Infection - Acute respiratory failure Flashcards

1
Q

what is the correct order for infection by bacteria

a. invasion, multiplication, tissue damage, host reaction
b. invasion,host reaction, tissue damage, multiplication
c. invasion, tissue damage,multiplication, host reaction

A

a.invasion, multiplication, tissue damage, host reaction

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2
Q

which of these is an obligate intracellular pathogen

a. bacteria
b. virus

A

b.virus

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3
Q

what pathogen causes damage directly and by immune response

a. bacteria
b. virus
c. fungi

A

b.virus

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4
Q

true or false bacteria are cells

a. true
b. false

A

a.true

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5
Q

how do bacteria adhere to host tissues

a. pilli/fimbriae
b. receptors at site of entry to body eg gi/gu etc

A

a.pilli/fimbriae

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6
Q

how do virus adhere to host tissues

a. pilli/fimbriae
b. receptors at site of entry to body eg gi/gu etc

A

b.receptors at site of entry to body eg gi/gu etc

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7
Q

hylauronase and streptokinase determine which feature of bacteria?

a. adherence
b. evasion of host response
c. invasiveness
d. dissemination

A

c.invasiveness

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8
Q

which pathogen disseminates by local apical surfaces, distant basement membranes and by blood?

a. bacteria
b. viruses

A

b. viruses

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9
Q

endotoxins and exotoxins are released by which pathogen?

a. bacteria
b. viruses

A

a.bacteria

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10
Q

which of these is not an upper resp tract infection?

a. sinusitis
b. otitis media
c. pharyngitis
d. epiglotitis
e. tracheitis

A

e.tracheitis

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11
Q

sinusitis, otitis media, pharyngitis and epiglotitis are examples of what type of infection?

a. lower respiratory tract
b. upper respiratory tract

A

b.upper respiratory tract

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12
Q

laryngitis, tracheitis,bronchiolitis and pneumonia are what type of infection?

a. lower respiratory tract
b. upper respiratory tract

A

a.lower respiratory tract

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13
Q

increased mucous production, mucosal sweling and pain, congestion and loss of taste are specific to infection of which part of the rep tract?

a. upper
b. lower

A

a.upper

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14
Q

how is a viral upper resp tract diagnosed?

a. sample of site
b. blood test
c. urine test

A

a. sample of site

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15
Q

osteltamivir is a specific agent for flu how is it administered/

a. oral
b. nebulised

A

a.oral

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16
Q

zanamivir is a specific agent for flu how is it administered/

a. oral
b. nebulised

A

b.nebulised

17
Q

which of these is used in covid treatment?

a. zanavamir
b. osteltamivir
c. dexamethasone

A

c.dexamethasone

18
Q

what is the main route of infection prevention?

a. hand washing
b. tissue binning
c. resp etiquette
d. wearing a mask

A

a.hand washing

19
Q

should antimicrobials be given in self limiting infections?

a. yes
b. no

A

b.no

risk benefit analysis

20
Q

antibitoics increase risk of infection by what bacteria in elderly?

a. staph aureus
b. strep pneumoneae
c. c difficile

A

c.c difficile

21
Q

overgrowth with candiasis can happen as a result of antibiotic misuse. what type of pathogen is this?

a. bacteria
b. virus
c. fungi

A

c.fungi

22
Q

what are antibiotics classified according to?

a. mode of action
b. site of action in the bacterial cell
c. efficacy
d. site of action in the body

A

b.site of action in the bacterial cell

23
Q

what do the majority of antibiotics work on?

a. cell wall
b. protein synthesis

A

a.cell wall

24
Q

what do beta lactams and glycopeptides work on

a. cell wall
b. protein synthesis

A

a.cell wall

25
Q

what do macrolides, aminoglycosides and tetracyclines work on

a. cell wall
b. protein synthesis

A

b.protein synthesis

26
Q

how to beta lactams work on the peptidoglycan cell wall

a. disintergrate it
b. inhibit cross linking of chains
c. alter the cross linking of chains

A

b. inhibit cross linking of chains

27
Q

what bacteria causes strep throat -pharyngitis and tonsilitis

a,strep pneumoneae

b. strep pyogenes
c. haemophilus influenzae

A

b. strep pyogenes

28
Q

what should be used to inform treatment of URTI using local guidance

a. QRISK 3
b. GRACE
c. microguide

A

c.microguide

29
Q

what is seen radiologically in pneumonia

a. pleural effusion
b. nodules
c. consolidation

A

c.consolidation

30
Q

what is the exudate in the small airways rich in, in pneumonia

a. lipids
b. amino acids
c. proteins and cells
d. cells

A

c. proteins and cells

31
Q

pleuritic chest pain feels..

a. sharp
b. dull
c. stabbing

A

a.sharp

32
Q

which of these patogens causes atypical pneumonia

a. strep pneumoneae
b. legionella pneumophila

A

b. legionella pneumophila

33
Q

Legionella pneumophila
• Chlamydophila pneumoniae
• Mycoplasma pneumoniae
• Coxiella burnetii

all cause which condition

a. influenza
b. typical pneumonia
c. atypical pneumonia

A

c.atypical pneumonia

34
Q

purulent sputum and pleuritic chest pain indicates which infection

a. influenza
b. upper resp tract
c. typical pneumonia
d. atypical pneumonia

A

c.typical pneumonia

35
Q

what are atypical bacteria lacking

a. protein synthesis
b. cell wall

A

b.cell wall

36
Q

whats the first line resp tract antibiotic to be given for 5 days

a. clarithromycin
b. amoxicillin
c. co amoxiclav
d. doxycycline

A

b.amoxicillin

37
Q

in severe pneumonia what spectrum antibiotics are given

a. broad
b. narrow

A

a.broad

38
Q

true or false in severe pneumonia a beta lactam and non beta lactam are given together

a. true
b. false

A

a.true