Section 5 - Pulmonary Emergencies

Question 1

cause of bronchitis?

Answer 1

influ a, b, parainfluenza, RSV, coronavirus

Question 2

sx of bronchitis? Duration?

Answer 2

cough, can have sputum which doesn’t necessarily = bacterial etiology

3 weeks

Question 3

tx of pertussis?

Answer 3

azithromycin

Question 4

most common cause of PNA, CAP?

Answer 4

strep pneumo

Question 5

common cause of PNA, HCAP?

Answer 5

staph aureus, klebsiella, pseudo, h influ

Question 6

causes of atypical PNA?

Answer 6

legionella, m pneumo, chlamydia pneumo, respiratory visues

Question 7

HCAP time frame? what constitutes HCAP?

Answer 7

over 48 hours hospitalization, within 90 days or dialysis, chemo, wound care, home IV abx, nursing home patients

Question 8

tx of CAP in healthy patient?

Answer 8

azithromycin or doxy

Question 9

tx of CAP in unhealthy patient?

Answer 9

levo, amox-clav plus azithro

Question 10

tx of CAP inpatient non iCU?

Answer 10

levo or cefriaxone plus azithro

Question 11

tx of CAP inpatient ICU?

Answer 11

ceftriaxone plus levo, if concerned about MRSA use vanc

Question 12

tx of hCAP inpatient?

Answer 12

levo plus cefepime or zosyn, consider vanc or linezolid

Question 13

tx of aspiration PNA?

Answer 13

levo plus clinda

Question 14

tx of empyema?

Answer 14

zosyn, consider vanc

Question 15

tx of lung abscess?

Answer 15

clinda plus ceftriaxone

Question 16

sx of primary TB?

Answer 16

fever, cough, weight loss, malaise, CP

Question 17

sx of reactivation TB?

Answer 17

fever, malaise, weight loss, fatigue, night sweats, hemoptysis, pleuritic chest pain, dyspnea

Question 18

sx of extrapulmonary TB?

Answer 18

lymphadenitis with enlargement and draining sinuses, pericarditis, peritonitis, meningitis, bones, joints, adrenals, GI tract and GU tract

Question 19

best test for TB?

Answer 19

CXR, can use acid fast staining of sputum, culture of sputum is the gold standard, TB skin tests