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medically complex > MC 2.1 > Flashcards

MC 2.1 Flashcards

1
Q

ARA definitions for chronic bronchitis

A

Chronic couph and production of sputum for minimum of three months a year for at least two consecutive years

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2
Q

which part of COPD has blebs and Bullae

A

Emphysema

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3
Q

which part of COPD has curschmann spirals

A

bronchial asthma

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4
Q

what is the role of alpha 1 antitrypsin (major function) in the body

A

protection against naturally occurring proteases

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5
Q

What is the underlying association between COPD and poor oral health that cuases secondary lung infections?

A

cigarette smoking

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6
Q

what is the species name for legionella?

A

Legionella pneumophila

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7
Q

what organism is more associated with lung abscesses leading to pneumonia

A

staphylococcus

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8
Q

what organism as associated with rust colored sputum

A

Pneumococcus

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9
Q

what organism as associated with current jelly sputum

A

Klebciella pneumoniae

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10
Q

what are the four possible routes for pneumonia

A
  • asperation
  • blood
  • aspiration of fluids from upper respiratory carriage to the lower one
  • aspiration of gasric contents
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11
Q

Which of the following is characteristics of mycoplasma pneumonia

A

Species name is the same as species of klebsiella

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12
Q

what are the differences between alveolar pneumonia and interstitial pneumonia

A
  • Alveolar pneumonia bacteria is Neutrophil driven

- interstitial pneumonias viruses mono-nuclear cell driven

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13
Q

what are the 5 characteristics of interstitial pneumonia

A
  • everything is in the alveolar septae
  • caused by viruses
  • septae get thick
  • includes viral pneumonia
    usually diffuse and often bilateral
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14
Q

alveolar pneumonia characteristics

A
  • Caused by bacteria
  • All on inside of alveolar sacs
    bacteria, neutrophil, edema, hemorrhage
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15
Q

what is the association with pneumonia and periodontal disease

A

those patients on long standing antibiotics wipeout normal oral flora and promote some bad actors like klebsiella and pseudomonas

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16
Q

features of mycobacterium TB

A
  • mycolic acid
  • antiphagocytic
  • does not gram stain
  • need acid fast bacillus stain
  • acid-fast bacilli stain
  • most commmon prortal of entry is respiratory followed by GI
17
Q

scrofula

A
  • unilateral cervical adenitis that presents with swollen non-tender nodes
  • lymphatic spread to the hilar lymph nodes with infection to the neck area
18
Q

Potts disease

A
  • is a form of tuberculosis that occurs outside the lungs whereby disease is seen in the vertebrae
  • vertibral osteoarthritis
  • a miliary form of turbuculosis
19
Q

Ghon complex

A

A peripheral parenchmal granuloma, and prominent infected draining mediastinal (hilar) lymph node

20
Q

Tuberculoma

A

A clinical manifestation of tuberculosis which conglomerates tubercles into a firm lump, and so can mimic cancer tumors of many types in medical imaging studies.

21
Q

how quickly does TB grow

A

very very very slow growing (6-8 weeks)

22
Q

in what part of TB is the Ghon complex is prevalent

A
  • primary TB not secondary not milliary
  • when a person is first exposed there is a lung lesion subpleural and a draining lymph node (together this makes the ghon complex)
23
Q

What type of hypersensitivities reaction is there in the NRL (natural rubber latex) protein allergies

A

Type I

24
Q

what antibodies are involved in the NRL allergy

A

IgE

25
Q

what tye of hypersensitibity reaction is there in ICD (irratant contact dermatitis)

A

NONE

26
Q

what type of hypersensitivities reaction is there allergic contact dermatitis

A

Type IV

27
Q

in the ACD, because its contact dermatitis, what type of cell is activated

A

t cell lymphocyte

28
Q

what is the normal role for gluteraldehyde in dental

A

disinfectant

medically complex (2 decks)

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