PULM: Infectious

Question 1

Presents w/ fever, headache, and paroxysmal spasms of chest wall muscles w/pleuritis chest pain. Labs often show leukocytosis or increases CK from mm inflammation.

Answer 1

Pleurodynia (Bornholm disease) often caused by Coxsackie B.

Question 2

Most common bacterial cause of CAP

Answer 2

Strep pneumo

Lobar Consolidation.

Question 3

Common opprotunitistic cause of pneumonia in pts w/late stage hIV

Answer 3

Pneumocystitis jiroveci

diffuse, bilateral infiltrates prominently around the hila

Question 4

Hospital acquired pneumonia can often be caused by

Answer 4

pseudomonas aeruginosa

also causes ventilator acquired pneumonia

Question 5

A pt w/ hx of prior exposure to TB in childhood presents w/ + PPD but no signs of active TB on cxr. No hx of vaccination w/BCG vaccine How do we approach this?

Answer 5

We treat it as latent TB. Prolonged course of isoniazid or rifampin.

Question 6

Diagnosis of latent TB

Answer 6

+PPD w/ no evidence of active disease on cxr or sputum gram stain is diagnostic for latent TB