Flashcards in Pulmonary Deck (46)
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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
