MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient comes to the clinic reporting fever, cough, and chest discomfort. The nurse aus-cultates crackles in the left lower base of the lung and suspects that the patient may have pneumonia. Which does the nurse identify is the most common organism that causes community-acquired pneumonia?
A
Staphylococcus aureus
B
Mycobacterium tuberculosis
C
Pseudomonas aeruginosa
D
Streptococcus pneumonia
Explanation: 

Detailed explanation-1: -Crackles. Crackles (rales) are caused by excessive fluid (secretions) in the airways. It is caused by either an exudate or a transudate. Exudate is due to lung infection e.g pneumonia while transudate such as congestive heart failure.

Detailed explanation-2: -Auscultation findings include lack of normal breath sounds, the presence of crackling sounds (rales), or increased loudness of whispered speech (whispered pectoriloquy) with areas of the lung that are stiff and full of fluid, called consolidation.

Detailed explanation-3: -Physical exam Your doctor will listen to your lungs with a stethoscope. If you have pneumonia, your lungs may make crackling, bubbling, and rumbling sounds when you inhale.

Detailed explanation-4: -These four stages of pneumonia are congestion, red hepatization, gray hepatization, and resolution, respectively.

There is 1 question to complete.