Pneumonias Flashcards

1
Q

Prevention of viral pneumonias

A

vaccines: influenza A/B, adenovirus, chickenpox, herpes zoster, measles, rubella

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2
Q

Treatment of influenza A pneumonia

A

Amantadine Hydrochloride

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3
Q

Most common cause of CAP

A

Strep pneumoniae (Pneumococcal)

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4
Q

Patient populations you’re likely to see klebsiella pneumonia

A

alcoholics, COPD, DM

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5
Q

Clinical presentation of CAP

A

fever, tachypnea, cough, sweats, chest discomfort, rigors

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6
Q

What bacteria causes rust colored sputum?

A

pneumococcal

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7
Q

What bacteria causes green sputum?

A

pseudomonas

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8
Q

What bacteria cause foul smelling sputum?

A

anaerobic

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9
Q

What bacteria cause bloody, currant jelly tinged sputum?

A

klebsiella

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10
Q

What is considered the gold standard for diagnosing pneumonia when clinical and microbiologic features are supportive?

A

presence of an infiltrate on plain chest radiograph

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11
Q

What bacteria has a tendency to cause pneumonia in the upper lobes?

A

klebsiella

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12
Q

What bacteria has a tendency to cause pneumonia in the lower lobes?

A

legionella

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13
Q

T/F hyponatremia is often associated with Legionella pneumonia

A

True

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14
Q

What is an ominous clinical sign of impending death?

A

leukopenia

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15
Q

How long do patients need to have been in the hospital or on the ventilator before there pneumonia is considered nosocomial?

A

48-72hrs

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16
Q

What is the 2nd most common cause of hospital-aquired infection and leading cause of nosocomial infection death?

A

HAP

17
Q

Common bacteria for HAP

A

S.aureus, Pseudomonas, Enterobacter, klebsiella, e-coli

18
Q

Benefits of the polyvalent pneumococcal vaccine

A

covers 23 strains of S. Pneumonia and a single dose offers lifetime immunity

19
Q

What is the key difference between the pathophysiology of viral and bacterial pneumonias?

A

viruses involve lymphocytes and bacterium involve neutrophils

20
Q

Differences of viral pneumonia clinical presentation as compared to bacterial pneumonia

A

lower fevers, gradual onset, seasonal distribution

21
Q

What is used for treatment of viral RSV pneumonia?

A

Ribavirin

22
Q

What fungal pneumonia is prevalent in the southwestern US?

A

Coccidioidomycosis

23
Q

What is the treatment for fungal pneumonias?

A

amphoteracin B

24
Q

Which of the following parasites are likely to cause pneumonia: toxoplasma gondii, stronglyoides stercoralis, ascariasis?

A

All of them of common parasites that cause pneumonia

25
Q

How is legionella pneumophila transmitted?

A

inhaling aerosols

26
Q

What is the treatment for a legionella pneumonia?

A

erythromycin

27
Q

How is chlamydia psittaci transmitted?

A

bird dropping to humans

28
Q

What is treatment for chlamydial pneumonias?

A

tetracycline

29
Q

What is treatment for pneumocystis jiroveci (P. Carinii)?

A

Trimethoprim - sulfamethoxazole