Micro Buzzwords-Respiratory

Question 1

Broad-based budding yeast

Answer 1

Blastomyces dermatidis

Question 2

Bull neck

Answer 2

Corynebacterium diphtheriae or Mumps (paramyxovirus)

Question 3

Catcher’s stance

Answer 3

Haemophilus influenza B epiglottitis

Question 4

Cherry red epiglottis

Answer 4

Haemophilus influenza B

Question 5

Cold-agglutinin positive

Answer 5

Mycoplasma pneumoniae

Question 6

Consumption

Answer 6

Old name for Tuberculosis

Question 7

Cottage-cheese granuloma

Answer 7

Mycobacterium tuberculosis

Question 8

Currant jelly sputum

Answer 8

K. pneumoniae (note that this is intestinal normal flora… common in alcoholics and diabetes (gastroparesis) d/t aspiration)

Question 9

Dented helmets

Answer 9

Pneumocystis jiroveci

Question 10

Downey cell

Answer 10

Herpes virus causing pharyngitis (CMV or EBV)

Question 11

Farmer’s lung

Answer 11

Allergic aspergillosis (hypersensitivity)

Question 12

Fungal ball

Answer 12

Aspergillosis (aspergilloma) (noninvasive)

Question 13

Grape-like smell in culture

Answer 13

Pseudomonas aeruginosa

Question 14

Green sputum in cystic fibrosis patient

Answer 14

Pseudomonas aeruginosa

Question 15

Grows on chocolate agar, not on blood agar

Answer 15

H. influenza (factor V (NAD) and factor X (heme))

Question 16

Heterophile antibody-positive

Answer 16

Epstein-Barr virus

Question 17

Kidney bean-shaped diplococci

Answer 17

Neisseria meningitidis

Question 18

Koplik spot

Answer 18

Measles (paramyxovirus: enveloped (-) ssRNA)

Question 19

Lancet-shaped diplococci

Answer 19

Streptococcus pneumonia

Question 20

Many PMNs in sputum, no organisms seen

Answer 20

Mycoplasma pneumonia (atypical pneumonia)

Question 21

Mediastinal widening

Answer 21

Bacillus anthracis

Question 22

Nonfermenter

Answer 22

Acinetobacter, Bordatella, Burkholderia, Legionella, Moraxella, Pseudomonas

Question 23

Owl’s eye inclusion

Answer 23

CMV: heterophile negative

Question 24

Parrot fever

Answer 24

Chlamydophila psittaci

Question 25

Pilot’s wheel

Answer 25

Paracoccidiodes brasiliensis

Question 26

Rabbit fever

Answer 26

Francisella tularensis (Buffered charcoal yeast agar, cysteine glucose blood agar)

Question 27

Rust-colored sputum

Answer 27

Streptococcus pneumonia, P. westermani (will have parasitic eggs in sputum)

Question 28

Safety pin staining

Answer 28

Yersinia pestis

Question 29

Salmon-colored sputum

Answer 29

S. aureus

Question 30

Seal bark cough

Answer 30

Parainfluenza – paramyxovirus

Question 31

Spherule

Answer 31

Coccidiodes immitis

Question 32

Swimming-pool conjunctivitis

Answer 32

Adenovirus

Question 33

Valley Fever

Answer 33

Coccidiodes immitis

Question 34

Weakly acid fast branching rods

Answer 34

Nocardia spp.

Question 35

Wool-sorter disease

Answer 35

B. anthracis