Diebel Zimmer Respiratory Infection Micro

Question 1

11 year old female
fever
sore throat
red left eye
summer camp
perauricular lymphadenopathy
erythamtous pharynx
conunctivitis

Answer 1

adenovirus***

ADENOPLUS rapid test
pharyngoconjunctival fever

Question 2

mst likely causative microorganism causing croup

Answer 2

parainfluenza virus (PIV)

Question 3

treatment of most likely causative organism/dz croup

Answer 3

glucocorticoid using a nebulizer

Question 4

gram-negative cocobacillus

Answer 4

haemophlius influenzae

Question 5

gram negative diploccocic

Answer 5

moraxella catarrhalis

Question 6

gram positive diplococcic

Answer 6

streptococcus pneumonia

Question 7

gram positive or negative coccoid/rod-like (not likely to show up on sputum stain)

Answer 7

chlamydia pneumonia

Question 8

tiny tiny no typical staining

Answer 8

mycoplasma pneumoniae

Question 9

significant isolate on chocolate agar (not on blood agar)

Answer 9

fastidious respiratory bacteria such as haemophilus influenzae and neisseria meningiditis

Question 10

treat HiB pneumonia? with what?

Answer 10

YES.
beta-lactams if Hib not resisitant,
if resistant –> tetracycline

Question 11

this organism causing pneumonia is common in alcoholics and homeless, also tends toward cavitary lesion in upper right lobe

Answer 11

Klebsiella pneumoniae

Question 12

characteristics of k. pneumoniae

Answer 12

gram negative
bacillus
lactose fermentator
fast-fermentator
encapsulated