Question 337 · LEK · Pneumonia
According to Polish recommendations:
1) the first-line course of action in the case of pneumonia in a 3-week-old child is careful observation without antibiotic therapy;
2) a mild-course community-acquired pneumonia in children between 4 months and 5 years of age may not be treated with antibiotics as most infections are viral;
3) Listeria monocytogenes is responsible for most cases of pneumonia in children above 5 years of age;
4) viral pneumonia cannot be distinguished from bacterial pneumonia by means of a radiological examination;
5) macrolides should be used as drugs of first choice in the treatment of pneumonia in children above 5 years of age with type I hypersensitivity to penicillin.
The correct answer is:
2) a mild-course community-acquired pneumonia in children between 4 months and 5 years of age may not be treated with antibiotics as most infections are viral;
3) Listeria monocytogenes is responsible for most cases of pneumonia in children above 5 years of age;
4) viral pneumonia cannot be distinguished from bacterial pneumonia by means of a radiological examination;
5) macrolides should be used as drugs of first choice in the treatment of pneumonia in children above 5 years of age with type I hypersensitivity to penicillin.
The correct answer is:
- A. 2,4,5.
- B. 1,3,4.
- C. 1,2,4.
- D. 1,2,3.
- E. 3,4,5.
Hint
Consider how age changes the likely pathogen and the need for antibiotics, and what a chest X-ray can and cannot show.
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