Question

question 80 1 pts mike is a 56 y/o male who lives in an abandoned building. with about 40 other street people. he comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. your physical exam notes that he has some consolidation in the lower lobes with an audible friction rub. given mikes diagnosis the most likely causative agent is: strep pneumonia pneumococcal pneumonia mycoplasma pneumonia moraxella catarrhalis

Explanation:

Mike has symptoms like cough, dyspnea, pleuritic chest - pain, fever, tachypnea and lower lobe consolidation with friction rub. Pneumococcal pneumonia is common in adult patients with such acute symptoms, especially in those with poor living conditions like Mike. Strep pneumonia is not a standard term for the causative agent here. Mycoplasma pneumonia usually has milder symptoms and is more common in younger patients. Moraxella catarrhalis is more often associated with exacerbations of chronic obstructive pulmonary disease and less likely to cause this severe acute picture.

Answer:

Pneumococcal pneumonia