Resp Tract Infections

Question 1

CAP- Epi

Answer 1

Bacterial and viral pathogens- most deadly disease in US

Question 2

CAP- Sx

Answer 2

Dullness on percussion, rales, rigor, pluerisy, may have fever, cough

Question 3

CAP- Dx

Answer 3

CXR is only definitive test

Question 4

CAP- Tx

Answer 4

Azithromycin or clarithromycin

Question 5

HAP- Epi

Answer 5

infection from hospital. Staph, psedumonas, serrate, acinobacter

Question 6

HAP- Sx

Answer 6

Increased WBC, purulent secretions, Temp > 38, New & persistent infiltrate/ opacity

Question 7

HAP Dx

Answer 7

CXR

Question 8

HAP- TX

Answer 8

Pip or cipro + vancomycin

Question 9

HAP- Prevention

Answer 9

Washing, semi recumbant positioning,

Question 10

CAP- Prevention

Answer 10

Smoking cessation, Pneumococcal vaccine, influenza vaccine

Question 11

SARS- Epi

Answer 11

Atypical pneumonia cause by virus. Visit to endemic areas-> Asia

Question 12

Sars-SX

Answer 12

persistant fever, chills, SOB, rhonchi, rales

Question 13

SARS- Dx

Answer 13

serology or PCR- leukopenia, and low-grade intravascular coagulation

Question 14

SARS- Tx

Answer 14

Supportive therapy

Question 15

Hantavirus- Epi

Answer 15

Hemorrhagic fever assoc. with rodent feces. Endemic to N & S America, europe

Question 16

Hantavirus- Sx

Answer 16

Vascular leakage- primarily in lungs, pulmonary edema, GI manifestations

Question 17

Hantavirus- Dx

Answer 17

Hemoconcentration, HPS immunoblasts

Question 18

Hantavirus- Tx

Answer 18

Supportive therapy, isolation & ribavirin

Question 19

Cocc..mycosis- Epi

Answer 19

Obsure illness from mold in SW US, mexico, S. america

Question 20

Cocc..mycosis- Sx

Answer 20

Respiratory manifestations, arthalgias and swelling

Question 21

Cocc..mycosis- Dx

Answer 21

Serology, leuocytosis & eosinophilia

Question 22

Cocc..mycosis- Tx

Answer 22

Symptomatic therapy- azoles if spreads to meninigies or causing serious complications