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Old 06-09-2010
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Lungs 70 Year Old with Pneumonia and recent hemicolectomy

I've seen a recent question in Kaplan Qbank and I thought it's nice to share with you guys.

It's describing a an elderly patient with typical signs and symptoms of pneumonia such as fever, cough, consolidation in the X ray, ...etc. They also mentioned that he just had right side hemicolectomy for colonic cancer three days ago.

Then the question was
Which of the following is the most important part in the history to ascertain before initiating therapy?

A) Immunization status
B) Plasma lipid profile
C) Recent hospitalization
D) Invasive GI procedure
E) Home therapy social support
F) Stage of colonic cancer

Of course I've seen the answer but let's see if you can answer it
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Old 06-09-2010
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i'll go with F
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Old 06-10-2010
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i will go with E
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Old 06-10-2010
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Correct Answer The correct answer

The correct answer turned out to be C!
They said you have to look for recent hospitalizations in any case of pneumonia because the most important point is to differentiate community acquired versus hospital acquired pneumonia because the treatment differs. The fact he's had colon surgery is hinting about that.

Tough question right
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Infectious-Diseases, Pulmonology-, Step-2-Questions

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