Lung 5

Question 1

CAP causative agent

Answer 1

strep pneumonae

Question 2

CAP atypical most common

Answer 2

mycoplasma pneumonia

Question 3

CAP most severe atypical

Answer 3

legionella

Question 4

CAP atypicals

Answer 4

myocpalsma pneumonia
legionella
chlamydia

Question 5

CAP predisposing factors

Answer 5

age
chronic disease
immunodeficiency
defective spleen

Question 6

lobar pneumonia

Answer 6

consolidation of a lobe or part of a lobe

Question 7

bronchopneumonia

Answer 7

patchy consolidation of a lobe

Question 8

main pneumonia diagnosis

Answer 8

CXR

Question 9

elevated leukocyte count

Answer 9

bacterial CAP

Question 10

stages of lobar pneumonia

Answer 10

congestion –> red hepatization –> gray hepatization –> resolution

Question 11

identification of strep pneumo pneumonia

Answer 11

gram + lancet shaped diplococci
encapsulated
shaking rigors
lots of neutrophils

Question 12

acute exacerbation of COPD

Answer 12

H influenzae

M catarrhalis

Question 13

secondary to viral respiratory infections

Answer 13

Staph aureus

Question 14

chronic alcoholic with gelatinous sputum

Answer 14

K pneumonia

Question 15

pseudomonas

Answer 15

CF
burns
neutropenic

Question 16

leginella

Answer 16

organ transplant patients

comes from water

Question 17

pneumonia + ear/throat pain

Answer 17

mycoplasma

Question 18

pneumonia + diarrhea

Answer 18

mycoplasma

legionella

Question 19

pneumonia + abdominal pain

Answer 19

legionella

Question 20

pneumonia + skin rash

Answer 20

mycoplasma

psittacosis

Question 21

atypical pneumonia presentaion

Answer 21

patchy interstitial infiltrate (septae)
non productive cough
no WBC elevation
other weird signs

Question 22

common cause nosocomial pneumonia

Answer 22

MRSA

pseudomonas

Question 23

gram + cocci in nosicomial pneumonia

Answer 23

staph aureus

strep pneumoniae

Question 24

gram - rods in nosicomial pneumoia

Answer 24

enterobacteriacease

pseudomonas

Question 25

common cause VAP

Answer 25

gram - rods (pseudomonas)

Question 26

risk factors for nosicominal pneumonia

Answer 26

``` hospitalization > 2 days nursing home recent IV therapy, chemo, wound care immunosuppression prolonged antibiotics ventilators ```

Question 27

chronic pneumonia SE US

Answer 27

blastomyces

Question 28

chronic pneumonia SW US with cocci on histo

Answer 28

coccidioides

Question 29

common diffuse infiltrate in immunocompromised pneumonia

Answer 29

CMV drug reaction pneumocystis jroveci

Question 30

common focal infiltrate in immunocompromised pneumonia

Answer 30

``` Gram neg bacterial S aureus aspergillus candida malignancy ```

Question 31

uncommon diffuse infiltrate in imunocompromised pneumonia

Answer 31

bacterial pneumonia aspergillus cryptococcus malignancy

Question 32

uncommon focal infiltrate in immunocompromised pneumonia

Answer 32

cryptococcus mucor pneumocystis jroveci legionella pneumophila

Question 33

Ghon complex

Answer 33

calcified nodule in parenchyma and lymph nodes in latent TB

Question 34

active TB presents as

Answer 34

acute bacterial pneumonia- consolidation, lymphadenopathy, pleural effusion

Question 35

histology of TB

Answer 35

caseating necrosis granulomas

Question 36

where does TB like to be

Answer 36

apices of upper lobes

Question 37

cavitary lesion

Answer 37

erosion into airway

Question 38

hemoptysis

Answer 38

erosion of vessels

Question 39

miliary TB

Answer 39

lymph blood spread

Question 40

TB diagnosis

Answer 40

CXR- consolidation/cavitation AFB smear culture PCR