The Daily PANCE PANRE Question 27

A 32-year-old male presents with dyspnea and a nonproductive cough. His is tachycardic, tachypneic and febrile. Auscultation of his chest reveals scattered rhonchi. His chest x-ray demonstrates a diffuse interstitial infiltrates. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? Streptococcal pneumoniae pneumonia Mycoplasma pneumoniae pneumonia Pneumocystis carinii pneumonia Bowen's disease Steven-Johnson syndrome Answer: C Pneumocystis carinii pneumonia Formerly PCP Pneumonia now called (PJP) Pneumocystis jiroveci. Many AIDS patients present initially with PJP. These are the classic signs and symptomsof PJP pneumonia. While mycoplasma patients can be acutely ill, they are more likely (especially on the Boards) to present as mildly ill with a normal physical exam and no hypoxia. S. pneumo is the most common community-acquired pneumonia but would present with a focal/lobar consolidation. Common in HIV-infected patients with a low CD4 count of less than 200 Prophylaxis for high-risk patients with a CD4 count of less than 200 or with a history of PJP infection Know Your NCCPA Content Blueprint Pneumocystis jirovecii pneumonia (PJP)is covered in theNCCPA Content Blueprint Pulmonary System (12%) Learn more about Pneumocystis jirovecii pneumoniaand take the interactive lesson quizat Smarty PANCE HIV-related pneumonia Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books The Daily PANCE PANRE Question 27 A 32 year-old male presents with dyspnea and a nonproductive cough. His is tachycardic, tachypneic and febrile. Auscultation of his chest reveals scattered rhonchi. His chest x-ray demonstrates a diffuse interstitial infiltrate. His ABG demonstrates moderate hypoxemia and his LDH is elevated. What is the most likely diagnosis? A. Streptococcal pneumoniae pneumonia B. Mycoplasma pneumoniae pneumonia C. Pneumocystis carinii pneumonia D. Bowen's disease E. Steven-Johnson syndrome Answer: C,Pneumocystis carinii pneumonia Many AIDS patients present initially with PCP. These are the classic sns sxs of PCP pneumonia. While mycoplasma patients can be acutely ill, they are more likely (especially on the Boards) to present as mildly ill with normal PE and no hypoxia. S. pneumo is the most common CAP, but would present with a focal/lobar consolidation. Help Keep The Physician Assistant Life FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase byclicking here... it's a free way for you to help support the cause! Justclick over to Amazon. Then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend theseReview Books.