Pulmonary infections pathoma 12/07

Question 1

Lobar pneumonia. Community-acquired. What m/o?

Answer 1

Strep. pneumoniae.

Question 2

Viral infection. Lobar pneumonia. What bacteria superimposed?

Answer 2

Strep. pneumoniae.

Question 3

Middle age men has lobar pnemonia. What m/o could it cause?

Answer 3

Strep. pneumonia.

Question 4

Lobar pneumonia due to aspiration. What m/o?

Answer 4

Klebsiella pneumoniae.

Question 5

Patient is diabetic and consumes alcohol. Has lobar pneumonia. What m/o could it cause?

Answer 5

Klebsiella pneumoniae.

Question 6

Patient had lobar pneumonia which resulted in abscess. What m/o could cause pneumonia?

Answer 6

Klebsiella pneumoniae.

Question 7

Most common m/o in community acquired pneumonia?

Answer 7

Strep. pneumoniae.

Question 8

Patient had bronchopneumonia which resulted in abscess. What m/o could cause pneumonia?

Answer 8

Staph. aureus.

Question 9

Viral infection. Bronchopneumonia. What bacterias superimposed?

Answer 9

Staph. aureus/Haemophilus influenzae.

Question 10

Patient has COPD. Appeared bronchopneumonia. What m/os could cause it?

Answer 10

Haemophilus influenzae. Moraxella catharralis. Legionella pneumophilla.

Question 11

Bronchopneumonia. Probably community accquired. What m/o could cause it?

Answer 11

Moraxella catharralis. Legionella pneumophilla.

Question 12

Bronchopneumonia. Patient spend 3 days in SPA. What m/o could cause it?

Answer 12

Legionella pneumophilla.

Question 13

Most common m/o in CAP?

Answer 13

Strep. pneumoniae.

Question 14

Most common m/o of secondary pneumoniae?

Answer 14

Strep. pneumoniae.

Question 15

2nd most common m/o of secondary pneumoniae?

Answer 15

Staph. aureus.

Question 16

Bronchopneumonia. Patient is immunosupressed. What m/o?

Answer 16

Legionella pneumophila.

Question 17

Which bronchopneumonia m/o is intracellular and is best visualized by silver stain?

Answer 17

Legionella pneumophila.

Question 18

Most common atypical pneumoniae m/o in young adults?

Answer 18

Mycoplasma pneumoniae.

Question 19

2nd most common atypical pneumoniae m/o in young adults?

Answer 19

Chlamydia pneumoniae.

Question 20

Most common atypical pneumoniae m/o in infants?

Answer 20

Respiratory syncytial virus (RSV).

Question 21

A lot of students, living in dorm got atypical pneumoniae. What m/o could it cause?

Answer 21

Mycoplasma pneumoniae.

Question 22

Patient has tumour and attented chemotherapy. Has atypical pneumoniae. What m/o could it cause?

Answer 22

Cytomegalovirus (CMV).

Question 23

What m/o is common in elderly atypical pneumoniae?

Answer 23

Influenza virus.

Question 24

What m/o cause atypical pneumoniae with high fever?

Answer 24

Coxiella burnetti.

Question 25

Aspiration pneumonia is due to ……………..3…………

Answer 25

anaerobic bacteria in oropharynx. Bacterioides, Fusobacterium, Peptococcus.

Question 26

In which part of lung most common appears abscess after aspiration pneumoniae?

Answer 26

Right lower lobe.

Question 27

Mycoplasma pneumonia complications?

Answer 27

Autoimmune hemolytic anemia (IgM against I antigen on RBCs -> COLD hemolytic anemia)
and
Erythema multiforme

Question 28

Autoimmune hemolytic anemia (IgM against I antigen on RBCs -> COLD hemolytic anemia)?

Answer 28

Mycoplasma pneumonia

Question 29

Erythema multiforme?

Answer 29

Mycoplasma pneumonia

Question 30

Preexisting lung disease. Atypical due to?

Answer 30

Influenza virus

Question 31

Empyema?

Answer 31

Staph. Aureus

Question 32

Q fever?

Answer 32

Coxiella burnetti

Question 33

Coxiella burnetti in what population?

Answer 33

farmers and veterinarians

Question 34

Coxiella burnetti spores are where?

Answer 34

are deposited on a cattle by the ticks or are present in cattle placentas

Question 35

Coxiella burnetti 3 features?

Answer 35

1. Causes pneumonia
2. does not need arthropod vector for transmition (survives as highly heat resistant endospores)
3. does not cause skin rashes