Pneumonia (Peine)

Question 1

List some mechanical host defenses against pneumonia

Answer 1

• hairs/turbinates
• gag/cough
• normal flora

Question 2

List the etiology/RF for community acquired pneumonia

Answer 2

Question 3

List the sxs of community acquired pneumonia

Answer 3

Question 4

List the pathognomonic sxs for pneumococcal pneumonia

Answer 4

(strep pneum): URI followed by bone shaking rigor, fever, cough, rust colored sputum

Question 5

List the pathognomonic sxs for mycoplasma pneumonia aka walking pneumonia

Answer 5

indolent onset, nonproductive cough, myalgias/arthralgias, maculopapular or SJS rash, bullous myringitis

Question 6

Describe the pathognomonic sxs for legionella pneumonia

Answer 6

insidious onset, dry cough, diarrhea, hyponatremia, confusion, rapidly progressive organ failure, exposure to fine mist

Question 7

Describe the pathognomonic sxs for klebsiella pneumonia

Answer 7

currant jelly sputum, assoc with heavy alc use

Question 8

describe the pathognomonic sxs for pneumocystis pneumonia

Answer 8

anorexia, weight loss, immunosuppression

Question 9

what is this

Answer 9

bullous myringitis from mycoplasma pneumonia

Question 10

Microbial association with alcohol overuse

Answer 10

klebsiella

Question 11

microbial association with CF

Answer 11

pseudomonas

Question 12

microbial association with milk

Answer 12

coxiella burnetti (Q fever)

Question 13

microbial association with rabbit exposure

Answer 13

fancisella tularensis (tularemia)

Question 14

microbial association with bird/bat droppings

Answer 14

histoplasmosis

Question 15

microbial association with recent travel to the SW US

Answer 15

coccidiosis (valley fever)

Question 16

microbial association with Mississippi/Ohio river valley

Answer 16

blastomycosis

Question 17

Describe the PE & diagnostic testing for community acquired pneumonia

Answer 17

Question 18

where is the pneumonia

Answer 18

right middle lobe

Question 19

When should you get a flu vaccine and who can get it

Answer 19

• yearly
• starting at age 6 mos
• can get while pregnant

Question 20

in an ambulatory patient what tests do you order to confirm pneumonia

Answer 20

CXR

Question 21

For a pt who presents to the clinic and is dx with pneumonia, how do you determine if they need to be admitted to the hospital

Answer 21

CURB 65

Question 22

Describe the treatment for community acquired pneumonia

Answer 22