Pneumonia

Question 1

Classification , types of pneumonia 3

Answer 1

Community acquired (typical and atypical)
Hospital acquired (nosocomial)pneumonia
Pneumonia in the immunocompromised

Question 2

main deference between atypical and typical pneumonia ?

Answer 2

Having leukocytosis and heavy productive cough and respond to b lactm drugs in typical while atypical don’t

Question 3

Typical community acquired pneumonia symptoms ?

Answer 3

Cough productive (BLOODY RUST COLOR ), sudden onset of fever عكس الثاني
pleuritic chest pain ( pain when breathing )
shortness of breath
Rales or bronchial sounds
Leukocytosis
repond to beta lactm

Question 4

causative organism for Typical community acquired pneumonia 2

Answer 4

Streptococcus pneumonia , hemophilus influenzae (ALL BACTERIAL WIT HCELL WALL )

Question 5

Atypical community acquired pneumonia symptoms ? 4

Answer 5

More gradual onset of cough + less productive
Lobar consolidation
absent leukocytosis
no response to beta lactm

Question 6

causative organism for Atypical community acquired pneumonia and what special about them 4

Answer 6

Mycoplasma pneumoniae
Chlamydia pneumoniae
legionella
viruses
THEY DONT HAVE CELL WALL

Question 7

How dose chronic pneumonia present

Answer 7

Cough >2 to 3 week + one additional symptoms
Like : fever , night sweats , weight loss , hemoptysis ( cough of blood )

Question 8

Organisms that cause chronic pneumonia 4

Answer 8

Mycobacterium tuberculosis
histoplasma
coccidioides
blastomyces

Question 9

Describe the morphology of streptococcus pneumoniae

Answer 9

G positive. cocci ,lancet shape, chains and pairs (diplococci )

WATCH PICTUE IN THE FILE BI

capsulated

Question 10

Describe the morphology of Hemophilus type B

Answer 10

gram negative pleomorphic , bacilli/coccbacilli

capsulated

Question 11

cultural characteristic of streptococcus Pneumoniae

Answer 11

Catalase negative watch picture
Alpha hemolytic in blood agar

Question 12

virulence factors of streptococcus pneumonia

Answer 12

Capsule is key variulacne factor cause of its anti-phagocytic
slgA protases
pneumolysin ( cytotoxic )

Question 13

virulence factors of Hemophilus type B

Answer 13

Pili – allow adherence to mucosal epithelial cells;
colonization of pharynx.
IgA protease
Capsular strains – Capsule has antiphagocytic PRP CAPSULE

Question 13

virulence factors of Hemophilus type B

Answer 13

Pili – allow adherence to mucosal epithelial cells;
colonization of pharynx.
IgA protease
Capsular strains – Capsule has antiphagocytic PRP CAPSULE

Question 14

CHEACK VACCINE NOTES