Pneumonia DSA and CIS II

Question 1

coughing with inspiratory high pitched sound

Answer 1

whooping cough

bordetella pertussis

Question 2

barking cough, low grade fever

Answer 2

croup

Question 3

A/C

Answer 3

legionella

gram negative, choc agar

Question 4

hospitalized with green sputum

Answer 4

pseudomonas

pyocyanin pigment

Question 5

fungus ball

Answer 5

aspergillus

mycetoma

Question 6

dx legionella

Answer 6

urinary antigen

Question 7

quantiferon gold test

Answer 7

for TB

Question 8

most common cause of resp patho in infants

Answer 8

RSV

Question 9

influenza tx

Answer 9

oseltamivir

Question 10

vertical nystagmus

Answer 10

ethambutol

Question 11

PPD test

Answer 11

5mm - HIV, TB contact, CXR changes (fibrosis), organ transplant
10mm - immigrant, IV drug, lab work, health care worker
15mm - no exposure

Question 12

CYP450 inducer

Answer 12

rifampin

alters HAART tx in HIV patient

Question 13

CD4 < 50

Answer 13

mycobacterium avium intracellulare

MAC

Question 14

post-influenza bacterial pneumonia

Answer 14

staph aureus

Question 15

thumb sign on lateral Xray

Answer 15

epiglottitis

-haem influenza

Question 16

epiglottitis

Answer 16

haem influenza

-thumb sign

Question 17

croup

Answer 17

steeple sign

Question 18

janeway lesions, osler nodes, splinter lesions

Answer 18

right side endocarditis

Question 19

aerobic gram positive spore former

Answer 19

bacillus anthracis

Question 20

alpha hemolytic gram positive

Answer 20

streptococcus pneumonia

Question 21

bronchiolitis and pneumonia in infants

Answer 21

most common cause

-RSV

Question 22

COPD exacerbation

Answer 22

moraxella catarrhalis

gram negative diplococci

Question 23

otitis media in children

Answer 23

moraxella catarrhalis

Question 24

TWAR

Answer 24

atypical pneumonia

chlamydia pneomonia

Question 25

tachyzoites that stain with H and E

Answer 25

toxoplasma gondii

-CD4 < 50

Question 26

flu syndrome, goes away, comes back to liver, lungs, kidney

Answer 26

leptospirosis

Question 27

immune response

Answer 27

first IgM, then IgG

Question 28

influenza year to year

Answer 28

minor changes - antigenic drift

shift leads to pandemics/epidemics

Question 29

splenectomy

Answer 29

no longer produce opsonizing IgG antibodies to encapsulated organisms

Question 30

nuchal rigidity, gram negative chocolat agar

Answer 30

neisseria meningitides

Question 31

prophylaxis for neisseria meningitidis

Answer 31

rifampin

Question 32

orange urine

Answer 32

rifampin

Question 33

Q fever

Answer 33

rickettsial disease

-coxiella burnetii

Question 34

pregnant with PE

Answer 34

V/Q scan preerred

Question 35

sudden SOB, baby delivery, PTT and PT prolonged

Answer 35

DIC

from amniotic fluid embolus

Question 36

long bone fx, sundden SOB

Answer 36

fat embolus

-long bone fx

Question 37

EKG for PE

Answer 37

most common - nonspecific ST-T wave and sinus tachy

Question 38

mcconnels sign

Answer 38

S1Q3T3

-EKG for PE