Influenza: The Daily PANCE Blueprint

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Influenza: The Daily PANCE Blueprint

In which of the following scenarios is an antiviral agent not indicated?

A. 32-year-old female hospitalized for influenza due to severe symptoms
B. 59-year-old male with a history of cancer on chemotherapy who just tested positive for influenza 24 hours ago
C. 25-year-old healthy pregnant female who has influenza
D. 80-year-old male who is admitted to the hospital for influenza, now requiring oxygen
E. 48-year-old female who had flu symptoms 6 days ago

Answer and topic summary

The answer is E. 48-year-old female who had flu symptoms 6 days ago

Influenza is a negative-strand RNA virus of the orthomyxovirus family transmitted by respiratory droplets. It usually occurs in the winter months. Clinical features include fever, chills, malaise, headache, cough, and sore throat. Treatment is mainly supportive therapy. Antiviral agents should be given to pregnant patients, those with are at high risk of complications (ideally within the first 48 hours of symptoms), or those with severe illness requiring hospitalization (regardless of symptom duration). Antibiotics should be given if a superimposed bacterial infection is suspected. An annual influenza vaccine is recommended for everyone over 6 months old (as long as there are no contraindications).

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Pulmonary ⇒ Infectious Pulmonary Disorders ⇒ Influenza

Also on the topic list for the Pediatric EOR, Emergency Medicine EOR, Internal Medicine EOR, and Family Medicine EOR topic lists

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