A 67-year-old woman is admitted with fever (38.1°C) and a productive cough of green sputum. Her pulse rate of 101 / min, BP 80/60 mmHg and respiratory rate of 32 / min. She is alert and orientated. Blood results reveal a WBC of 21,000, urea of 8.5 and chest x- ray shows a patch of consolidation in the lower zone of the right lung She is treated for severe community - acquired pneumonia. Which of the following represents her calculated CURB - 65 score?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: C. 4
Each CURB-65 item scores 1 point: Confusion 0 (alert and oriented), Urea 8.5 mmol/L (>7) = 1, RR 32 (30 or more) = 1, BP 80/60 = 1, Age 67 (65 or more) = 1. Total = 4. The maximum possible score is 5, so 6 and 8 are impossible.
ليش كل خيار صح أو غلط
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A
ليش غلط
CURB-65 has only five items worth 1 point each (confusion, urea, RR, BP, age), so 6 is impossible.
✓ Pneumonia (1).pdf · p. 4 -
B
ليش غلط
CURB-65 has only five items worth 1 point each (confusion, urea, RR, BP, age), so 8 is impossible.
✓ Pneumonia (1).pdf · p. 4 -
C
ليش صح
One point each: urea 8.5 (>7 mmol/L), RR 32 (30 or more), BP 80/60 (SBP 90 or less) and age 67 (65 or more); she is alert, so no point for confusion. Total 4.
✓ Pneumonia (1).pdf · p. 4 -
D
ليش غلط
A score of 1 is an outpatient score, but she meets four items (urea >7, RR 30 or more, SBP 90 or less, age 65 or more), so it is 4, not 1.
✓ Pneumonia (1).pdf · p. 4
- المصدر
- Pneumonia (1).pdf · p. 4
- المحاضرة
- Pneumonia · Pulmonology · Module B
- ظهر في
- Respi bank