CDN (RESPI INFECTION - PART 2)

Question 1

An infectious disease that primarily affects the lung parenchyma.

Answer 1

PULMONARY TUBERCULOSIS

Question 2

Pulmonary tuberculosis

syn:
ca:
mot:
incu:

Answer 2

syn: Koch’s disease, phthisis,
galloping consumption, tb
ca: Mycobacterium tuberculosis, Mycobacterium bovis
mot: Droplet infection, Cow’s Milk containing M. bovis
incu: 4-12 weeks (2-10 weeks in some)

Question 3

s/sx of pulmonary tuberculosis

Answer 3

• cough
• afternoon fever
• weight loss
• blood stained sputum
• night sweats

Question 4

dx test for tuberculosis

Answer 4

• chest xray
• tuberculin testing
• AFB SMEAR- Sputum smear

Question 5

Category 1 -
Category 2 -
Category 3 -

Answer 5

Category 1 - 6 mos.
Category 2 - 8 mos.
Category 3 - 4 mons.

Question 6

how many wks before pt with tuberculosis is no longer contagious

Answer 6

2-4 weeks

Question 7

drug tx for tb

Answer 7

Rifampicin
Isoniazid
Pyrazinamide
Ethambutol
Streptomycin

Question 8

contraindicated nursing care for ptb:

Answer 8

Chest Clapping

Question 9

Inflammation of the alveoli and terminal airspaces in response to invasion by an infectious agent that is introduced into the lungs through hematogenous spread or inhalation

Answer 9

PNEUMONIA

Question 10

PNEUMONIA

syn:
ca:
mot:
incu:

Answer 10

syn:
ca: Mycoplasma pneumoniae, Enterobacter species, Escherichia coli, h.
mot: droplet infection, indirect contact
incu: 1-3 day

Question 11

pneumonia occuring in the community < 48 hrs of hospital admission

Answer 11

community acquired

Question 12

non hospitalized pt with extensive health care contact

Answer 12

health care associated

Question 13

> 48 hrs after hospital admission that did not appear to be incubating at the time of admission

Answer 13

hospital acquired

Question 14

develops > 48hrs after endotracheal tube intubation

Answer 14

ventilator associated

Question 15

pathognomonic sign of pneumonia

Answer 15

Rusty or prune juice sputum

Question 16

s/sx of pneumonia

Answer 16

• Dyspnea
• inc. RR, shallow
• Stabbing chest pain when coughing
• Cyanosis
• Fever
• Productive cough
• Rusty or prune juice sputum-

Question 17

dx test for pneumonia

Answer 17

Sputum culture
Bronchoscopy
Radiography

Question 18

drug tx for pneumonia

Answer 18

procaine penicillin

(amoxicilin, cefuroxime, ceftazidime, co amoxiclav)

Question 19

dx test for pneumonia

Answer 19

sputum exam
chest x-ray

Question 20

Acute pharyngitis, acute nasopharyngitis or acute laryngitis characterized by the formation of pseudomembrane

Answer 20

DIPHTHERIA

Question 21

diptheria

syn:
ca:
mot:
incu:

Answer 21

syn: whooping cough
ca: Corynebacterium diptheriae or the Klebs- Loeffler Bacillus
mot: Respiratory droplets
incu: 2-5 days

Question 22

pathognomonic sign of diptheria

Answer 22

Dirty gray-white rubbery membrane over tonsils and back of the throat

Question 23

s/sx of diptheria

Answer 23

• Cervical lymph nodes are swollen
• Sorethroat
• Sero- sanguinous secretion with a “foul mousy”odor
• Hoarseness of voice, loss of voice (aphonia)
• Difficulty in breathing, chest indrawing
• Brassy metallic cough; dry, husky cough (croup)

Question 24

dx test for diptheria

Answer 24

• Nose and throat swab /culture
• Schick Test
• Moloney’s test

Question 25

clinical management for diptheria

Answer 25

Neutralize toxin
Antibiotics- Penicillin
Tracheostomy

Question 26

pertusis

syn:
ca:
mot:
incu:

Answer 26

syn: Whooping cough
ca: Hemophilus pertussis, Bordetella pertussis
mot: Nasopharyngeal secretions; Droplet
incu: 7 to 21 days

Question 27

clinical manifestations of pertusis

Answer 27

catarrhal - highly contagious
(colds, cough, fever)
spasmodic/ paraxysmal - whooping cough
convalescence - revovery

Question 28

dx test for pertussis

Answer 28

Bordet –Gengou Agar plate

Question 29

drug tx for pertussis

Answer 29

Erythromycin, Penicillin

Question 30

mumps

syn:
ca:
mot:
incu:

Answer 30

syn: Viral Parotitis, Epidemic Parotitis and Infectious Parotitis
ca: Paramyxovirus
mot: RESPIRATORY DROPLETS, indirect contact with objects contaminated with secretions.
incu: 14 to 25 days

Question 31

PATHOGNOMONIC SIGN of mumps

Answer 31

swollen salivary glands

Question 32

clinical manifestation of mumps

Answer 32

• Pain in the swollen salivary glands on one or both sides of the face;
• Pain while chewing or swallowing;
• Low-grade fever;
• Headache;
• Earache;
• Muscle aches;
• Loss of appetite; and
• Dysphagia

Question 33

dx test for mumps

Answer 33

• Viral Isolation
• Blood Exam
• Viral Serology
• Serum Amylase
• Determination Test

Question 34

Insertion of a needle into the pleural space to remove fluid that has accumulated and decrease pressure on lung tissue; may also be used to diagnose potential causes of pleural effusion

Answer 34

THORACENTESIS