Diagnosing Resp Tract Infections

Question 1

What is the Cause of “rusty” Sputum?

Answer 1

Strep Pneumo

Question 2

What is the Cause of Foul smelling sputum?

Answer 2

Lung Abcess

Question 3

What are causes of Hemoptysis?

Answer 3

Bronchitis, pneumonia, TB, CA, PE, trauma

Question 4

What are the Causes of Dyspnea?

Answer 4

Airway Obs, Parenchyma, PE, Pleural Cause, anemia

Question 5

What lung infectin is associated with hotel or cruise stay in last 2 weeks?

Answer 5

Legionella

Question 6

What infection is associated with:
bat/bird droppings
Birds/parrots
Rabbits 
Farm animals or cats

Answer 6

Histoplasma
Chlamidophilia psittaci
Francisella
Coxiella

Question 7

What is the I:E ratio of different breathing patterns?

Answer 7

Vesicular: 3:1
Broncho-vesicular: 1:1
Bronchial: 1:3

Question 8

What type of culture medium is used to culture Mycobacterium TB?

Answer 8

Lowenstein Jensen Medium

Question 9

What is the clinical Presentation of Sinusitis?

Answer 9

Viral infections and allergies are common

Nasal obstruction, focal facial pressure and pain, nasal discharge, dec smell

Question 10

WHat is the clinical presentation of Pharyngitis?

Answer 10

Pain, Dysphagia, URI symptoms, absence of cough, fever
Exudative tonsillitis
Rapid antigen and culture if Strep
HIV, EBV, Influenza

Question 11

What is the clinical Presentation of Bronchitis?

Answer 11

Viral, pertussis, atypical bacteria
URTI, cough, fever
Ronchi
Diagnosis based on symptoms and lack of concernign findings