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A 26 year-old seasonal worker from South America came to the ER with a history of a dry, hacking blood-tinged cough, fever, chills and loss of appetite. The CXR showed cavitary lesion in the RUL. After a week in the hospital the sputum culture shows the presence of acid-fast stained organisms. Which of the following medications would you recommend for this patient at this time?I. ceftizoximeII. isoniazidIII. rifampinIV. ethambutol

BONUS: Evan Eucalyptus is a retired minister with a history of stroke who develops pneumonia while residing in a nursing home. Which of the following is likely regarding the etiology of his pneumonia? I. Inhalation is the most likely mode of transmission II. symptoms resemble nosocomial pneumonia III. there is a higher likelihood of an atypical pneumonia IV. Mycoplasma is the likely organism causing this pneumonia

Which of the following is the first-line drug to treat Pneumocystis carinii (jeroveci)?

BONUS: Which of the following is the atypical form of TB? 

Justin Time, a home-bound 54 year-old trached patient has developed a gram negative pneumonia. His sputum is green in color and has a “sweet” smell. The most likely causative organism of his pneumonia is:

Ms. Lo Han is a 32 year old female day care worker presents to the ED with signs and symptoms of a bacterial pneumonia. She is tachycardic, tachypnic, slightly hypertensive and with an SpO2 of 90% on 2 L/NC and states that she has had a runny nose and wet non-productive cough for the past 12 hours. Upon auscultation, wheezes and diminished breath sounds are noted over the RLL. A sputum sample and a breathing treatment has been requested by the physician. Based on this information, which of the following would most likely be the cause of her hypoxemia?

A patient with no history of underlying lung disease presents in the ED with dyspnea and productive cough. Pneumonia is diagnosed based on physical exam and radiographic findings. The patient is tachypnic and tachycardic but still alert and cooperative in spite of his distress. If a room air ABG sample was obtained, which result would fit this case description?

Almost everyone in Arkansas would test positive for histoplasmosis and/or blastomycosis. Which statement best describes most primary fungal infections?

Histoplamosis, M. tuberculosis, Staph. aureus and gram negative anaerobic bacteria often cause a similar pathophysiological change. Which of the following is this common feature in these microorganisms?

Identify the causative organism on the CXR.