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Respiratory > LRTI And Pnuemonia > Flashcards

LRTI And Pnuemonia Flashcards

1
Q

What are common and less common flora of the URT?

A

Viridans strep
Neisseria species
Anaerobes
Candida sp

Strep pneumonia
Streptococcus pyogenes
Haemophilus influenzae

Pseudomonas
E. coli

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2
Q

Bacterial super-infection is common with?

A

Sinusitis and otitis media

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3
Q

Main causative organisms for acute bronchitis and treatment?

What will CXR show?

A

SP/ HI
Moraxella catarrhalis

Physiotherapist, bronchodilation and ABx (amoxicillin)

Clear

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4
Q

Typical presentation of pneumonia?

A 
Fever 
Cough
Breathlessness
PLeurtic pain on inspiration 
Abnormal CXR and localising signs
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5
Q

What are some GENERAL investigations you would carry out in suspected pneumonia?

A 
FBC
UandE
CRP 
ABG
CXR
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6
Q

Treatment for hospital-acquired pneumonia?

A

Co-amoxiclav

Second line/ ITU
- Pipperacilin
Tazobactam
Meropenem

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7
Q

What is the chemoprophylaxis given for pneumonia to people with asplenia, hyposplenism and immunodeficiency?

A

Oral penicillin/ erythromycin for life

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8
Q

What is RSV commonly associated with?

A

Bronchiolitis in kids

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9
Q

Name 5 viruses which commonly cause URTI?

A

Parainfluenza
Influenza
Coronavirus
RSV

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10
Q

What are the 2 common causative organisms in CAP?

A

SP

HI

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11
Q

Which atypical CAP organism is associated with epidemics every 4-6 years?

A

Mycoplasma

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12
Q

Which atypical organism is associated with farm animals, hepatitis and can cause acute respiratory distress syndrome?

A

Coxiella burnetti

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13
Q

What CAP atypical organism is associated with birds, splenomegaly, rash and haemolytic anaemia?

A

Chlamydia psittaci

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14
Q

What features will you see on examination of someone with pneumonia?

A 
Tachycardia
Tachypnoea 
Pyrexia
Dullness to percussion 
Tactile vocal fremitus 
Bronchial breathing 
Crackles
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15
Q

Strep pneumonia haemolytic?

A

Alpha

Sensitive to optochin

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16
Q

What is Austrian syndrome?

A

Meningitis
Pneumonia
Endocarditis

17
Q

Give 2 ABx types that work on protein synthesis.

What are these useful in the treatment of?

A

Macrolids
Tetracyclines

Atypical organisms (no cell wall)

18
Q

What are the most common causative organisms of HAP?

A 
Staph aureus 
Enterobacteriaciae 
Psuedomonas app 
HI 
Acineto bacterbaumanii 
Fungi

Respiratory (22 decks)

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