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A 32-year-old man has acute bronchitis. He is a non smoker and is otherwise
healthy. How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - Answer✔✔ -A. Treat symptoms only
An 84-year-old male has acute bronchitis. Which of the following tests would you
perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI - Answer✔✔ -B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is
otherwise healthy. What is the most likely etiology? A. Viral infection
,B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae - Answer✔✔ -D. Haemophilus influenzae
A 76 year old man has acute productive cough, fever 100-101 F for the past 3-4
days. He is a non smoker and is otherwise healthy. Which likely diagnosis should
be included in your differential? A. Acute bronchitis
B. Pneumonitis
C. Pneumonia
D. COPD
E. Bronchiectasis
F. Pertussis - Answer✔✔ -C. Pneumonia
Which of the following warrant a chest x-ray when an acute cough is present?
A. Temp 100.4
B. HR 86
C. Rales, consolidation
D. >65 years of age
E. RR 26 - Answer✔✔ -A. C. E.
Abnormal vital signs (increased RR or HR, temp >100.4)
Rales, consolidation
>75 years of age with cough
A 76 year old male has a chest x-ray that shows infiltrates. Which of the following
medication is first-line treatment?
, A. Amoxicillin 1 gram TID
B. Doxycycline 100 mg BID
C. Azithromycin 500 mg on first day, then 250 mg daily
D. Clarithromycin 500 mg BID - Answer✔✔ -A. Amoxicillin 1 gram TID
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a
chest x-ray that shows infiltrates. Which of the following medications is first line
treatment?
A. Amoxicillin
B. Levofloxacin
C. Azithromycin
D. Doxycycline - Answer✔✔ -B. Levofloxacin
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a
chest x-ray that shows infiltrates. Which of the following is the most likely
pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection - Answer✔✔ -A. H. flu.
A 56 year old male has suspected COPD. Which of the following symptoms are
indicative of COPD?
A. Progressive dyspnea
B. Acute cough
C. Sputum productive over the past 2 months
D. FEV1/FVC ratio >0.70