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Y3 Respiratory Conditions > Lobar pneumonia > Flashcards

Lobar pneumonia Flashcards

1
Q

Why is gas exchange impaired in pneumonia

A

Reduced ventilation

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2
Q

What practice increases the risk of aspiration pneumonia

A

Unsafe swallowing

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3
Q

Lung mostly affected by aspiration pneumonia

A

Right

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4
Q

Chest pain in pneumonia

A

Pleuritic

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5
Q

CV responses in pneumonia

A
  • tachycardia
  • tachypnoea
  • hypoxia
  • hypotension
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6
Q

Microbe leading to abscess in pneumonia

A

S aureus

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7
Q

Why is there dull percussion in pneumonia

A

Tissue collapse/consolidation

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8
Q

Why is there focal coarse crackles in pneumonia

A

Air passing through sputum

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9
Q

Why is there bronchial breath sounds in pneumonia

A

Consolidation

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10
Q

Symptoms of strep pneumoniae +ve in CAP

A
  • rusty sputum
  • right lower lobe consolidation
  • cold sores
  • chest pain
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11
Q

Symptoms of haemophillus influenza -ve in CAP

A
  • bronchitis
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12
Q

Epi of moraxellia caterrhalis In CAP

A
  • immunocompromised

- chronic disease

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13
Q

What two conditions increase the risk of HAP caused by pseudomonas aeruginosa

A
  • CF

- bronchiectasis

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14
Q

Which age group does pseudomonas aeruginosa affect more

A

Young

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15
Q

Epi of s aureus in HAP

A
  • CF
  • IVDU
  • eld >inf
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16
Q

Features of organisms that cause atypical pneumonia

A
  • cannot be cultured
  • cannot detected by gram
  • do not respond to penicillin
17
Q

(Neurological) symptoms of mycoplasma pneumonia (atypical)

A
  • transverse myelitis
  • back pain
  • rash of erythema multiforme
18
Q

MCQ presentation of atypical pneumonia caused by coxiella burnetii

A
  • farmer

- flu-like symptoms

19
Q

MCQ presentations of atypical pneumonia caused by legionella pneumophila

A
  • hypoK

- cheap holiday

20
Q

MCQ presentation of atypical pneumonia caused by chlamydia psittaci

A

Parrot owner

21
Q

How does legionella pneumophila spread

A
  • water supply

- air conditioning

22
Q

Atypical pneumonia pathogen found in school-aged children

A

Chlamydia pneumoniae

23
Q

Percussion in pneumonia

A

Dull

24
Q

Vocal resonance in pneumonia

A

Tectile

25
Q

Points of CURB-65

A
  • Confusion
  • Urea >7mmol/L
  • RR>30
  • BP <90/60
  • > 65 age
26
Q

Causative agent of fungal pneumonia

A

PCP

27
Q

Why is PCP common amongst immunocompromised

A

Low CD4+

28
Q

Symptoms of fungal pneumonia

A
  • DRY cough
  • SOB on EXERTION
  • night sweats
29
Q

Treatment of fungal pneumonia

A

Co-trimoxazole

30
Q

Default Abx for CAP

A

PO amoxicillin (or doxycyline)

31
Q

Abx in severe CAP

A
  • cefuroxime + erythromycin
32
Q

Typical Abx in HAP

A

IV Ceftazidime (3rd gen)

33
Q

Abx if staph

A

Flucloxacillin

34
Q

Abx if MRSA

A

Vancomycin

35
Q

Abx if pseudomonas

A

Tazocin + gentamicin

36
Q

Abx if atypical pneumonia

A
  • cefuroxime
  • macrolides
  • levofloxacin
  • doxycycline
37
Q

Abx if chlamydia pneumoniae

A

Tetracycline

38
Q

Abx if aspiration pneumonia

A

Co-amoxiclav

Y3 Respiratory Conditions (9 decks)

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