9 board-style questions on pneumonia in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 45-year-old previously healthy man presents with 5 days of fever, productive cough with rust-colored sputum, and pleuritic chest pain. His temperature is 39.1C, heart rate is 102 bpm, blood pressure is 128/78 mmHg, respiratory rate is 22 breaths/min, and oxygen saturation is 95% on room air. Chest X-ray shows a right lower lobe consolidation. His CURB-65 score is 1 (age <65, no confusion, no uremia, no hypotension, RR >= 30 is not met). What is the most appropriate treatment setting and empiric antibiotic regimen?
A 20-year-old college student presents with 10 days of gradually worsening dry cough, low-grade fever, malaise, and headache. He reports several dormmates have had similar symptoms. Physical exam reveals diffuse bilateral wheezing and scattered crackles. Chest X-ray shows bilateral patchy interstitial infiltrates that appear worse than the clinical exam suggests. Routine blood work shows cold agglutinins are positive. Which organism is the most likely cause of his pneumonia?
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