Pharama And Patho

Question 1

WOTF drugs is used for hospital-aquired pneumonia?

Answer 1

respiratory fluoroquinolone like (levofloxacin , moxifloxacin) or
A beta-lactam (ceftriaxone) with macrolide (azithromycin)
If patient have Pseudomonas infection use :
consider use of an antipseudomonal (piperacillin-tazobactam or cefepime or imipenem) With antipneumococcal (fluoroquinolone, either ciprofloxacin or levofloxacin) If patient have risk for Methicillin-resistant S. aureus (MRSA), Use : consider of linezolid or vancomycin with clindamycin.

Question 2

WOTF drug use in community-aquired pneumonia ? Patient with chronic condition

Answer 2

chronic condition like (diabetes ,heart, lung, liver, or renal disease or immunocompromise)
recent antibiotic use (within previous 3 months) high rates (> 25%) of macrolide- resistant S. pneumoniae
Use one of them : Monotherapy : A respiratory fluoroquinolone like (levofloxacin, moxifloxacin or gemifloxacin) Or Combination therapy :
Amoxicillin With macrolide (Azithromycin , Clarithromycin) Amoxicillin With Doxycycline
Or
cephalosporin (cefpodoxime , cefuroxime) with macrolide (Azithromycin , Clarithromycin)
cephalosporin (cefpodoxime , cefuroxime)
with Doxycycline

Question 3

Drugs used in community aquired pneumonia , healthy patient ?

Answer 3

Amoxicillin
Macrolid mycin mycin
Doxycycllin

Question 4

Antibiotic for pneumoncoccal pneumonia

Answer 4

Penicillin , Amoxicillin

-For pencillin resistance

Ceftriaxone , cefotaxime
And respiratory fluroquinolone

Question 5

Drugs used in streptococcal pharyngitis

Answer 5

Penicillin V 
Pencillin allergy (Cephalexin)

Question 6

Druga used in Acute bactirial rhinosinusitis and otitis media

Answer 6

Amoxycillin

Question 7

Advers affects of Antibiotics

Answer 7

Penicillins , Cephalosporins : Allergic reactions Macrolides : QTc prolongation Fluoroquinolones : Tendinitis And Tendon Rupture (not recommended for children or pregnant women).

Question 8

Drug not recommended for children and pregnant women

Answer 8

Fluoroquinolones

Question 9

WOTF disease could facilitate secondary bacterial infection

Answer 9

Acute catarrhal rhinitis

Question 10

Patient came to ER with edema and marked eosinophilic infiltration and nasal polyp formation , what is the probreate diagnosis ?

Answer 10

Allergic rhinitis

Question 11

Patient HAS HISTORY of infection of root of teeth can devalope WHICH type of inflamation ?

Answer 11

Sinusitis

Question 12

Patint with enlarged and hyperemic tonsile

Answer 12

Catarrhal tonsilitis

Question 13

Complication of acute tonsilitis

Answer 13

Chronic tonsilitis
Spread infection to pharynx and larynx trachea bronchi
Devalope rhematic fever and acute glumerulonephritis
Pre tonsillar abcess
Blood spread to appendix and bone marrow

Question 14

Patient with hyperplasia of lymphoid follicle causing enlargment of tonsils and abcess in the crypts acute and chronic inflamatory cells , fibrosis and atrophy of tonsills ?

Answer 14

Chronic tonsilitis

Question 15

Complication of diphteria

Answer 15

Airway obestraction

Acute toxemia

Question 16

Bronchopneumonia detected by ?

Answer 16

Patchy invlovment

Question 17

What is the complication of labor pneumonia ?

Answer 17

Abcess formation
Septicemia and bactiremia
Emphysma
Exudate and fibrous tissue

Question 18

What is Atypical pneumonia and what is the main caustive organ ?

Answer 18

Pneumonia that dose not need hospitalaization , virusis influenza A and B

Question 19

Patchy or labor areas of congestion without consolidation , interstitial inflamatory cell infeltiration , HYALINE MEMBRANE LINING THE ALVEOLI , necrosis of bronchial or alveolar epithilum , cytomegaly and nuclear inclusion .

Answer 19

Atypical pneumonia

Question 20

Which of the following type of influanza cause long-life immunity while infection ?

Answer 20

Type B and C

Question 21

What is nasocomial pneumonia ?

Answer 21

Pneumonia aquired from hospital

Question 22

What is the causes of localized abcess in lung ?

Answer 22

Aspiration of infected material 
Primary bacterial infection 
Septic emboli from infected thrombi or cardiac vegetation 
Obstractive tumer 
Direct trumatic puncture 
Spread of infection from adjacent site