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Respiratory Medicine > Hersh Pneumo CIS > Flashcards

Hersh Pneumo CIS Flashcards

1
Q

coccobacillis that exacerbates COPD

A

haemophilus

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2
Q

Empiric treatment for CAP in someone with increased risk for drug resistance

A

-Fluoroquinolone
or
-macrolide + beta-lactam

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3
Q

describe each thing that gives you a point on a CURB-65 score for know how to admit a patient

A
  • Confusion
  • Blood UREA nitrogen 20 or higher
  • RESPIRATORY rate 30 or higher
  • BLOOD pressure systolic less than 90 or diastolic less than 60
  • Age 65 or older
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4
Q

encapsulated bacteria that produces pyocyanin and pyoverdin

A

psuedomonas

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5
Q

age range for atypical pneumonia

A

younger adults

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6
Q

if someone is ambulatory, what empiric treatment do you give for CAP?

if not tolerated then what?

A

Macrolide

Doxycycline

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7
Q

Empiric treatment for CAP in a hospitalized pt

A

fluoroquinolone

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8
Q

`fried egg

A

mycoplasma pneumo

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9
Q

Alginate biofilms

A

pseudomonas

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10
Q
  • india ink stain
  • pigeons
  • meningitis
A

cryptococcus

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11
Q

buffered charcoal yeast extract

A

legionella

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12
Q

CURB-65 score of 2

A

Moderately severe; short inpatient hospitalization or closely supervised outpatient treatment

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13
Q

hyponatremia and relative bradycardia with high temp

A

Legionella

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14
Q
  • fowl smelling
  • poor dentition

Treatment?

A
  • anaerobes
  • Fusiform and bacterioides

clindamycin

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15
Q

fungi that can have erythamtous nodules that are also seen with sarcoidosis

A

Cocci

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16
Q

what are the 2 pneumoncoccal vaccines and who gets them

A

Pneumovax and prevnar 13

  • Age 65 or older
  • asplenic pts
  • pts 2-64 with risk factors
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17
Q

orthomyxovirus

A
  • single stranded

- flu

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18
Q

Preferred diagnostic tool for orthomyxovirus

A

PCR

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19
Q

Asian coronovirus

A

SARS

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20
Q

What 3 things cause atypical pneumonia

A
  • mycoplasma pneumonia
  • chlamydia pneumonia
  • legionella pneumonia (more severe)
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21
Q

fungi with narrow based budding

A

Histo

22
Q

green tinged sputum

A

pseudomonas

23
Q

treat H5N1 with what

A

Oseltamivir

24
Q
  • macconkey agar

- Lactose fermenter

A

Klebsiella

Macconkey agar is used for gram negatives

25
Q

pneumonic for encapsulated bacteria

A

Some Killers Have Pretty Nice Capsules

  • Strep pneumo
  • Klebsiella
  • Haemophilus
  • Psuedomonas
  • Neiserria meningitidis
  • cryptococcus
26
Q

gram negative diplococci that exacerbates COPD

A

moraxella

27
Q
  • meningeal signs and jaundice
  • subconjuctival hemorrhages
  • possibly causing spontaneous abortions of animals
A

Leptospirosis which is a spirochete

28
Q

how do you resolve cocci

A

it resolves on its own

29
Q

Salmon colored sputum

A

Staph

30
Q
  • upper respiratory stuff
  • conjunctivitis
  • young military recruits
  • icosahedral
A

Adenovirus

31
Q

Characteristics of mycoplasma Pneumonia?

A
  • no cell wall
  • microcytic anemia
  • cold agglutinins
  • needs NAD and cysteine to grow
  • Amoxicillin INEFFECTIVE due to no cell wall
32
Q

Rust colored sputum

A

strep pneumo

33
Q

Which pathogenic fungi can calcify and create a coin lesion

A

Histo

34
Q

What should you absolutely not give kids in an attempt to treat a viral infection

A

ASA . . causes Reyes syndrome

35
Q

fungi that can have neurologic symptoms and Broad based budding

A

blasto

36
Q

Empiric treatment for CAP in ICU pt

A

fluoroquinolone + antipneumococcal beta lactam (3rd gen ceph or amp sulbactam)

-add piperacillin-tazobactam, cefipime or a “penem” for pneudomonal coverage

37
Q

chocolate Agar

A
  • Haemophilus

- Neisseria

38
Q

What does atypical pneumonia follow?

A

URI like symptoms: rhinitis, laryngitis, pharyngitis, sinusitis

39
Q

Caves . . bat or bird droppings

A

histo

40
Q

elementary bodies

A

chlamydia

41
Q

What is bullous myringitis and what organism can cause it?

A

inflammation of tympanic membranes

Mycoplasma pneumo

42
Q
  • similar to orthomyxo

- history of exposure to dead or sick poultry

A

H5N1

43
Q

What kind of infection is procalcitonin elevated?

A

bacterial

44
Q

a nosocomial infection required 2 of the following

A
  • Fever
  • Leukocytosis
  • purulent sputum

in the presence of a new or progressing pulmonary opacity on CXR

45
Q

CURB-65 score of 3-5

A

Severe pneumonia; hospitalization required; consider ICU admission

46
Q

coronavirus in saudi arabia and respiratory stuff

A

MERS

47
Q
  • BC agar
  • Gram neg
  • Catalase +
  • Does NOT ferment lactose
A

Burkholderia cepacia

48
Q

CURB-65 score of 0-1

A

Low risk; outpatient treatment

49
Q

What do you use first for community acquired pneumonia

A

Macrolide . . Z pack is Azithromycin

50
Q

what 2 organisms are urinary antigens useful

A

Legionella and strep pneumo

Respiratory Medicine (37 decks)

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