchodilator for acute
relief.
10. Which patient teaching is correct for inhaled
corticosteroids?
A. Use only during attack
B. Rinse mouth after use
C. Stop when symptoms improve for one day
D. Share inhaler with family
Rationale: Rinsing reduces oral candidiasis risk.
11. Which finding supports COPD diagnosis?
A. Reversible obstruction only
B. Smoking history with chronic cough and dyspnea
C. Sudden edema only
D. Acute RLQ pain only
Rationale: COPD is common in smokers with chronic respiratory
symptoms.
12. Which intervention most slows COPD progression?
A. Bedrest permanently
B. Smoking cessation
C. Increase sodium intake
D. Avoid all vaccines
Rationale: Smoking cessation is the most effective intervention.