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9036 COVID Case #1

Posttest

1. A patient with COVID-19 symptoms develops severe ARDS after hospitalization, necessitating intubation, induced paralysis, proning, and start of an anti-viral. Chest imaging reveals diffuse ground glass opacities. What are the most appropriate next steps? *This question is required.
2. A patient with RA and taking methotrexate is admitted to the hospital with respiratory distress and suspected COVID-19. A 2-year-old chest CT showed mild UIP. Her COVID-19 test is positive, her pro-calcitonin level is elevated, and her sputum produces many pan-sensitive s. pneumoniae. She is treated with antibiotics and her high oxygen requirements improve. What is the most appropriate next step in her care? *This question is required.
3. A patient recently admitted to the hospital has hypertension associated with obesity and is taking antifibrotics for underlying lung disease. Oxygen requirements increase from 2 L to 4 L at rest, a chest x-ray shows worsening ground glass abnormalities, and LFTs reveal marked transaminitis (5xULN). What do you recommend for next steps? *This question is required.