Respiratory Pathogens Flashcards

1
Q

Acute Chest Syndrome with Pleuritis

A

Coxsackie Virus

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2
Q

Most common cause of atypical pneumonia in children and Otitis Media in adolescents ?How can you prevent it ?

A

RSV. Passive Immunization with Palivizumab

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3
Q

Cause of Croup in Infants

A

Parainfluenza, treat with racemic epinephrine and O2

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4
Q

Steeple Sign

A

Croup

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5
Q

Thumbprint Sign, Inspiratory Stridor, Tripoding, Drooling, Cherry red epiglottis

A

Epiglotitis, Examine in OR and Intubate if necessary

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6
Q

Epiglotitis

A

H. Influenza, Treat with Ceftriaxone +/- intubation

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7
Q

3 stages of Pertussus

A
  1. Cararrhal 2. Paroxysmal 3. Convalescent.
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8
Q

Influenza that causes world wide epidemics

A

Influenza A

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9
Q

Influenza that causes major outbreaks

A

Influenza B

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10
Q

Treatment of Influenza

A

Neuroamidase Inhibitors Zanamivir and Oseltamivir

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11
Q

Who requires Influenza vaccination?

A

People over 65 or with chronic medical conditions

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12
Q

Antigenic Shift and Drift, which requires a new vaccine?

A

Shift, which is a major mutation in neuroamidase or hemagluttin.

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13
Q

Breathed deer and mouse feces in SW USA, Developes ARDS and renal failure. 1st step in workup

A

Viral RNA in lungs, Hantavirus Pulmonary Syndrome, They are fucked.

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14
Q

Atypical Pneumonia associated with coronary artery disease

A

C. Pneumoniae, Treatment: Doxycycline

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15
Q

Afebril Newborn with stacatto cough.

A

Chylamida Trachomatis. Treat with Erythromycin.

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16
Q

Child with atypical pneumonia and cold autoimmune hemolytic anemia or bullous myringitis. Treatment?

A

Mycoplasma Pneumoniae, Treatment Azrithromycin, Azrithromycin, Clarithromycin

17
Q

Atypical Pneumonia in a farmer or veterinarian possibly associated with myocarditis or granulamatous hepatitis

A

CoxiellaTreatment: Doxycycline

18
Q

Gram Positive Lanced Shaped Diplococcus, Workup and Treatment.

A

Clinical Exam with consolidation, CXR, Urinary AntigenTreat with Penicillin G or Amoxicillin

19
Q

Gram Positive Cocci in Clusters with yellow sputum. Treatment?If MSSA? if MRSA?

A

S. Areus. Tmp-SMX. MSSA: Naficillin or oxacillinMRSA: Vanc.

20
Q

Grey pseduomembrane in throat, Gram Positive Rods, Complications?Treatment?

A

Diptheriae, Toxic MyocarditisErythromycin

21
Q

Gram Positive filamentous bacteria, Partially acid fast, granulamatous microabscesses

A

Nocardia, TMP-SMX

22
Q

Cough Rinorrhea, conjunctivatitis, absolute lymphocytosis followed by coughing attacks

A

Pertussus, Gram Neg Rod, Erythromycin and treat everyone in the house regardless of immunization status.

23
Q

Gram Negative Rod w/ mucoid capsule. Causes pneumonia in nursing home and alcoholics. Blood tinged sputum.

A

Klebsiella. Treat with Ceftriaxone. S. Areus still more common in alcoholics.

24
Q

Gram Negative Rod, causes Atypical pneumonia w/ hyponatremia, hyperkalemia, and metabolic acidosis (Type 4 RTA)

A

Legionella, Urinary antigen, Fluoroquinalone or Azrithromycin.

25
Q

Green Sputum, Causes nosocosomal pneumonia and death in CF patients.

A

Pseudomonas, Zosyn +

26
Q

Aspiration Pneumonia, Anaerobic lung abscess treatment

A

Clindamycin.

27
Q

Piperacillin Tazobactam

A

Zosyn.

28
Q

Anti-Pseudomonal Cephalosporins

A

3rd Gen: Cefepime / Ceftazadime

29
Q

Wide angle hyphae, heorrhagic infarcts in the lungs. Affects diabetics

A

Mucor. Treat with Amphoteracin B.

30
Q

Budding Yease with narrow based buds and thick capsule. In pigeon droppings. Produces primary lung disease with caseous necrosis.

A

Cryptococcus. Treat with Fluconazol.

31
Q

Necrotizing bronciopheumoniae with narrow angle septate hyphae

A

Aspergillious, Voricanazole.

32
Q

Erythema Nodosum, Flu like symptoms, Arid desert exposure. Granulamatous inflammation with caseous necrosis in lungs.

A

Coccidioides Immitis (Valley Fever). Spherules with endospores in tissues. Treat with intraconazole

33
Q

Broad based budding yeast

A

Blastomycosis. Treat with intracolazole or amphoteracin B.

34
Q

Systemic Fungal Infection associated with cave exploratin in Ohio and central Mississippi. Yeast in Macrophages. Coin Lesions consolidations. Dystrophic Calcification in granulomas and Calcified spleen.

A

Histoplasmosis. Treat with intracolazole or amphoteracin B.