Pneumococcal Inf

Question 1

sx of pneumococcal pneumo

Answer 1

productive cough, pleural pain, bronchial breath sounds

Question 2

MCC of pneumonia

Answer 2

Strep pneumoniae

Question 3

x ray finding of pneumococc pneumo

Answer 3

consolidation (whole lobe)

Question 4

tx for S pneumo CAP

Answer 4

amoxi (750mg BID 7-10days)

Question 5

2nd line tx of Strep pneumo CAP

Answer 5

azithromycin or clarithromycin

Question 6

tx for resistant S pneumo CAP

Answer 6

Rocephin (cephtriaxone) or Levaquin (FQ)

Question 7

do CAP and pneumococcal meningitis have faster or slower onset compared with atypicals

Answer 7

faster

Question 8

MCC meningitis in adults

Answer 8

S pneumo

Question 9

how is pneumococcal meningitis diff from meningococcal meningitis

Answer 9

no purpural rash, quicker onset

Question 10

normal CSF protein

Answer 10

below 150 mg

Question 11

normal CSF glucose

Answer 11

above 40 mg/dl

Question 12

normal CSF WBC

Answer 12

less than 1000 (with fewer than 60% neutrophils)

Question 13

DOCs for pneumococcal meningitis (3)

Answer 13

Rocephin, Vancomysin, and Dexamethasone IV

Question 14

what MUST be done before an LP is performed

Answer 14

CT (r/o masses)