A 55-year-old farmer man has 3 days history of fever, cough and shortness of breath, associated with fatigue and chills. He reports drinking fresh camel milk one week ago. His temp 38.5,RR 26/min, BP 120/75mmHg, pulse 96/min, 02 sat 94% in room air. Respiratory exam reveals right middle lobe bronchial breathing with crepitation. What is the most appropriate next step in management?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Put the patient in droplet isolation
Pneumonia after camel exposure (fresh camel milk) in Saudi Arabia = suspected MERS-CoV; the first step is to admit with isolation precautions before confirmation by RT-PCR. Discharge with antivirals is unsafe, SpO2 94% does not need 10 L/min oxygen, and bronchodilators do not address the problem. Note the slides specify contact + airborne isolation, so option B is the best available answer even though it says droplet.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Suspected MERS (pneumonia after camel-milk exposure) is managed by admission with isolation, supportive care and empiric antimicrobials, not by discharge with an antiviral.
✓ Inefctious Diseases 🦠.pdf · p. 9 -
B
ليش صح
Suspected MERS-CoV pneumonia is admitted and isolated before RT-PCR confirmation. The slides specify contact + airborne isolation, so droplet isolation is the closest available option.
✓ Inefctious Diseases 🦠.pdf · p. 9 -
C
ليش غلط
For suspected MERS the lecture's management starts with admission and isolation; oxygen is part of the supportive care that follows. With a saturation of 94%, high-flow oxygen at 10 L/min is not the priority step.
✓ Inefctious Diseases 🦠.pdf · p. 9
- المصدر
- Inefctious Diseases 🦠.pdf · p. 9
all ID 🦠.pdf · p. 28 - المحاضرة
- Emerging Infections (MERS, Dengue, Influenza) · Infectious Diseases · Module B
- ظهر في
- ID bank