19. Pneumonia

Question 1

1 cause of community acquired pneumonia?

tx?

Answer 1

Streptococcus pneumonia

ceftriaxone and azithromycin or FQN

Question 2

2 causes of pneumonia in young patients?

wt drug should not be used?

Answer 2

mycoplasma
chlamydia

beta lactams

Question 3

2 causes of hosp acquired pneumonia?

Answer 3

Gram - rods

Staph aureus

Question 4

pt presents post flu with severe pneumonia, cause?

tx?

Answer 4

staph aureus

Vancomycin

Question 5

when should H flu be suspected as the cause of pneumonia?
(3)
tx?

Answer 5

severely ill
dyspneic
hypoxic

oseltamivir

Question 6

wt 2 causes of pneumonia can cause tympanic membrane involvement?

Answer 6

mycoplasma

chlamydia

Question 7

bact suspected in homeless alcoholics? (3)

Answer 7

anaerobes
TB
Klebsiella

Question 8

most common cause of pneumonia in HIV patients?

Answer 8

strep pneumo

Question 9

when does parpneumonic effusion most likely occur?

Answer 9

strep or staph specia

Question 10

when will blood cultures be positive for strep pneumo?

Answer 10

after 24 hours

Question 11

tx for hospital acquired pneumonia?

Answer 11

macrolide
FQN
doxycycline

Question 12

tx for pneumonia w SIRS?

Answer 12

volume resuscitaiton and abx

Question 13

2 things to suspect viral pneumonia?

Answer 13

runny nose and sore throat

Question 14

wt is egophony?

2 causes?

Answer 14

increased resonance to breath sounds

consolidation and fibrosis

Question 15

chest pain in pneumonia indicates what?

Answer 15

parpneumonic effusion

Question 16

2 things that are worrisome of SIRS in pneumonia?

Answer 16

low sodium

abnormal renal function