Respiratory

Question 1

most common cause of atypical pneumonia in adults

Answer 1

Mycoplasma pneumoniae

Question 2

Most common cause of pneumonia in adults

Answer 2

Streptococcus pneumoniae

Question 3

Organism response for “walking pneumonia”

Answer 3

Mycoplasma pneumoniae

Question 4

Definitive test for TB

Answer 4

sputum specimen

Question 5

contraindicated in asthma patients when used alone because it can cause sudden death

Answer 5

Long acting bronchodilator i.e. salmeterol - should be used in combo with an inhaled steroid

Question 6

pertussis is caused by what organism

Answer 6

Bordetella pertussis

Question 7

pertussis stages
3

Answer 7

catarrhal phase
paroxysmal phase
convalescence

Question 8

Pneumococcal vaccine (PCV13) schedule for children

Answer 8

4 doses - 2, 4, 6 months and 12-15 months

Question 9

PCV13 has helped fight what in children
2

Answer 9

1. reduce ear infections caused by S. pneumo (most common cause of bacterial infection for AOM)
2. reduce incidence of recurrent ear infections and tube placement by 10-20%

Question 10

2 most common organisms that cause AOM in children

Answer 10

1 is Strep Pneumo
2 Haemophilus influenzae

Question 11

asthma - mild intermittent

Answer 11

sx 2 or less days/week

Question 12

asthma - mild persistent

Answer 12

sx > 2 days/week
OR
3-4 times/month at night

Question 13

asthma - mod persistent

Answer 13

daily sx
OR
> 1 night/week, but not nightly

Question 14

asthma - severe persistent

Answer 14

symptoms throughout the day; often 7 nights/week

Question 15

3 normal breath sounds

Answer 15

bronchial
bronchovesicular
vesicular

Question 16

Breath sounds heard over periphery of the lung fields

Answer 16

vesicular sounds - quiet, wispy inspiratory phase with short, almost silent expiratory phase

Question 17

bronchial breath sounds are heard where

Answer 17

over the trachea and larynx

Question 18

breath sounds - full inspiratory and expiratory phase with inspiratory phase being louder

Answer 18

bronchial breath sounds

Question 19

breath sounds - full inspiratory phase with a shortened and softer expiratory phase

Answer 19

bronchovesicular sounds

Question 20

fever, cough, and infiltrates on chest x ray is most likely

Answer 20

PNA

Question 21

Common sx of PNA
8

Answer 21

cough
fever
chest pain
dyspnea
sputum production
GI - nausea, vomiting, diarrhea

Question 22

most common sequela/complication of influenza in older adults is

Answer 22

PNA

Question 23

most common cause of death and most common cause of hospital admission in older adults with influenza is

Answer 23

PNA

Question 24

2 SABA

Answer 24

albuterol
levalbuterol

Question 25

beta 2 agonists end in what

Answer 25

-terol

Question 26

provide rapid dilation of the bronchioles and can give immediate relief of SOB

Answer 26

SABA -terol

Question 27

salmeterol is a what

Answer 27

LABA

Question 28

ICS end in

Answer 28

-one

Question 29

class of med that can cause dry cough

Answer 29

ACE inhibitors, end in -pril

Question 30

what % of patients on an ACE inhibitor develop a dry cough

Answer 30

5-20%

Question 31

Why does ACE-I cause a dry cough

Answer 31

angiotensin converting enzyme metabolizes bradykinin in the lungs and bradykinin produces acid metabolites and nitric oxide that promote coughing

Question 32

inhalers typically contain how many puffs

Answer 32

200

Question 33

SABA rescue inhalers should be used how often

Answer 33

two or fewer times per week

Question 34

how is influenza dx

Answer 34

nasal swab

Question 35

most common influenza during predominant strain outbreak

Answer 35

influenza A

Question 36

Common side effects of a SABA 5

Answer 36

tachycardia jitteriness tremors nervousness hypokalemia (if used on regular basis)