What finding is usually used to confirm the diagnosis of pneumonia?

a. Development of central cyanosis
b. New cough or new characteristic to the cough
c. New fever
d. New infiltrate on chest radiograph


ANS: D
In patients with a compatible clinical syndrome, the diagnosis of community-acquired pneumonia is established by the presence of a new pulmonary infiltrate on the chest radiograph.

Health Professions

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A mother has called 911 because her 2-year-old daughter is fussy and not eating. When assessing the toddler, which one of the following is the best indication of her perfusion status?

A) Heart rate B) Skin color and temperature C) Palpated blood pressure D) Auscultation of breath sounds

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You forgot to apply oxygen to a patient with severe pain from a possible broken ankle. You know you should have administered the oxygen, but you know that your patient was not harmed by you not remembering it. Which of the following would be appropriate?

A) Write that your patient refused when you tried to give her oxygen. B) Add an addendum stating that you got busy and forgot to deliver oxygen. C) Record that you administered two liters of oxygen by nasal cannula. D) State that the patient did not require oxygen since her breathing was fine.

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Which of the following ECG abnormalities is most life threatening?

a. Narrow QRS complex b. Shortened PR interval c. Elevated ST segment d. Peak P waves

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Spasmodic torticollis is characterized by:

A) sustained and painful contraction of the eyelids. B) involuntary unilateral myoclonic contractions of the face. C) severe stabbing pain, usually to one side of the face. D) neck muscle contraction, which twists the head to one side.

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