Respiratory Illnesses Flashcards

1
Q

Most common cause of Community Acquired Pneumonia?

A

Strep pneumonia

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2
Q

What is another name for Strep pneumonia?

A

Pneumococcal pneumonia

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3
Q

Cough assc with Strep Pneumo / Sputum color assc with Strep Pneumo / type of pain

A

Productive cough / Rusty red colored sputum / Pleuritic chest pain

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4
Q

Strep pneumo - immunocompetent or compromised patients?

A

Usually immunocompetent

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5
Q

Dx / CXR / Tx for strep pneumonia

A

Gram + diplococci on gram stain or urine antigen test / Consolidating lobar pneumonia on CXR / Amoxicillin

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6
Q

Second most common CAP:

A

Haemophilus Influenza

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7
Q

Type of cough with H. Flu

A

Productive

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8
Q

H flu - immunocompetent or immunocompromised?

A

Immunocompetent but alcoholics / pt.s with COPD / smokers are more likely to get it.

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9
Q

Dx / Tx for H. flu

A

Gram stain reveals Pleomorphic gram negative coccobacilli / Macrolide

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10
Q

How is Legionnaire’s transmitted?

A

Amoeba in water; inhalation of infected water’s mist/vapor (i.e. hot tub)

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11
Q

Other symptoms associated w/ Legionnaire’s Disease?

A

Diarrhea, neurologic signs

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12
Q

Type of cough associated with Legionnaire’s? / Sputum?

A

Nonproductive cough / Purulent sputum

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13
Q

Dx challenge / Tx of Legionnaire’s?

A

There will be no bacteria on sputum cx / Macrolide

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14
Q

Describe sputum found with Klebsiella pneumonia:

A

Red Currant Jelly Sputum

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15
Q

Populations that typically get Klebsiella:

A

Diabetics, alcoholics, HC workers

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16
Q

Dx / Tx for Klebsiella:

A

Plump gram negative encapsulated rods / Ceftriaxone

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17
Q

What type of pneumonia does Mycoplasma cause? / who typically gets it / what season

A

Walking pneumonia / Young Adults / Summer or Fall

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18
Q

Cough / Sputum associated with Mycoplasmal Pneumonia:

A

Dry, incessant cough / Purulent sputum

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19
Q

Tx for Mycoplasmal Pneumonia

A

Macrolides

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20
Q

How is Hantavirus transmitted? / What part of US?

A

Rodents / SW

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21
Q

Progression of Hantavirus / hallmark of the disease

A

Flu –> pulmonary edema –> respiratory distress / Vascular leaking

22
Q

Dx / Tx of Hantavirus

A

Plaque Reduction Neutralization Test / No tx (40% mortality)

23
Q

Describe symptoms associated with TB:

A

Slow progression of constitutional sx: night sweats, weight loss, fever, bloody cough

24
Q

Causative agent of TB:

A

Mycobacterium tuberculosis

25
Q

How do you test for TB?

A

Use acid fast stain for Mycobacterium Tb

26
Q

Is there a vaccine for TB?

A

BCG is available; mitigates the disease if contracted

27
Q

TB on CXR?

A

Cavitations & opacities in apical region

28
Q

Agent that causes Influenza:

A

Orthomyxovirus

29
Q

Complication of flu / TX of flu

A

Reye Syndrome (encephalopathy) / Rest and fluids

30
Q

Causative agent of Pertussis?

A

Bordetella Pertussis

31
Q

Who gets pertussis? / prognosis

A

Infants / can be fatal

32
Q

Stages of Pertussis:

A
  1. Catarrhal stage - coryza and hacking, 2. Paroxysmal - whooping, 3. Convalescence (decrease in severity)
33
Q

Dx / Tx of pertussis:

A

Cx will be positive during first phase / Macrolide (Erythromycin)

34
Q

What swells during mumps?

A

Swollen parotid gland

35
Q

What causes mumps? / what else does that agent cause?

A

Paramyxovirus / Measles

36
Q

Treatment for mumps:

A

none - it is self limiting and rarely fatal

37
Q

Where would you find Coccidiomycosis?

A

SW US, Mexico, Central/S America

38
Q

Does Coccidiomycosis affect immunocompetent or compromised hosts?

A

Compromised, it’s opportunistic

39
Q

Psittacosis is an ________________

A

Atypical pneumoni

40
Q

Noteworthy vital signs associated with Psittacosis:

A

High fever, low pulse

41
Q

How does one acquire Psittacosis?

A

Contact with birds

42
Q

Hallmark finding of Diptheria? / who is most at risk? / Tx

A

Tenacious gray tonsillar membrane / alcoholics / Pen

43
Q

What part of the world does SARS affect?

A

Asia & Toronto

44
Q

Causative agent for SARS? / animal carrier

A

Coronavirus / Horse Shoe Bat

45
Q

Treatment for SARs? / Mortality?

A

No effective Tx / 10-14%

46
Q

Causative agent of diptheria

A

Corynebacterium

47
Q

Criteria for pneumonia being considered “hospital acquired”

A

Greater than 48 hours after hospital admission

48
Q

Criteria for pneumonia being considered “Health Care Associated Pneumonia”

A

Acquired during contact w/healthcare (nursing home, recent hospitalization, antibiotic use, medical intervention)

49
Q

3 most common causative agents of CAP:

A

Strep pneumoniae, Haemophilus influenzae, Moraxella catarrhalis

50
Q

Common symptoms assc w/ CAP:

A

Cough, productive cough, pleuritic CP, fever

51
Q

Pneumococcal vaccine contains:

A

capsular antigen from 23 types of S. pneumoniae; these types account for 87% of bacteremic pneumococcal disease in US