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001 PANCE > pneumonia > Flashcards

pneumonia Flashcards

1
Q

mc cause CAP

A

strep pneumoniae

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2
Q

mc cause CAP in underlying lung disease

A

H influenzae

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3
Q

MC cause walking/atypical pneumonia

A

mycoplasma pneumoniae

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4
Q

pneumonia in contaminated water, AC units, etc

A

legionella

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5
Q

MC pneumonia in ETOH, severely ill

A

klebsiella pneumonia

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6
Q

MC pneumonia in immunocompromised

including bronchiectasis and CF

A

pseudomonas aeruginosa

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7
Q

what are typical pneumonia pathogens

A

strep pneumo
h influenzae
klebsiella
staph aureus

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8
Q

what are atypical pneumonia pathogens

A

mycoplasma
chlamydia
legionella
viruses

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9
Q

what is the mc pneumonia cause in a baby

A

rsv/parainfluenza

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10
Q

what is the mc viral pneumonia cause in an adult

A

influenza

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11
Q

pneumonia caused by bird/bat droppings in mississippi and ohio river valley areas

A

histoplasmosis

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12
Q

pneumonia caused by something found in soil in southwest US/desert areas

A

coccidiodes

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13
Q

currant jelly sputum

A

klebsiella

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14
Q

rusty/blood tinged sputum

A

strep pneumonia

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15
Q

foul sputum

A

anaerobes (MC aspiration)

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16
Q

mgmt for CAP outpatient

A

macrolide or doxy

17
Q

mgmt for CAP inpatient

A 
macrolide + B lactam
or
doxy + B lactam
or
broad spectrum FQ
18
Q

mgmt for CAP in ICU

A

macrolide + B lactam
or
broad spectrum FQ + B lactam

19
Q

mgmt for HAP

A

anti-pseudomonal B lactam + anti-pseudomonal FQ
or
anti-pseudomonal B lactam + anti-pseudomonal AG

20
Q

if theres a penicillin allergy whats a good alternative to a B lactam

A

clindamycin

21
Q

ceftriaxone
cefotaxime
unasyn
are all examples of

A

b lactams

22
Q 
cefepime
imipenem
meropenem
zosyn
piperacillin
are all examples of
A

anti-pseudomonal b lactams

23
Q

if you suspect mrsa make sure you add ___

A

vanco

24
Q

which pneumonia vax is given in childhood

and if you’re an overachiever when is it given

A

PCV13

2mo, 4mo, 6mo, then after 4y

25
Q

which pneumonia vax is given to adults

A

PPV23

26
Q

when is PPV23 indicated and how often do you give it

A

65+
2-64 with comorbid diseases
update q5y

001 PANCE (13 decks)

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