Pleuropulmonary Infections

Question 1

Acute viral bronchitis is an infection of the upper/lower respiratory tract / usually caused by / cough lasts more than?

Answer 1

Lower / same viruses that cause cold or flu / 3 weeks

Question 2

1st, 2nd, 3rd, 4th most common Community-Acquired Pneumonia?

Answer 2

S. pneumonia, H. flu, M. Catarrhalis, Legionella

Question 3

After going to a crowded carnival in August, a 25 year old slowly develops a dry, incessant cough. What pathogen is most likely? / What is another name for this

Answer 3

Mycoplasma / Walking Pneumonia

Question 4

What will be present on a Mycoplasma sputum cx? / What test might you do?

Answer 4

PMNs and monocytes, no bacteria or organisms / Cold Agglutinin

Question 5

A patient with a mouth-full of rotting, infected teeth aspirates due to an airway obstruction. The patient develops pneumonia and frequently coughs up foul smelling, purulent sputum. What is the likely pathogen? / Conditions linked to this? / Complication

Answer 5

Anaerobic Pneumonia / Empyema & lung abscess / Necrotizing pneumonia

Question 6

A patient contracted pneumonia after spending a September evening sitting out in a friend’s hot tub; what is the likely pathogen?

Answer 6

Legionella

Question 7

Legionella is considered an “Atypical Pneumonia”; how come? / CXR reveals?

Answer 7

Atypical because no bacteria or organisms appear on the sputum culture; presentation is actually fairly typical. / focal patchy infiltrates

Question 8

Atypical pneumonia that presents similar to Mycoplasma, however, has longer prodrome:

Answer 8

Chlamydia pneumonia

Question 9

A diabetic alcoholic contracts pneumonia and produces sputum that has the consistency of red currant jelly. Pathogen? / Finding on sputum gram stain?

Answer 9

Klebsiella / Gram negative encapsulated rods

Question 10

Which two typical bacterial pneumonias often follow URIs?

Answer 10

S. pneumonia & H. flu

Question 11

Finding of H. flu on gram stain?

Answer 11

Pleomorphic gram negative coccobacilli

Question 12

An otherwise healthy 45 year old male who has not had any contact w/the health care system contracts pneumonia. Sputum gram stain reveals gram positive diplococci. Pathogen? / What color might his sputum be?

Answer 12

S. pneumonia / rusty colored

Question 13

A patient with a nosocomial pneumonia beings coughing up blood. Sputum gram stain reveals plump, gram positive cocci. Pathogen?

Answer 13

Staph aureus