Fouty- Pneumonia Flashcards

1
Q

3 main bacteria that cause typical pneumonia

A

S. pneumoniae
H. influenzae
Moraxella catarrhalis

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2
Q

3 main things that cause atypical pneumonia

A

Chlamydia pneumoniae
Mycoplasma pneumoniae
viruses

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3
Q

3 main bugs that cause lobar pneumonia

A

S. pneumoniae
H. influenzae
Klebsiella

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4
Q

4 main bugs that cause bronchopneumonia

A

S. pneumoniae
H. influenzae
S. aureus
Moraxella

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5
Q

4 main things causing interstitial pneumonia

A

Chlamydia pneumoniae
Mycoplasma pneumoniae
Legionella
viruses

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6
Q
A

Coccidiomycosis spherule in lung

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7
Q

found in southwestern part of US and southern california

A

Coccidiomycosis

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8
Q

pulmonary ____

A

Coccidiomycosis

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9
Q

found in Ohio, Missouri, Illinois

A

Histoplasmosis and Blastomycosis

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10
Q
A

Histoplasmosis

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11
Q

pulmonary _____

A

Histoplasmosis

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12
Q

pulmonary ____

A

Histoplasmosis

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13
Q

“bowling pen”

A

Blastomycosis

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14
Q

route of entry for these

A

environmental inhalation

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15
Q
A

bronchopneumonia

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16
Q

gram - bacterium (intracellular)

A

Legionella pneumophila

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17
Q

exposure to water coolers, air conditioners, hotel where they may not clean air conditioners; lot of sputum production

A

Legionella pneumophila

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18
Q

route of entry for this is water sources (inhalation)

A

Legionella

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19
Q

route of entry through inhaling contaminated wool

A

Anthrax

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20
Q

_____ can cause interstitial lung disease and infectious disease

A

parrots and birds

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21
Q

pneumonia from birds

A

Chlamydia psittaci

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22
Q

pigeons can spread this

A

Histoplasma

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23
Q

cows can transmit this

A

group C strep

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24
Q

what bugs can cause group C strep from cows

A

B. anthracis
Coxiella burnetti

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25
Q

____can spread Q fever (Coxiella burnetti)

A

sheep

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26
Q

Birds, pigeons (mainly droppings) can spread what

A

Histoplasmosis

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27
Q

Anthrax (the sixth plague) spread from what animals

A

cow, sheep

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28
Q

parrots spread what

A

Chlamydia psittaci

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29
Q

Coxiella burnetti (Q fever) spread by what animals

A

cattle, sheep, goats

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30
Q

group C strep spread by what animal

A

cow

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31
Q

3 routes of entry for community acquired pneumonia:

A

aspiration
inhalation
hematogenous spread

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32
Q

due to fungus common in southwestern part of US

A

Coccidioidomycosis

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33
Q

______ histoplasmosis

A

miliary

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34
Q

pneumonia (miliary TB) due to _______ spread

A

hematogenous

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35
Q
A

pneumonia (miliary TB)

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36
Q

this type of spread is worse at bases of lungs due to blood flow being the greatest

A

hematogenous spread

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37
Q

hematogenous spread via septic emboli from ____

A

endocarditis

38
Q

IV drug user
S. aureus on tricuspid valve
emboli breaks off into lungs

A

hematogenous spread of pneumonia from endocarditis

39
Q
A

Histoplasma
Blastomyces

40
Q
A

coccidioides

41
Q

outpatient treatment for community acquired pneumonia

A

macrolide (azithromycin)
or
doxycycline

42
Q

in patient treatment for community acquired pneumonia

A

cephalosporin (ceftriaxone) + macrolide (azithromycin)

43
Q
A

S. pneumoniae

44
Q
A

Haemophilus pneumoniae

45
Q
A

Mycoplasma pneumoniae

46
Q
A

Chlamydia pneumoniae

47
Q
A

Influenza A and B

48
Q

infection of pulmonary parenchyma

A

pneumonia

49
Q

R sided chest pain worse with inspiration

A

pleuritic chest pain

50
Q

pleuritic chest pain due to

A

inflammation of parietal pleura

51
Q
A

S. pneumoniae

52
Q

distinguishes strep from staph

A

catalase test

53
Q

Catalase positive, Gram positive cocci
beta hemolytic

A

S. aureus

54
Q

alpha hemolytic

A

Streptococcus

55
Q

beta hemolytic
gram + diplococci

A

group A strep

56
Q

virulence factor of S. pneumoniae

A

Pneumolysin

57
Q

virulence factor of S. pneumonia that causes host cell damage and allows bacteria to invade host cell

A

Pneumolysin

58
Q

Alveolar macrophages ruined by influenza A virus, can get post-viral infection with ______

A

S. pneumoniae

59
Q

at risk for S. pneumoniae infection of lower resp. tract

A

smokers
alcoholics
post-viral infection

60
Q

infection or no infection if S. pneumoniae colonizes upper respiratory tract

A

no infection

61
Q

infection or no infection if S. pneumoniae is aspirated into lower resp. tract

A

infection

62
Q

vaccine for S. pneumoniae that is not protein conjugated and does not protect children against invasive disease

A

Pneumococcal polysaccharide vaccine (PPS-23)

63
Q

vaccine for S. pneumoniae that is protein conjugated and does protect children against invasive disease

A

Pneumococcal conjugate vaccine (PCV-13)

64
Q

route of entry for S. pneumoniae infection

A

aspiration

65
Q
A

S. pneumoniae

66
Q
A

Haemophilus influenzae (pneumoniae)

67
Q

gram - rod
catalase +
grows on chocolate agar
oxidase +

A

Haemophillus (influenza) pneumoniae

68
Q

encapsulated
type b most pathogenic

A

Haemophilus influenzae (pneumoniae)

69
Q

can cause meningitis in kids

A

Haemophilus influenzae (pneumoniae) type b

70
Q

encapsulated and resists phagocytosis (PRP)

A

Haemophilus pneumoniae

71
Q

causes bronchopneumonia and route of entry is through aspiration

A

H. influenzae causing Haemophilus pneumoniae

72
Q

H. pneumoniae vaccine

A

for type b
conjugated

73
Q

no cell wall
not seen on gram stain
causes interstitial pneumonia

A

Mycoplasma pneumoniae

74
Q

specialized attachment tips
binds to cilia

A

Mycoplasma pneumoniae

75
Q

spread by close contact
young people
no vaccine

A

Mycoplasma pneumoniae

76
Q

diagnose this through cold Agglutins (IgM antibodies that bind to RBC at low temperature)

A

Mycoplasma pneumoniae

77
Q

transmitted by inhalation from human to human

A

Mycoplasma pneumoniae

78
Q

obligate intracellular
no vaccine
human to human spread (inhalation)

A

Chlamydia pneumoniae

79
Q

-ssRNA enveloped virus

A

Influenza A and B

80
Q

found in animals; humans
genetically unstable

A

Influenza A

81
Q

infects only humans; URT

A

Influenza B

82
Q

has membrane envelope proteins HA, NA, and M2

A

Influenza A

83
Q

_____ binds sialic acid on host cells and allows for virus entry

A

HA proteins

84
Q

____ cleaves sialic acid and releases virions

A

NA protein

85
Q

acute
rhinitis
fevers
winter time

A

Influenza A

86
Q

Interferon-gamma produced by T cells to control viral infection decreases alveolar macrophage phagocytic function
Suspected reason for the increase in secondary bacterial infections that are a major cause of death following initial infection

A

Influenza A

87
Q

Due to small mutations in the regions of HA or NA that bind antibodies.
Due to Error-prone RNA polymerase

A

antigenic drift of Influenza A

88
Q

re-assortment of genomes from 2 different flu strains
associated with major epidemics

A

Influenza A: antigenic shift

89
Q

2 strains of Influenza A and 2 strains of B circulating over past year
Given IM
Recommended for everyone

A

killed Influenza A vaccine

90
Q

nasal
not for immunocompromised

A

Live Attenuated Influenza A Vaccine