August 2020—Community-Acquired Pneumonia 2019 Guidelines: Outpatient Therapeutic Updates
1. Which pathogen is the most common cause of communityacquired pneumonia? A. Respiratory viruses B. Atypical bacteria C. Haemophilus influenzae D. Staphylococcus aureus E. Streptococcus pneumoniae F. Moraxella catarrhalis
7. Which of the following is the reason why tetracyclines should not be used in pregnant women? A. Discoloration of teeth and long tubular bones B. Increased risk of birth defects C. Increased risk of premature birth D. Increased risk of low birth weight
8. A patient is currently taking lisinopril, metformin, TUMS, and Tylenol. The patient is currently being prescribed 2. According to the ACIP, a 65-year-old male with no immun- levofloxacin for community acquired pneumonia. Which of the following is a counseling point for the patient? ocompromising condition, CSF leak, or cochlear should receive which vaccine? A. Separate levofloxacin by 2 hours before or 6 hours after metformin A. PCV13 B. Separate levofloxacin by 2 hours before or 6 hours after TyB. PPSV23 lenol C. Influenza C. Separate levofloxacin by 2 hours before or 6 hours after lisD. PCV13 + influenza inopril E. PPSV23 + Influenza D. Separate levofloxacin by 2 hours before or 6 hours after cal3. Amoxicillin has coverage against which of the following? cium supplement A. Atypical bacteria 9. According to the 2019 CAP guidelines, what is the miniB. Haemophilus influenzae mum recommended duration of therapy? C. Moraxella Catarrhalis A. A minimum of 5 days D. Streptococcus pneumoniae B. A minimum of 10 days E. Staphylococcus aureus C. Independent of clinical stability 4. A 25-year-old female presents to clinic with communityD. Should be guided by procalcitonin acquired pneumonia. The patient has a past medical history of COPD, type 2 diabetes, and hyperlipidemia. Which of the 10. What is the correct follow up for a patient post treatment following medication regimens should the patient receive? of community acquired pneumonia? A. Amoxicillin 1 gram by mouth three times a day A. Chest X-ray B. Cefpodoxime 200 mg by mouth twice daily B. Independent of symptoms C. Doxycycline 100 mg by mouth twice daily+ Amoxicillin 1 C. Should be guided by clinical stability gram by mouth three times a day D. Should be guided by white blood cell count D. Azithromycin 500 mg by mouth on day 1 + 250 mg by mouth on following days + amoxicillin-clavulante 875 mg/125 mg by mouth twice daily 5. A 32-year-old male presents to clinic with communityacquired pneumonia. Patient has no significant past medical history. Which of he following medication regimens should the patient receive? A. Amoxicillin 1 gram by mouth three times a day B. Cefpodoxime 200 mg by mouth twice daily C. Doxycycline 100 mg by mouth twice daily+ Amoxicillin 1 gram by mouth three times a day D. Levofloxacin 750 mg by mouth once daily 6. A 78-year-old male presents to clinic with sputum production, cough, and fever. The patient has a past medical history of COPD, heart failure, and CKD. The patient has a penicillin allergy of hives/rash. The patient is diagnosed with community-acquired pneumonia. Which of the following regimens should the patient receive? A. Doxycycline 100 mg by mouth twice daily B. Levofloxacin 750 mg by mouth once daily C. Amoxicillin 1 gram by mouth three times a day D. Cefpodoxime 200 mg by mouth twice daily
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