Pulmonary Infections Flashcards

1
Q

Which organisms cause an elevated CRP and Procalcitonin during pneumonia?

A

Bacterial

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2
Q

Which bacteria is the most common cause of CA acute pneumonia?

A

S. Pneumoniae

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3
Q

Gram + lancet-shaped diplococci

A

S. Pneumoniae

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4
Q

Pleomorphic, gram - bacteria

A

H. Influenzae

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5
Q

Which bacteria is the most common cause of acute exacerbation of COPD?

A

H. Influenzae

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6
Q

Which bacteria causes an emergent pediatric pneumonia?

A

H. Influenae

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7
Q

Which bacteria is the most common cause of pneumonia in the elderly?

A

M. Catarrhalis

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8
Q

Which bacteria causes pneumonia and is associate with skin lesions and IV drugs users?

A

S. Aureus

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9
Q

Which gram - bacteria is a frequent cause of pneumonia in alcoholics and creates a thick, mucoid, blood-tinged sputum?

A

K. Pneumoniae

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10
Q

Which bacteria causes pneumonia and has a grape-like odor and is associated with CF and immunosuppressed pts?

A

Aspergillus

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11
Q

Which 3 organisms are associated with CF?

A

Aspergillus
S. Aureus
H. Influenzae

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12
Q

Which bacteria is found in artificial aquatic environments?

A

Legionella Pneumophilia

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13
Q

Which bacteria mostly affects organ transplant recipients?

A

Legionella Pneumophilia

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14
Q

Which bacteria is common among children/young adults in schools, military camps, and prisons?

A

M. Pneumoneiae

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15
Q

Which bacteria is associated with abscess formation from pneumonia?

A

K. Pneumoniae

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16
Q

Which viruses are the most common causes of CA pneumonia?

A
Influenzae
RSV
Huma M etapneumovirus
Adenovirus
Rhinovirus
Rubeola
Varicella viruses
17
Q

Which Influenza virus type has Hemagglutinin and Neuraminidase as virulence factors?

A

Type A

18
Q

What does Hemagglutinin do?

A

Attaches virus to target cell via sialic acid

19
Q

What does Neuraminidase do?

A

Cleaves sialic acid releasing new virion

20
Q

In relation to Influenza, what is antigenic drift?

A

Alteration of epitopes on viral H and N proteins

21
Q

In relation to Influenza, what is antigenic shift?

A

H and N genes replaced by recombination versions from other animals

22
Q

What causes epidemics and pandemics? Shift or Drift?

A
Epidemics = antigenic drift
Pandemics = antigenic shift
23
Q

What are the most common organisms to cause Health care associated pneumonia?

A

MRSA

P. Aeruginosa

24
Q

What are the most common organisms to cause Hospital acquired pneumonia?

A

S. Aureus, S. Pneumonia (gram +)

P. Aeruginosa, Enterobactericae (gram -)

25
Q

What are the most common organisms to cause lung abscesses?

A

S. Aureus
Streptococci
H. Influenzae

26
Q

What are the major Sx’s seen with lung abscesses?

A

Cough, Fever
Foul-smelling sputum
Weight loss
Clubbing of fingers/toes

27
Q

What are the most common fungi to cause chronic pneumonia?

A

Histoplasmosis
Blastomycosis
Coccidioicomycosis

28
Q

Which fungus is found along the Ohio river valley and creates coin lesions on CXR?

A

Histoplasmosis

29
Q

Which fungus is found in the SE U.S. and Mexico and is characterized as “broad based buds?”

A

Blastomycosis

30
Q

Which lobes is Blastomycosis mostly found in?

A

Upper lobes

31
Q

Which fungus is found in the SW U.S. and has thick-walled, non-budding spherules filled with small endospores in macrophages?

A

Coccidioidomycosis

32
Q

Which bacteria most commonly affect immunocompromised pts?

A

P. Aeruginosa
Mycobaterium
L. Pneumophilia
L. Monocytogenes

33
Q

Which viruses most commonly affect immunocompromised pts?

A

CMV

Herpesvirus

34
Q

Which fungi most commonly affect immunocompromised pts?

A

P. Jiroveci
Candida
Aspergillus
C. Neoformans

35
Q

Which organisms cause pneumonia in HIV pts with a CD4 count > 200?

A

TB and other bacteria

36
Q

What stains are used for TB?

A

Ziehl-Neelson

Kinyon

37
Q

Which organism causes pneumonia in HIV pts with a CD4 coung < 200?

A

P. Pneumoniae

38
Q

Which organisms cause pneumonia in HIV pts with a CD4 count < 50?

A

CMV
Fungi
M. Avium