Pulmonary Flashcards Preview

PANRE review > Pulmonary > Flashcards

Flashcards in Pulmonary Deck (46)
Loading flashcards...
1

Patient presents with low-grade fever, cough, bullous myringitis (vesicles on the TM), cold symtoms, crackles on pulm exam and cxr shows focal infiltrate. What is the organism?

Mycoplasma pneumonia

2

patient with pneumonia and interstitial infiltrates is more hypoxic on pulse ox than appears on chest radiography and has an increased LDH. What is the organism?

PJP

3

Patient with CHF or COPD presents with pneumonia, hyponatremic with an episode of diarrhea, what is the organism?

Legionella

4

Patient with pneumonia presents with rigors and rust colored sputum. What is the organism?

Strep pneumo

5

Alcoholic or chronic illness pt with pneumonia presents with currant jelly sputum, what is the organism?

Klebsiella pneumo

6

What organism is associated with alcohol abuse and pneumonia?

Klebsiella pneumo

7

What organism is associated with COPD and pneumonia?

Haemophilus pneumo

8

What organism is associated with cystic fibrosis and pneumonia?

Pseudomonas

9

What organism is associated with young adult in college and pneumonia?

Mycoplasma or chlamydia pneumo

10

What organism is associated with air conditioning/aerosolized water and pneumonia?

Legionella

11

What organism is associated with post splenectomy patients and pneumonia?

encapsulated organisms, strep and haemophilus pneumo

12

What organism is associated with leukemia/lymphoma and pneumonia?

Fungus

13

What organism is associated with children <1 year and pneumonia?

RSV

14

What organism is associated with children <2 and pneumonia?

Parainfluenza virus

15

What is the most common bacterial pathogen in all groups for pneumona

strep pneumo

16

What type of pathogen is suspected with elevated procalcintonin levels in a patient with pneumonia?

Bacterial

17

What is the initial management for outpatient pneumonia?

simple uncomplicated patient: macrolide or doxy, patient with chronic disease fq or macrolide + beta lactam

18

What are the indications for hospitalization of a patient with community acquired pneumonia?

neutropenia, multilobar or poor host resistance, patients > 50 yo with comorbidities, altered mental status or hemodynamic instability

19

What patients are recommended to receive the pneumococcal vaccine?

Children 2-5 yo, > 65 or people with chronic illness which predisposes an increased risk of pneumonia (COPD, sickle cell, Tobacco, splenectomy, liver disease)

20

Young patient presents with low-grade fever for a week, non-productive cough, myalgias and fatigue. WBCs are normal. CXR shows segmental RLL infiltrate. What is the likely organism?

Mycoplasma

21

What is the initial treatment for atypical pneumonia?

emycin or doxy

22

A patient has confirmed influenza A induced pneumonia. What is the treatment?

Combination treatment with oseltamivir and rimantadine

23

At what point in a hospital admission is a pneumonia considered hospital acquired?

48 hours after admission

24

What is the typical isolation period for a person with active TB?

2 weeks after combination therapy has begun

25

How many medications are used and what is the duration of therapy for active TB?

4 medications for 2 months then 4-7 additional months of organism specific therapy

26

Which TB medication has side effects of hepatitis, peripheral neuropathy and requires B6 administration?

Isoniazid

27

Which TB medication has side effects of hepatitis, flu syndrome, and orang body fluid?

Rifampin

28

Which TB medication has the side effect of optic neuritis (may cause red-green vision loss)?

Ethambutol

29

What is the typical cause of acute bronchitis?

viruses

30

How do you differentiate between acute bronchitis and pneumonia?

CXR