trigger - lower respiratory infections part 2

Question 1

pneumonia that is bilateral, diffuse, symmetric

Answer 1

description of interstitial pneumonia

Question 1

peribronchial thickening and poorly defined air-space opacities

Answer 1

lobular/bronchopnuemonia

Question 2

presentation is viral-like prodrome with nonproductive cough

Answer 2

interstitial pneumonia

Question 3

later in disease, presents like ARDS.

Answer 3

interstitial pneumonia

Question 4

risk of necrotizing tissue is most prominent with which pneumonia

Answer 4

aspiration pneumonia or lobular/bronchopneumonia

Question 5

MC pathogens include pneumocystis and anaerobes.

Answer 5

IV drug users

Question 6

multi drug resistant gram negative bacteria is MC in which pneumonia

Answer 6

ventilator associated pneumonia

Question 7

frequently leads to abscesses, cavitation, necrosis and pleural effusions

Answer 7

lobular/bronchopneumonia

Question 8

elevated LDH

Answer 8

pneumocystis jiroveci pneumonia
also has:
elevated BD glucan

Question 9

elevated BD glucan

Answer 9

pneumocystis jiroveci pneumonia
also has:
elevated LDh

Question 10

presents as CXR with ground glass opacities and CT with diffuse bilateral interstitial infiltrates.

Answer 10

pneumocystitis jirovecci pneumonia

Question 11

treated with azithro+rocephin OR levo/moxi

Answer 11

non-ICU inpatient CAP
or
outpatient CAP w comorbidities

Question 12

treated with clindamycin or inpatient vanc

Answer 12

pneumonia caused by Staph pneumo

Question 13

presents with clear auscultation and CXR

Answer 13

mycoplasma pneumonia

Question 14

rust colored sputum

Answer 14

s pneumo

Question 15

MC pathogens include klebiella, s pneumo, anaerobes

Answer 15

pneumonia in alcoholics

Question 16

MC pathogens include serratia marcescens and acinetobacter

Answer 16

health care acquired pneumonia

Question 17

urine antigen testing

Answer 17

s pneumo and legionella

Question 18

what type of patient would you treat with aztreonam + levofloxacin

Answer 18

a CAP pt placed in ICU that has a PCN alllergy

Question 19

what type of patient would receive pip/taz or a carbapenem (imi/mero)

Answer 19

nosocomial pneumonia that is low risk for multiple drug-resistant pathogens

also include:
levaquin and cefepime

Question 20

which pneumonia has idiopathic etiology

Answer 20

interstitial pneumonia

Question 21

presentation is immunocompromised patient with cough and fever

Answer 21

pneumocystitis jiroveci pneumonia

Question 22

treat with bactrim

Answer 22

pneumocystitis jiroveci pneumonia also start ART if not already started

Question 23

MC pathogens include M tuberculosis, cryptococcus, histoplasmosis

Answer 23

HIV
also includes pneumocystitis jiroveci

Question 24

MC pathogens include CMV, fungi and nocardia

Answer 24

transplant patients

Question 25

MC pathogens include aspergillosis and gram - bacteria

Answer 25

neutropenic patients

Question 26

bullous myringitis and non productive cough

Answer 26

mycoplasma pneumonia

Question 27

clear auscultation with normal CXR or patchy bilateral infiltrates

Answer 27

mycoplasma pneumonia

Question 28

supportive treatment only

Answer 28

viral pneumonia (unless flu for first 48hrs)