Cough Flashcards

1
Q

Physical Findings in bacterial Pneumonia would included with the lung exam:

A

+ egophony

+ bronchophony

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2
Q

Tour Diagnosis is GERD what lead to to believe this.

A

Tight pants

cough

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3
Q

What would be the most appropriate test in the diagnosis of Asthma.

A

Bronchial Provacation

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4
Q

Your pt. presents with a fever, productive cough, malaise,

you suspect pneumonia. What organism would do you suspect.

A

Streptococcus pneumonia

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5
Q

Most common organism causing CAP

A

Streptococcus Pnewmonia

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6
Q

Acute cough last

A

less than 8 weeks

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7
Q

1 cause of coughing in non smokers is

A

post nasal drip

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8
Q

Cobble stoning of the pharyngeal mucosa is seen in

A

post nasal drip

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9
Q

Chronic cough last longer than

A

8 weeks

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10
Q

Top 3 reasons for pediatric cough is

A
  1. URI
  2. Allergic rhinitis
  3. Asthma
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11
Q

Most important way to determine the cause of a cough is the

A

history

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12
Q

1 risk for cough is

A

smoking

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13
Q

Most common virus URI

A

Rhino virus

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14
Q

Most common cold virus can last on hard surfaces for

A

3 hrs on hard surface

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15
Q

Most common way to spread a virus

A

hand shake

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16
Q

Incubation Of a URI

A

1-3 days

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17
Q

Most common s/s of URI

A
  1. nasal discharge
  2. sneezing
  3. cough
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18
Q

Physical findings of URI Lungs are

A

Normal (clear)

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19
Q

Do you do a diagnostic test commonly for a URI

A

No only for red or purulent phynageal area.

20
Q

Which throat culture is performed for a suspect infection with a URI

A

Strep/Monospot

21
Q

Strep Score or 0-1 is

A

r/o infection

22
Q

Strep score of 1-3

A

order rapid strep and treat

23
Q

Strep score of 4-5

A

probable strep / treat

24
Q

Which pathogen causes Pertussis

A

Bordetella Pertussis

25
Major symptom of pertussis is
prolonged cough
26
Gold standard in the diagnosis of pertussis is
Swap with the isolation of B/Pertussis
27
Does acute bronchitis need antibiotics
No
28
Typical bacterial pathogen for acute bronchitis
Streptococcus Pneumonie
29
What type of presentation would you expect to find with Acute bronchitis
Acute dry cough w/wo sputum
30
What would you expect the lung exam be with acute bronchitis?
Course rhonchi Scattered crackles bronchial secretions
31
On a chest xray what would you see with acute bronchitis
No signs of infiltrate
32
Pneumonia is
acute inflammation of the terminal airways, due to infection
33
Pneumonia is caused by
aspiration aerolization homogenous spred
34
Risk factors for CAP
LOC RR>30 B/P 30
35
PORT score of 3 pt. should be treated
IP/or OP
36
PORT score of 5 pt. should be treat
IP ICU
37
PORT score of >3pt should be
Placed in the hospital
38
CAP begins
with in 48 hrs of admission
39
CAP on an Xray shows
Acute infiltrate
40
CAP with auscultation of the lungs you expect
localized rails | altered breath sounds
41
Most common pathogens seen with CAP
Strep Pneumonia
42
Hospital acquired Pneumonia starts
48 hrs after admission
43
Expect to see the pt. presentation with HAP
Fever | cough
44
Which pathogen is seen with HAP
Pseudomonas
45
Chest xray with HAP
New or progressive paranchymymal infiltrate