08.20 - Pneumonia, CAP Part 3 (Cross) - Questions

Question 1

Cause of bronchial breath sounds

Answer 1

Dense consolidation of lung parenchyma (pneumonia) results in transmission of large airway noises to periphery

Question 2

When will percussion of lungs have deadend tone

Answer 2

If air-filled tissue is displaced by fluid or infiltrated w/ white cells and bacteria

Question 3

In the presence of consolidation, tactile fremitus becomes

Answer 3

more pronounced.

Question 4

Which of the following is not a CAP: S Aureus, H Influenzae, K pneumoniae, M catarrhalis

Answer 4

All are CAP causes

Question 5

Currant Jelly sputum; Chronic alcoholics and malnourished

Answer 5

K pneumoniae

Question 6

Post-viral respiratory infection

Answer 6

S Aureus

Question 7

6 serotypes; Encapsulated and Non-; Gram neg coccobacillus

Answer 7

H influenzae

Question 8

Grows on chocolate agar; Requires factors V and X for growth

Answer 8

H influenzae

Question 9

Necrotizing pneumonia with abscess formation

Answer 9

S Aureus, K Pneumoniae

Question 10

H influenzae: treatments of choice for mild infection and serious infection

Answer 10

Amoxicillin for mild, Ceftriaxone for serious

Question 11

Also causes otitis media, epiglottitis, meningitis

Answer 11

H influenzae

Question 12

Vaccine for this bug incorporates the capsular polysaccharide b; Ab’s against the capsule are protective

Answer 12

H influenzae

Question 13

Common bacterial causes of acute COPD exacerbations

Answer 13

H influenzae, M catarrhalis

Question 14

3 important pearls about S Aureus

Answer 14

Post-viral; HAP; Necrotizing

Question 15

3 important pearls about H Influenzae

Answer 15

Capsule; COPD; Chocoalte agar

Question 16

3 important pearls about K pneumoniae

Answer 16

Capsule; Necrotizing; Chronic alcoholics and malnourished

Question 17

2 important pearls about M cararrhalis

Answer 17

COPD; Elderly

Question 18

T/F: Prolonged Abx tx is risk factor for HAP

Answer 18

TRUE

Question 19

Two important facets of treating HAP

Answer 19

Cover resistant gram positives, such as MRSA, with Vanc; Cover resistant gram negatives, such as Pseudomonas; with 4th gen Cephalosporin or Zosyn

Question 20

How do you cover resistant gram positives, such as MRSA

Answer 20

Vancomycin

Question 21

How do you cover resistant gram negatives, such as Pseudomonas

Answer 21

4th gen cephalosporin or Zosyn

Question 22

2 most common organisms that cause HCAP

Answer 22

Pseudomonas Aeruginosa, Staph Aureus

Question 23

1st gen macrolide

Answer 23

Erythromycin

Question 24

2nd gen macrolide

Answer 24

Clarithromycin

Question 25

3rd gen macrolide

Answer 25

Azithromycin

Question 26

Aminoglycoside

Answer 26

Gentamicin

Question 27

Staph Aureus vs Epidermidis

Answer 27

Catalase-positive; Coagulase negative; Hemolytic

Question 28

Chief virulence factor of H influenzae

Answer 28

Capsule

Question 29

Pseudomonas has the ability to survive in

Answer 29

water

Question 30

Drug of choice for extended spectrum beta-lactamase-producing organisms

Answer 30

Carbapenem