Pulmonary infections

Question 1

treatment CAP?

Answer 1

B lactam plus azithromycin

Question 2

CAP alcoholism, aspiration bug?

Answer 2

anaerobes

Question 3

CAP with abscess bugs?

Answer 3

staph, anaerobe, fungal, mycobacterium

Question 4

CAP bats bird soil?

Answer 4

histoplasma

Question 5

CAP with nodular pattern?

Answer 5

Histoplasma, Blastomyces

Question 6

CAP rabbits?

Answer 6

Francisella

Question 7

CAP SW US

Answer 7

Coccidiodes, hantavirus

Question 8

CAP in IVDA?

Answer 8

Staph, anaerobes, mycobacterial

Question 9

CURB 65 components?

Answer 9

Confusion, Uremia, RR>30, BP<90, 65 or older

Question 10

CURB 65 score for ICU?

Answer 10

3 or greater

Question 11

Beta lactams to cover strep pneumo?

Answer 11

amoxicilin, Augmenin, cefuroxime, ceftriaxone

Question 12

VAT difference from VAP

Answer 12

infiltrate present with VAP

Question 13

treatment for VAT

Answer 13

no abx

Question 14

Pulmonary Coccidiodes tx? mechanism?

Answer 14

Ampho B, binds ergosterol in fungal cell membrane

Question 15

RF for aspergillus?

Answer 15

neutropenia, malignancy, BMT

Question 16

CT findings with Aspergillus?

Answer 16

halo sign and crescent sign

Question 17

diagnosis of aspergillus?

Answer 17

culture and galactomannan

Question 18

Aspergillus treatment? 2nd line?

Answer 18

oral voriconazole/liposomal ampho B

Question 19

difference between complicated effusion and empyema?

Answer 19

empyema will have a positive gram stain

Question 20

PJP CXR?

Answer 20

25% are normal, but can be diffuse GGO

Question 21

cause of fibrosing mediastinitis?

Answer 21

TB

Question 22

tx for CRAB- carbapenem resistant acenitobacter baumanii

Answer 22

carbapenem and colistin