Author Question: Rapidly spreading multilobar consolidation is typical for what type of pneumonia? a. Klebsiella ... (Read 87 times)

ishan

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Rapidly spreading multilobar consolidation is typical for what type of pneumonia?
 
  a. Klebsiella
  b. Legionella
  c. Pneumocystis jiroveci
  d. Viral

Question 2

Which of the following would be associated with a fatal outcome in a patient with pneumonia who is mechanically ventilated?
 
  a. Heart rate of 110 beats/min
  b. Multisystem organ failure
  c. Presence of purulent sputum
  d. Respiratory alkalosis



wilsonbho

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Answer to Question 1

ANS: B
Table 24-4 lists the radiographic patterns produced by pathogens in CAP.

Answer to Question 2

ANS: B
In mechanically ventilated patients, factors associated with fatal outcome include the following:
 Infection with high-risk organisms such as P. aeruginosa, Acinetobacter species, and Steno-trophomonas maltophilia
 Multisystem organ failure
 Nonsurgical diagnosis
 Therapy with antacids or H2-receptor antagonists
 Transfer from another hospital or ward
 Renal failure
 Prolonged mechanical ventilation
 Coma or shock
 Inappropriate antibiotic therapy
 Hospitalization in a noncardiac ICU



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