Pneumonia ⚜

Question 1

Gram positive lancet-shaped diplococci

Answer 1

Streptococcus pneumoniae

Question 2

Part of the endogenous flora of 20% of adults

Answer 2

Streptococcus pneumoniae

Question 3

Pleomorphic gram negative bacilli

Answer 3

Haemophilus influenza

Question 4

Life-threatening acute LRTI in children

Answer 4

Haemophilus influenza

Question 5

Ubiquitous colonizer of the pharynx

Answer 5

Haemophilus influenza

Question 6

In H. influenza Encapsulated form produces

Answer 6

Haemocin

Question 7

The most frequent cause of severe invasive disease

Answer 7

Haemophilus influenza Type B

Question 8

IV drug users

Answer 8

Staphylococcus aureus

Question 9

Important cause of hospital acquired pneumonia

Answer 9

Staphylococcus aureus

Question 10

Most frequent cause of gram negative bacteria pmeumonia

Answer 10

Klebsiella pneumoniae

Question 11

Debilitated, malnourished patient and chronic alcoholics

Answer 11

Klebsiella pneumoniae

Question 12

Invades blood vessels with consistent extrapulmonary spread

Answer 12

Pseudomonas aeruginosa

Question 13

Cystic fibrosis

Answer 13

Pseudomonas aeruginosa

Question 14

Pontiac fever

Answer 14

Legionella pneumophilia

Question 15

Artificial aquatic environment

Answer 15

Legionella pneumophilia

Question 16

Patchy consolidation of the lung

Answer 16

Bronchopneumonia

Question 17

More often Multilobar

Answer 17

Bronchopneumonia

Question 18

Frequently bilateral and basal

Answer 18

Bronchopneumonia

Question 19

Well develop lesions; slightly elevated, granular, gray-red to yellow and poorly delineated

Answer 19

Bronchopneumonia

Question 20

Etiologic agents of Bronchopneumonia

Answer 20

Staph
Strep
Pneumococci
H. Influenza
P. aeruginosa

Question 21

Fibrinosuppurative consolidation of an ENTIRE LOBE

Answer 21

Lobar pneumonia

Question 22

Causative agent of Lobar pneumonia

Answer 22

Strep. pneumoniae

Question 23

Particle size: Deposited largely turbulent airflow of nose and upper airways

Answer 23

> 10mm

Question 24

Particle size: lodge in the trachea and bronchi

Answer 24

3-10mm

Question 25

Particle size: deposited in the terminal airways and alveoli

Answer 25

1-5mm

Question 26

Particle size: Remain suspended in the inspired be exhaled

Question 27

Spread through PORES OF KOHN

Answer 27

Lobar pneumonia

Question 28

Heavy, BOGGY, red vascular engorgement, numerous bacteria and few PMNs

Answer 28

Congestion/edema

Question 29

Massive confluent exudation of RBCs

Answer 29

Red Hepatization

Question 30

Fibrin in alveolar space

Answer 30

Red Hepatization

Question 31

Red, firm, airless and liver-like appearance

Answer 31

Red Hepatization

Question 32

Progressive disintegration of red cells, persistence of fibrinosuppurative exudate

Answer 32

Grey Hepatization

Question 33

Grayish, brown, dry surface

Answer 33

Grey Hepatization

Question 34

Microscopic: Predominant: NEUTROPHILS Abundant fibrin deposits Absence of bacteria

Answer 34

Grey Hepatization

Question 35

Corresponds to successful contamination of the infection and improve in gas exchange

Answer 35

Grey Hepatization

Question 36

Consolidation exudate within alveolar space

Answer 36

Resolution

Question 37

Enzymatic digestion

Answer 37

Resolution

Question 38

Dominant: MACROPHAGE

Answer 38

Resolution

Question 39

Complications of Pneumonia

Answer 39

Bacteremic dissemination Abscess formation Organization - soft tissue Empyema

Question 40

Typical pathogens of Pneumonia

Answer 40

strep. Pneumoniae h. Influenza s. Aureus Gram - (Pseudomonas and Kliebsella)

Question 41

Patient has unprotected airway significant gingivitis

Answer 41

Suspect ANAEROBES

Question 42

Most common cause of CAP

Answer 42

Streptococcus pneumoniae

Question 43

Most obvious risk factor for Ventilator Associated Pneumonia

Answer 43

Endotracheal Tube (ETT)

Question 44

Treatment of px without risk factor for MDR pathogens

Answer 44

Fluoroquinolone Ampicillin/Sulbactam Ceftriaxone Ertapenem