1.how long will a cough last for acute bronchitis?
...ANSWER...up to three weeks is completely normal
2.how do you treat acute bronchitis?
...ANSWER...95% cases are viral-- tessalon pearls to help with
cough. ** prednisone is never the answer ***
3.explain the following views of chest xrays: AP, PA, PA and
lateral
which one do you want for pneumonia patient?
...ANSWER...AP- shows the heart predominantly because its
from front to back
PA- shows the lungs predominantly because its back to front
lateral shows fluid line
4.what is the gold standard for diagnosing community
acquired pneumonia
...ANSWER...chest xray- PA/lateral, repeat post treatment in 6
weeks (repeat not really done anymore)
5.treatment guidelines for CAP- healthy adult no
comorbidities...ANSWER...MAD LUNG
amoxicillin 1 gram TID (best choice)
doxycycline 100 mg twice daily
macrolide (mycin) in areas with low macrolide resistance so
not the best choice
, treatment guidelines for CAP- adult with comorbidities
...ANSWER...monotherapy: respiratory quinolone (levofloxacin
750 mg daily)
combination therapy: augmentin or cephalosporin PLUS
macrolide or doxy
6.what are common respiratory fluroquinolones?
...ANSWER...Think FLOXACIN-- moxifloxacin, gemifloxacin,
levofloxacin
7.what are common macrolides for CAP
...ANSWER...think "MYCIN"-- azithromycin, clarithromycin
8.what are common tetracyclines for CAP
...ANSWER...doxycycline
9.what are common beta lactams for CAP
...ANSWER...amoxicillin, augmentin (amox with clav),
cefpodoxime, cefuroxime
10.how would you treat a pregnant 29 year old with
pneumonia?
ANSWER...Amoxicillin 1 g TID-- cant give levaquine
(flouroquinolones no in pregnancy due to fetal ligament
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