UResp Tract Infections

Question 1

Most common cause of the common cold

Answer 1

Viral - dont give Abx

Question 2

What are effective therapies for the common cold?

Answer 2

• Antihistamines
• Deocngestants
• DONT recommend vit C echniacea

Question 3

Cause of acute sinusitis - rhinosinusitis

Answer 3

Viral
and
- Strep pneumo
- H flu most common

Question 4

How do you diagnose Acute Bacterial Rhinosinusitis

Answer 4

PODS
p - facial pain
o- Obstruction
d- disrcharge purulent
s- Smell anosmia

Question 5

What percent of acute viral Rhino develop into ABR?

Answer 5

0.5-2%

Question 6

Can sinus X-rays differentiate viral from bacterial sinusitis?

Answer 6

NO

Question 7

What treatment do you consider for acute rhinosinusistis?

Answer 7

Abx -(Amox) if bacterial and if symptoms persist after 7 days or worsen after 5

Question 8

What % of patients improve after 14 days without Abx in Acute rhinosinusitis?

Answer 8

60%

Question 9

Primary symptom of Pharyngitis?

Answer 9

Acute sore throat - inflammation

Question 10

Majority of Pharynigitis is

Answer 10

VIRAL (50-80%) Strep pyogenes ( 5-36%)

Question 11

30-40% of children with pharyngitis have
and
5-15% of adults

Answer 11

Group A strep

Question 12

Strep Pharyngitis is usually

Answer 12

Self-limited but treat to prevent Rheumatic fever, abscess

Question 13

How do you treat Strep Pharyngitis?

Answer 13

Amox - Penicllin V
OR
Erythromycin 
OR
Clindamycin

Question 14

Hand, mouth, foot disease often

Answer 14

pharyngitis - Cocksackie virus

Question 15

Viral pharyngitis most often

Answer 15

EBV -

risk of spleen rupture

Question 16

Viral pharyngitis less often can be

Answer 16

Gonococcal

Question 17

How do you treat Gonococcal pharyngitis

Answer 17

• Ceftriaxone
  WITH
  Azithro
• OR Dox

Question 18

What is Croup and most common cause

Answer 18

Laryngotracheitis - hoarse voice barking cough - Parainfluenze, 65%
can be influenza, adeno, RSV

Question 19

Treatment for Croup

Answer 19

Supportive care
- maybe dexameth
NO ABX

Question 20

Epiglottitis features

Answer 20

High fever and sore throat

stridor, difficulty breathing etc.

Question 21

First line treatment of epiglottitis

Answer 21

1- cefotaxime
2- Ceftriaxone
3- cefuroxime

Question 22

Define acute bronchitis

Answer 22

1- Acute resp infection manifested by cough, lasts 3 weeks

Question 23

Majority of acute bronchitis caused by

Answer 23

80-90% caused by influenza, parainf, RSV, Rhino, Corona

<10% is bacterial

Question 24

Must exclude …. when treating acute bronchitis

Answer 24

Pneumonia - rule out asthma, COPD
dont just give Abx
give salbutamol

Question 25

The use of cough suppressants for bronchitis is

Answer 25

Weak

Question 26

Topical nasal steroids are often

Answer 26

NOT helpful