Pulm Popcorn 2

Question 1

Most important bacteria causing Pneumonia?

Answer 1

Streptococcus (Gram + diplococci)

Staph

Hemophilus influenza (gram neg)

Question 2

Legionella

Answer 2

may cause pneumonia if inhaled

from humidifiers/AC systems

Question 3

“rust-colored sputum”

Answer 3

Strep pneumo

(cause of pneumonia)

Question 4

Rales, rhonchi

Answer 4

pneumonia

Question 5

Dx of pneumonia

Answer 5

CXR

Question 6

PNA associated w/ leukocytosis (neutrophilia)

Answer 6

bacterial pneumonia

Question 7

PNA associated w/ lymphocytosis

Answer 7

Viral pneumonia

Question 8

St. pneumoniae (gram + diplococci)

Answer 8

bacterial pneumonias

Question 9

Pneumo vaccine

Answer 9

pneumococcal pneumonia

>65y/o

Question 10

PNA that causes abscesses

Answer 10

staph aureus

Question 11

current red jelly sputum

Answer 11

Klebsiella pneumonia (gram neg enteric rod)

Question 12

Mycoplasma pneumoniae

Answer 12

atypical pneumonia (walking pneumonia)

Question 13

Cryptococcosis

Answer 13

PNA in AIDs patients

Question 14

pigeon droppings in the soil

Answer 14

Cryptococcosis

Question 15

Spherules filled w/ Endospores

Answer 15

Coccidiodomycosis

Question 16

dimorphic (mold in enviro–> yeast in us)

Answer 16

Coccidiomycosis

Question 17

stain for Mycobacterium tuberculosis

Answer 17

Acid fast stain

Question 18

Cell wall contains mycolic acid

Answer 18

M. tuberculosis

Question 19

Is TB an acute bacterial infection?

Answer 19

No

Granulomas

Caseous necrosis

Question 20

Granulomas and caseous necrosis

Answer 20

TB

Question 21

Ghon Complex

(Parenchymal granuloma + draining hilar lymph node)

Answer 21

TB

Question 22

“progressive Primary TB”- population

Answer 22

kids

immunocompromised

Question 23

Secondary TB

Answer 23

= reactivation of dormant TB

Question 24

Miliary spread

Answer 24

main complication of TB

Question 25

Scrofula

Answer 25

Miliary spread of TB: - lymphatic spread to the hilar lymph nodes w/ infection to the neck area - Unilateral cervical adenitis, presents w/ swollen non-tender nodes

Question 26

Pott's disease

Answer 26

Miliary spread of TB to bone

Question 27

Acid fast staining

Answer 27

Dx of TB

Question 28

Strongest association w/ smoking

Answer 28

Small cell carcinoma and squamous cell carcinoma

Question 29

lung cancer in **nonsmoker**

Answer 29

Adenocarcinoma

Question 30

peripheral lung cancer

Answer 30

adenocarcinoma

Question 31

only cancer responsive to chemo

Answer 31

Small cell carcinoma

Question 32

K-ras oncogene Myc oncogene

Answer 32

lung cancer

Question 33

p53 gene Retinoblastoma gene (Rb)

Answer 33

tumor suppressor genes assoc w/ lung cancer

Question 34

from neuroendocine cells

Answer 34

small or oat-cell carcinomas

Question 35

tumor of mucous producing cells

Answer 35

adenocarcinomas

Question 36

AKA "scar carcinoma"

Answer 36

Adenocarcinoma

Question 37

AKA "oat cell carcinoma"

Answer 37

small cell carcinoma

Question 39

firm, gray-white ulcerative masses

Answer 39

squamous cell carcinomas

Question 40

slower growing lung cancer

Answer 40

squamous cell carcinoma

Question 41

lowest association with smoking

Answer 41

adenocarcinoma

Question 42

gray-white, soft, glistening

Answer 42

adenocarcinoma

Question 43

grows along preexisting alveolar walls

Answer 43

BAC

Question 44

hormone producer- lung cancer

Answer 44

small cell carcinoma

Question 45

spindle-shaped cells

Answer 45

small cell carcinoma

Question 46

lung cancer- dx of exclusion

Answer 46

Large cell carcinoma

Question 47

cells are large and irregular and exhibit ample cytoplasm

Answer 47

large cell carcinoma

Question 48

Adrenal gland

Answer 48

most freq. site of extranodal metastisis in lung cancer

Question 49

exposure to Asbestos

Answer 49

Malignant Mesothelioma

Question 50

AKA Rind Tumor

Answer 50

Malignant Mesothelioma