Pneumonia

Question 1

preventative measure for pt’s at risk of developing CAP?

Answer 1

Pneumococcal vaccination

Question 2

Name at least 5 typical bacteria

Answer 2

S. Pneumonia
Haemophilus Influenza 
Moraxella catarrhalis
klebsiella or ecoli
Group A streptococci

Question 3

CAP immunocompromised patients require additional tests such as testing for ….

Answer 3

Pneumoscystis jirovecii
fungal pathogens
parasites
cytomegalovirus

Question 4

Tx for CAP outpatient?

Answer 4

Oral amoxicillin + a macrolide (azithromycin or clarithromycin) or doxycycline

Question 5

Name at least 3/5 meds used to treat strep. P

Answer 5

azithromycin
ampicillin/amoxicillin
ceftriaxone/cefotaxime
doxycycline
levofloxacin/moxifloxacin

Question 6

Treatment for a legionella infection includes?

Answer 6

fluoroquinolone (levofloxacin, ciprofloxacin, moxifloxacin) or a macrolide (azithromycin, clarithromycin)

Question 7

CAP due to klebsiella is most common in what kind of patients?

Also how do you treat?

Answer 7

Diabetes, severe COPD, decreased consciousness (alcohol , stroke )

3rd generation cephalosporins ( Ceftriiaxone) or fluroquinolones (levofloxacin)

Question 8

structural lung disease, nursing home residents, ventilator assisted breathing, pt’s on broad spectrum antibiotics/ high dose steroid therapy.

Are risk factors for what kind of pneumonia?

Answer 8

Pseudomonas

Question 9

Tx for haemophilus influenza P?

Answer 9

oral beta lactam ( amoxicillin-clavulanate) or an oral 2/3rd generation cephalosporin ( cefuroxime, cefdinir, cefixime, cefpodoxime)

Question 10

What is a nosocomial pneumonia ?

Answer 10

acute infection of the lungs acquired in a hospital setting and encompasses HAP and VAP

Question 11

Name the most common organism responsible for HAP?

Answer 11

S. aureus
Pseudomonas aeruginosa
gram - rods ( enterobacter, klebsiela, e.coli)

Question 12

HAP / VAP w no risk factors for MRSA/ pseudomonas, what is the treatment

Answer 12

Peperacillin-tazobactam 4.5G IV Q6
Cefepime 2G IV Q8
Levofloxacin IV 750 mg daily

Question 13

How will a lung abscess appear on CXR ?

and

What is the Tx?

Answer 13

a theca walled solitary cavity surrounded by consolidation

Tx: Ampicillin- sulbactam or a carbapenem or clindamycin or levoflacin + metronidazole

Question 14

Albuterol
Levalbuterol
Salbutamol

Are what kind of meds?

Answer 14

SABA’S

Question 15

Salmeterol
Formeterol
Olodaterol

Are what kind of meds?

Answer 15

LABA’S

Question 16

Fluticasone
Bedesonide
Mometasone
Beclomethasone

are what kind of meds?

Answer 16

Inhaled corticosteroids

Question 17

Tiotropium
glycopyronium
aclidinium
umeclidinium

are what kind of meds?

Answer 17

LAMA’S