Question

Question 1 1 points Save Answer A 26 y.o. male visited the emergency department with a clo of a nonproductive cough, dyspnea, and fever X 2 days; pt. does not smoke and has otherwise been in good health. VS: T 101° F, B/P 100/64, R 25, P 104. Tachypnea is accompanied by mild cyanosis, and inspiratory crackles are noted upon auscultation. WBC 31,000, Hct 37%, platelet count 109,000. CXR shows diffuse infiltrates at the bases of both lungs. An ABG taken while the patient was breathing room air showed a pH of 7.54, CO2 of 20, 02 74. A Sputum C & S was done. DX: Pneumonia of idiopathic etiology Plan: Erythromycin, 1 GM IV stat Admit to ICU Deliver O2 by non-rebreather mask and monitor for hypoxemia What is the patient's chief complaint? Afebrile with a dry cough and difficulty breathing Febrile with a dry cough and difficulty breathing 0 Cannot breathe, fever, and coughing up material from the lungs 0 Febrile, coughing up sputum, and breathing fast 0

Answer 1

Question 1

Answer is option 2:Chief complaint is febrile,with dry cough and difficulty in breathing

Because the patient has temperature of 101 ,dysnea and non productive cough .

The other options 1 is wrong because it states that the patient is afebrile,third option states that the patient is coughing out materials from lungs,and fourth option states that he has productive cough all which are wrong statement.

Question 2

Answer is option 4 :physical examination shows a a fast breathing ,blue skin and popping sound in the lungs when Patient inhales because the patient has tachypnea associated with cynosis and crackle sound on inhalation.crackles sound is the popping sound of alveoli when it opens up after collapse .

The 1st option is wrong it mentions slow breathing and ronhi heard slow breathing is bradypnea .2nd option is wrong as the lung sound mentioned is musical but in crackles it is not a musical sound .option 3 is wrong because it is stated about tachycardia and not tachypnea ..

Question 3

Answer is option 1 :density representing solid material usually indicating inflammation.because chest x-ray shows diffuse infiltrates in the base of lungs and the patient is diagnosed with pneumonia

In asthma very minute changes are found in x-ray ,in lung cancer a tumour could be seen as a solid mass in the lungs in x-ray and fluid filled space may show pulmonary edema which may have a full costophrenic angle .but the patient WBC being 31000 shows like pneumonia.

Question 4

Answer is option 3 inflammation of lungs of unknown cause because the patient has diffuse infiltrates which is suggestive of pneumonia which is the inflammation of lungs .and the cause is idiopathic which means unknown cause

Option 1 is wrong because dilatation of bronchi with mucus filled is seen in bronchitis.option 2 inflammation of pleura is called pleurisy and it doesn't cause diffuse infiltrates in the base of lungs option 4 inflammation of lungs with dust and chemicals is interstitial lung disease and not kneumonia it's an occupational disorder.