Tapenja Lott is a 44 year old lighting consultant with no history of lung disease. Over the last several days she has experienced increasing dyspnea, malaise and productive cough. She presented to the emergency department with the following VS: HR 136 bpm, B/P 138/84, RR 26 bpm which are shallow with mild to moderate accessory muscle use, temp 39.8 C. Breath sounds reveal bilateral inspiratory and expiratory crackles, CXR reveals large areas of RLL and RML consolidation. She has been diagnosed with pneumonia. ABGs are drawn on an FiO2 of 0.28:pH         7.51PaCO2  28 torrPaO2    43 torrHCO3   20 mEq/LSaO2    68%Which of the following best describes her arterial blood gas?

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?

Which of the following organisms are considered opportunistic for causing lung infections in immunocompromised hosts? I. Candida albicans II. Pneumocystis III. Blastomces demitiditis IV. Steptococcal pneumonitis

The so-called “walking” pneumonia that is due to a tiny, non-bacterial organism that produces mild, sometimes atypical symptoms in children and young adults is caused by:

A. Who was the father of modern taxonomy? B. List, in order, the major levels of classification as part of taxonomy that helps to identify and organism.

List at least 4 CHEST assessment findings utilizing auscultation and percussion assessment tools that could/may be noted on the following chest x-ray:  

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?

Fungal lung infections commonly begin with the inhalation of spores. Which of the following is the first anatomic alteration seen immediately after spore inhalation?

Each of the following are pathophysiologic findings associated with early stages of ARDS, EXCEPT:

With regard to medication administration in the management of CHF, the administration of which of the following reduce afterload by decreasing the heart rate thereby improving LV stroke volume and cardiac output to improve tissue oxygenation by increasing DO2?