70-year-old ICU patient, developed fever and foul-smelling productive cough, what is the most likely organism?
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: C. Pseudomonas aeruginosa
- إجابة ثانية: A. Klebsiella pneumonia.
An ICU patient who develops pneumonia has hospital/ventilator-acquired pneumonia, and the lecture names Pseudomonas aeruginosa as the key VAP/HAP organism, so C is the intended answer. However, foul-smelling sputum is the sources' clue for aspiration pneumonia, and Ninja Nerd lists Klebsiella (with anaerobes and S. aureus) as an aspiration organism, so A is defensible. S. pneumoniae is the typical CAP organism and fits least.
ليش كل خيار صح أو غلط
-
A
ليش صح
Supported by the Respiratory Pathology notes: ICU factors such as sedation or being intubated on a ventilator cause aspiration, and Klebsiella is listed first among organisms to consider in aspiration.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 2 -
B
ليش غلط
S. pneumoniae is listed as the most common typical community-acquired (CAP) organism, and it does not appear in the HAP or VAP lists.
✓ Pneumonia.pdf · p. 7 -
C
ليش صح
Supported by the Pneumonia slides: Pseudomonas is the key VAP organism and also a HAP organism, which fits an ICU patient who develops pneumonia.
✓ Pneumonia.pdf · p. 7
- المصدر
- Pneumonia.pdf · p. 7
Pneumonia (1).pdf · p. 7
10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 2 - المحاضرة
- Pneumonia · Pulmonology · Module B
- ظهر في
- Respi bank