bacterial infections of the lower respiratory tract Flashcards

1
Q

what is the bacteria associated with strep throat ?

A

streptococcus pyogens

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2
Q

what toxin associated condition is occasionally seen at the time of or just following a strep pyogenes infection ?

A

scarlet fever

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3
Q

what aree the features of scarlet fever ?

A

desquamating rash
strawbeery tongue

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4
Q

what are the differential diagnosis of a strawbery tongue ?

A

scarlet fever
kawasaki vasculitis

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5
Q

what is the most common causative organism of epiglottitis ?

A

h.Influenza

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6
Q

what is the classic presentation of epiglottitis ?

A

drooling
inspiratory stridor

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7
Q

scar on shoulder where thee vaccine was denotes ?

A

scar of BCG vaccine
to protect against mycobacterium TB

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8
Q

what blue stain is used for mycobacterium ?

A

ziehl - neelsen

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9
Q

what other common staining technique is used to identify mycobacteria ?

A

auramine fluorescent stain

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10
Q

what medication causes red urine ?

A

rifampcin

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11
Q

what arre the complications of the TB drugs ?

A

isoniazid - peripheral neuropathy and hepatitis
ethambutol - visual disturbance
pyrazinamide - hepatotoxicity

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12
Q

what are the risk factors associated with hospital acquired pneumonia ?

A

length of time on ventilator
length of stay in the hospital
rise in gastric pH
nasogastric tube
extremes of age
chronic resp tract disease

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13
Q

what organisms can be identified with aerobic and anaerobic culture bottle and butterfly in CAP ?

A

Streptococcus pneumoniae
Haemophilus influenzae
Staphylococcus aureus

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14
Q

what diseases is strep pneumoniae associated with ?

A

 Septicaemia
 Meningitis
 Acute otitis media
 Community acquired pneumonia

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15
Q

what is the most common mean of diagnosing mycoplasma pneumonaie ?

A

serology testing

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16
Q

what is the gold standard for the diagnosis of mycoplasma pneumoniae ?

A

four fold rise in titre

17
Q

what is the most active agent against mycoplasma pneumonaei ?

A

macrolides

18
Q

history of travel , on culture appears to be gram negative bacteria in rods and lots of white blood cells ?

A

legionella
legionnaire’s disease

19
Q

what is the treatment for legionnaires disease ?

A

macrolide with or without rifampcin

20
Q

what is the most likely source of infection in legionella ?

A

shower heads
hot tubs
AC
fountains

21
Q

diagnosis of legionnaires disease ?

A

urinary antigen test