Pneumonia

Question 1

Pneumonia definiton ?

Answer 1

Infection of the lung parenchyma

pathoma-86

Question 2

Diagnosis of Pneumonia ?

Answer 2

1.Chest X-ray
2.Sputum culture
3.Blood culture
4.Sputum gram stain

pathoma-86

Question 3

Causes of pneumonia ?

Answer 3

1. Impaired cough reflex
2. Damage to mucociliary escalator
3. Mucus plugging

pathoma-86

Question 4

Clinical features of pneumonia ?

Answer 4

1. Fever
2. Chills
3. Productive cough
4. Cough + Sputum
5. Sputum= Yellow green-Pus , Rusty -Blood
6. Tachypnea
7. Pleuritic chest pain
8. Crackles
9. Dec breath sound
10. WBC elevated
11. Dullness to percussion

p-86

Question 5

Lobar P ?

Answer 5

Consolidation of an entire lobe of the lung

p-87

Question 6

Cough characteristics in P ?

Answer 6

1. Productive
2. Rusty
3. Yellow green

Question 6

Auscultation result of P?

Answer 6

Dullness

p-86

Question 7

Lobar P cause ?

Answer 7

1. Streptococcus pneumoniae
2. Klebsiella pneumoniae

p-87

Question 8

Phases of L P ?

Answer 8

1. Congestion
2. Red hepatization
3. Gray hepatization
4. Resolution

p-87

Question 9

Congestion phase of lobar p ?

Answer 9

Congestion of vessels
=Edema

p-87

Question 10

Klebshiella P sputum characteristics in P ?

Answer 10

Currant jelly sputum
+ abscess

Question 10

Red hepatization of Lobar P ?

Answer 10

1. Exudate
2. Neutrophils
3. Hemorrhage filling the alveolar air spaces
4. Spongy lung

p-87

Question 10

Strepto P cause of which type of P ?

Answer 10

Community acquired P
+ Secondary P
+ Bacterial P in URT

P-87

Question 11

What causes Klebshiella to produce currant jelly sputum ?

Answer 11

Thick mucoid capsule

p-87

Question 12

Bronchopneumonia definiton ?

Answer 12

Scattered patchy consolidation centered around bronchioles

p-87

Question 13

Characteristics of BronchoP ?

Answer 13

1. Multifocal
2. Bilateral

p-87

Question 14

Secondary P by which organism ?

Answer 14

Staphy A

Question 14

Organisms of BronchoP ?

Answer 14

1. Staphylo A
2. Haemophilus
3. Pseudomonas
4. Moraxella
5. Legionella

p-88

Question 15

Secondary P + COPD ???

Answer 15

Haemophilus

Question 16

P + Cystic fibrosis ?

Answer 16

Pseudomonas

Question 17

Clinical feature of I/Atypical P ?

Answer 17

1. Minimal sputum
2. Low fever

Question 17

Which organism is seen by silver stain ?

Answer 17

Legionella

Question 18

Community acquired P + COPD ?

Answer 18

Moraxella

p-88

Question 18

Atypical P in Young adults ?

Answer 18

Chlamydia P

Question 18

Atypical P in infants ?

Answer 18

Respiratory Syncytial Virus -RSV

P-88

Question 19

Intersitial P / Atypical P def ?

Answer 19

Diffuse Interstitial infiltrates

p-87

Question 20

Most common cause of Atypical P ?

Answer 20

Mycoplasma p

p-88

Question 21

Mycoplasma P Clinical features in P ?

Answer 21

1. Autoimmune hemolytic anemia
2. Erythema multiforme

Question 21

Risk of Aspiration P ?

Answer 21

1. Alcoholics
2. Comatose patient

p-87

Question 21

Why right lower lobe ?

Answer 21

The right main stem bronchus branches at a less acute amgle than the left

p-89

Question 22

Which lobe in Aspiration P ?

Answer 22

Right lower lobe abscess

p-89

Question 23

CXR showes bilateral multifocal opacities in which P ?

Answer 23

Atypical P

FA-701

Question 23

Aspiration of oropharyngeal /gastric contents = Pulmonary infection which P ?

Answer 23

Aspiration P

FA-701

Question 24

Walking P which one ?

Answer 24

Atypical / Interstitial P

FA-701