Which of the following would be the more common route for ...

[TVarnum]

Which of the following would be the more common route for nosocomial pathogens to be trans-mitted?
 
  a. Directly patient to patient
  b. Fecal-oral route
  c. Aerosol route
  d. Via the health care worker

Question 2

A patient presents with high fever, teeth-chattering chills, pleuritic pain, and a cough producing rust-colored sputum. What pathogen should be suspected?
 
  a. Chlamydia pneumoniae
  b. Legionella pneumoniae
  c. Mycoplasma pneumoniae
  d. Pneumococcal pneumoniae

[xMRAZ]

Answer to Question 1

ANS: D
Nosocomial pathogens capable of producing hospital-acquired pneumonia can be transmitted di-rectly from one patient to another, as in the case of tuberculosis. However, transmission from health care workers (including respiratory therapists (RTs)), contaminated equipment, or fomites (objects capable of transmitting infection through physical contact with them) is more common, especially for gram-negative bacilli, S. aureus, and viruses.

Answer to Question 2

ANS: D
In patients presenting with high fever, teeth-chattering chills, pleuritic pain, and a cough produc-ing rust-colored sputum, pneumococcal pneumonia is the most likely diagnosis.

[TVarnum]

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[amcvicar]

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