A 67-Year-Old Man Is Brought to the Emergency Department by His

question 649

Multiple Choice

A 67-year-old man is brought to the emergency department by his wife due to 1 day of worsening fever, chills, productive cough, shortness of breath, and confusion.  Five days ago, the patient was diagnosed with influenza.  He initially improved but "took a turn for the worse" yesterday.  His medical history includes hypertension and osteoarthritis.  He smokes half a pack of cigarettes daily and drinks alcohol several times a week.  Temperature is 40.5 C (105 F) , blood pressure is 95/60 mm Hg, pulse is 106/min, and respirations are 24/min.  Pulse oximetry is 90% on room air.  Cardiac examination is normal, with the exception of tachycardia.  Lung auscultation shows right-sided crackles and bronchial breath sounds.  Chest x-ray is shown below. Which of the following is the infectious agent most likely responsible for this patient's condition?

• A)Klebsiella pneumoniae
• B)Legionella pneumophila
• C)Mixed anaerobes
• D)Mycoplasma pneumoniae
• E)Pseudomonas aeruginosa
• F)Staphylococcus aureus

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Definitions:

Shared Rituals

Activities and practices that are regularly performed in a set manner by a community or group, creating a sense of belonging and cultural identity.

Consciousness of Kind

is the awareness or recognition of shared attributes or characteristics that create a sense of belonging within a group.

Shared Rituals

Practices or activities regularly performed in a group setting, fostering a sense of community and shared identity.

Moral Responsibility

The duty to act according to ethical principles, making choices that reflect a consideration for the welfare of others and the greater good.