community acquired pneumonia - kallastro

[ArchivalUser]

A 55-year-old man with a history of COPD is admitted to the ICU with severe community-acquired pneumonia and respiratory failure. A chest radiograph shows bilateral lower lobe consolidation. Gram™s stain of the patient™s sputum reveals numerous inflammatory cells as well as gram-negative and gram-positive organisms with no predominant organism. Which one of the following is the most appropriate empiric antibiotic regimen?

1. Ceftazidime
2. Ceftriaxone and erythromycin
3. Erythromycin
4. Ampicillin with sulbactam and doxycycline
5. Cefuroxime

[ArchivalUser]

5. ?

[ArchivalUser]

2.

[ArchivalUser]

2?

[ArchivalUser]

4?>

[ArchivalUser]

i need advise ...please ..

i assume you have cleared step 1 and heading towards the next ..

i m lost and need a few mins of ur time


i needed ur advise
my usmle w q bank is expiring in 3 days and i used it as study tool ,so as to get the any new additions in kaplan notes of 2004 .. my score is avg around 50- 75% not percentile .. and doing it subjectwise
wondering if i should sign up for online q bank of kaplan or just do the book format of q bank 2006 of kaplan..i m feeling i should have done it the other way taken kaplan for study tool n then usmle w but now it is done

i have a month before my exam ..done one reading of kaplan n goljan .. listened to all dvd n goljan audio once but not done FA yet

please suggest how should i go about with my preparation this month .. please
kind of lost
i m img ,

please do write back
thanks

[ArchivalUser]

2. for hospitalized patients the best is new floroquinolones or cephalosporin with doxy/erythro or beta lactam/beta lactamase combi. the fact that he has COPD will further predispose him to h. influenza. thus covered by cephalosporins

[ArchivalUser]

u should go over kaplan lecture notes + First Aid + goljan....for ur last few days do go over FA....