Diagnosing respiratory tract infections

Question 1

what are the symptoms of acute pulmonary blastomycosis?

Answer 1

• cough
• sputum production
• hemoptysis
• dyspnea
• chest pain
• wheezing, stridor

Question 2

what are three common pathogens encountered in alcoholism?

Answer 2

s. pneumo
oral anaerobes
kleb pneumo

Question 3

what are three common pathogens encountered in COPD / smoking?

Answer 3

h. influenzae
pseudomonas
legionella

Question 4

what are common pathogens encountered in aspiration?

Answer 4

gram neg enteric spp

oral anaerobes

Question 5

what are three common pathogens encountered in lung abscess?

Answer 5

CA-MRSA
oral anaerobes
endemic fungal pneumonia

Question 6

what is the most common microbial etiology of exposure to bird or bat droppings?

Answer 6

histoplasma capsulatum

Question 7

what is the most common microbial etiology of exposure to birds?

Answer 7

chlamydophila psittaci

Question 8

what is the most common microbial etiology of exposure to rabbits?

Answer 8

francisella tularensis

Question 9

what is the most common microbial etiology of exposure to farm animals or parturient cats?

Answer 9

coxiella burnetti (Q fever)

Question 10

PE for lobar pneumonia:

tactile fremitus
percussion
breath sounds
advenitious sounds?

Answer 10

tactile fremitus - increased
percussion - dull
breath sounds - bronchial
advenitious sounds - yes, crackles

Question 11

PE for emphysema:

tactile fremitus
percussion
breath sounds
advenitious sounds?

Answer 11

tactile fremitus - decreased to absent
percussion - hyper-resonant
breath sounds - faintly vesicular
advenitious sounds - yes, wheezes

Question 12

what is an exam finding in pharyngitis?

Answer 12

exudative tonsillitis

Question 13

what are the main viral etiologies of bronchitis?

Answer 13

rhinovirus 
parainfluenza 
influenza 
coronavirus 
RSV 
metapneumovirus

Question 14

cervical level of the cartilaginous larynx

Answer 14

C4-C7

Question 15

what makes up the respiratory portion of the respiratory system?

Answer 15

alveolar ducts

alveolar sacs

Question 16

where does the conducting portion of the respiratory system end?

Answer 16

terminal bronchioles

Question 17

rusty colored sputum points to what type of infection?

Answer 17

pneumococcal

Question 18

what is the procalcitonin level in a bacterial infection?

Answer 18

high

Question 19

a high procalcitonin level is indicative of what type of infection?

Answer 19

bacterial