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 Best of Five 197

 

   

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BOF: 197

A 45-year-old male presents with cough and breathlessness. H e has had a long-standing cough productive of copious amounts of sputum. Sputum production is increased in the morning and on changing posture.  A few days prior to presentation the sputum has changed colour becoming brown in colour. It has also become thicker and foul smelling. On examination the patient is febrile, breathless, has a tinge of central cyanosis, clubbing, tachycardia and coarse, bilateral basal crepitations (crackles)

The major pathogens that cause infective exacerbations in the condition this patient has are:

a)      Staphylococcus aureus, Pseudomonas aeruginosa, Haemophilus influenzae, anaerobes

b)      Streptococcus pneumoniae, Klebsiella pneumoniae, Aspergillus fumigatus anaerobes

c)      Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae anaerobes

d)      Staphylococcus aureus Klebsiella pneumoniae Aspergillus fumigatus anaerobes

e)      Pseudomonas aeruginosa, Klebsiella pneumoniae, Aspergillus fumigatus anaerobes

 

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