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Hersh Pneumo CIS Flashcards

(50 cards)

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1
Q

coccobacillis that exacerbates COPD

A

haemophilus

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2
Q

Empiric treatment for CAP in someone with increased risk for drug resistance

A

-Fluoroquinolone
or
-macrolide + beta-lactam

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3
Q

describe each thing that gives you a point on a CURB-65 score for know how to admit a patient

A
  • Confusion
  • Blood UREA nitrogen 20 or higher
  • RESPIRATORY rate 30 or higher
  • BLOOD pressure systolic less than 90 or diastolic less than 60
  • Age 65 or older
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4
Q

encapsulated bacteria that produces pyocyanin and pyoverdin

A

psuedomonas

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5
Q

age range for atypical pneumonia

A

younger adults

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6
Q

if someone is ambulatory, what empiric treatment do you give for CAP?

if not tolerated then what?

A

Macrolide

Doxycycline

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7
Q

Empiric treatment for CAP in a hospitalized pt

A

fluoroquinolone

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8
Q

`fried egg

A

mycoplasma pneumo

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9
Q

Alginate biofilms

A

pseudomonas

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10
Q
  • india ink stain
  • pigeons
  • meningitis
A

cryptococcus

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11
Q

buffered charcoal yeast extract

A

legionella

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12
Q

CURB-65 score of 2

A

Moderately severe; short inpatient hospitalization or closely supervised outpatient treatment

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13
Q

hyponatremia and relative bradycardia with high temp

A

Legionella

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14
Q
  • fowl smelling
  • poor dentition

Treatment?

A
  • anaerobes
  • Fusiform and bacterioides

clindamycin

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15
Q

fungi that can have erythamtous nodules that are also seen with sarcoidosis

A

Cocci

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16
Q

what are the 2 pneumoncoccal vaccines and who gets them

A

Pneumovax and prevnar 13

  • Age 65 or older
  • asplenic pts
  • pts 2-64 with risk factors
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17
Q

orthomyxovirus

A
  • single stranded

- flu

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18
Q

Preferred diagnostic tool for orthomyxovirus

A

PCR

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19
Q

Asian coronovirus

A

SARS

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20
Q

What 3 things cause atypical pneumonia

A
  • mycoplasma pneumonia
  • chlamydia pneumonia
  • legionella pneumonia (more severe)
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21
Q

fungi with narrow based budding

22
Q

green tinged sputum

23
Q

treat H5N1 with what

24
Q
  • macconkey agar

- Lactose fermenter

Study These Flashcards
A

Klebsiella

Macconkey agar is used for gram negatives

25
pneumonic for encapsulated bacteria
Some Killers Have Pretty Nice Capsules - Strep pneumo - Klebsiella - Haemophilus - Psuedomonas - Neiserria meningitidis - cryptococcus
26
gram negative diplococci that exacerbates COPD
moraxella
27
- meningeal signs and jaundice - subconjuctival hemorrhages - possibly causing spontaneous abortions of animals
Leptospirosis which is a spirochete
28
how do you resolve cocci
it resolves on its own
29
Salmon colored sputum
Staph
30
- upper respiratory stuff - conjunctivitis - young military recruits - icosahedral
Adenovirus
31
Characteristics of mycoplasma Pneumonia?
- no cell wall - microcytic anemia - cold agglutinins - needs NAD and cysteine to grow - Amoxicillin INEFFECTIVE due to no cell wall
32
Rust colored sputum
strep pneumo
33
Which pathogenic fungi can calcify and create a coin lesion
Histo
34
What should you absolutely not give kids in an attempt to treat a viral infection
ASA . . causes Reyes syndrome
35
fungi that can have neurologic symptoms and Broad based budding
blasto
36
Empiric treatment for CAP in ICU pt
fluoroquinolone + antipneumococcal beta lactam (3rd gen ceph or amp sulbactam) -add piperacillin-tazobactam, cefipime or a "penem" for pneudomonal coverage
37
chocolate Agar
- Haemophilus | - Neisseria
38
What does atypical pneumonia follow?
URI like symptoms: rhinitis, laryngitis, pharyngitis, sinusitis
39
Caves . . bat or bird droppings
histo
40
elementary bodies
chlamydia
41
What is bullous myringitis and what organism can cause it?
inflammation of tympanic membranes Mycoplasma pneumo
42
- similar to orthomyxo | - history of exposure to dead or sick poultry
H5N1
43
What kind of infection is procalcitonin elevated?
bacterial
44
a nosocomial infection required 2 of the following
- Fever - Leukocytosis - purulent sputum in the presence of a new or progressing pulmonary opacity on CXR
45
CURB-65 score of 3-5
Severe pneumonia; hospitalization required; consider ICU admission
46
coronavirus in saudi arabia and respiratory stuff
MERS
47
- BC agar - Gram neg - Catalase + - Does NOT ferment lactose
Burkholderia cepacia
48
CURB-65 score of 0-1
Low risk; outpatient treatment
49
What do you use first for community acquired pneumonia
Macrolide . . Z pack is Azithromycin
50
what 2 organisms are urinary antigens useful
Legionella and strep pneumo

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