Respiratory Infections Flashcards

(52 cards)

1
Q

Where are the ethmoid sinuses located?

A

Bilaterally to the nose (they’re small)

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2
Q

What is the definition of the Lower respiratory tract?

A

Structures below the pharynx

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3
Q

What are the spinal levels that correlate with the larynx?

A

C4-C7

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4
Q

What is the order of the respiratory tract after the trachea? (8)

A
Primary bronchi
Secondary bronchi
Tertiary
Bronchioles
Terminal bronchioles
Respiratory bronchioles
Alveolar ducts
Alveolar sacs
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5
Q

What is the rib level that the lungs are at anteriorly?

A

rib 6 ish

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6
Q

What is the rib level that the lungs are at laterally?

A

rib 8 ish

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7
Q

What is the rib level that the lungs are at posteriorly?

A

10 ish

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8
Q

What are the histological characteristics of blastomycosis?

A

Broad based budding yeast

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9
Q

Where is blastomycosis endemic to?

A

Wooded areas, especially in the great white north of Minnesota

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10
Q

Rusty sputum = ?

A

Strep pneumo infection

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11
Q

What are the two bacteria that often cause respiratory dz in COPD pts?

A

H. influenzae

Pseudomonas

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12
Q

What type of bacteria often cause aspiration pneumonia?

A

Gram-negative enteric pathogens

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13
Q

Bird/bat droppings causing respiratory illness = (fungi)?

A

Histoplasmosis capsulatum

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14
Q

Exposure to birds causing lung dz = (bacteria)?

A

Chlamydophila psittaci

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15
Q

Exposure to rabbits causing respiratory dz = (bacteria)?

A

Francisella Tularensis

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16
Q

Exposure to farm animal placenta or parturient cats causing respiratory illness and fever = (bacteria)?

A

Coxiella burnetti (Q fever)

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17
Q

What is the stain used to identify pneumocystis Jirovecii? What is the treatment?

A

Silver stain

TMP-SMX

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18
Q

What bacteria is associated with causing respiratory disease in hotels or cruise ships?

A

Legionella species

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19
Q

What is the fungi that cause valley fever? What are the histological characteristics of this?

A

Coccidioidomycosis

Spherules

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20
Q

What are the two bacteria often associated with respiratory disease i in CF patients?

A

Pseudomonas

Staph Aureus

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21
Q

What is the depth that is assessed with percussion of the chest?

A

5-7 cm beneath the fingers

22
Q

What are the characteristics of bronchial breath sounds?

A

Harsh and high pitched

23
Q

What are the characteristics of vesicular breath sounds?

A

Soft and low pitched

24
Q

Where are broncho-vesicular breath sounds normally heard?

A

Over the sternal angle

25
Which is longer with vesicular breath sounds: inspiration or expiration?
Inspiration
26
Which is longer with bronchial breath sounds: inspiration or expiration?
Expiration
27
Which is longer with bronchovesicular breath sounds: inspiration or expiration?
Equal
28
When in the breathing cycle are crackles usually heard: inspiration or expiration?
Inspiration
29
Inspiratory wheezing indicated an obstruction where?
Upper airway
30
Expiratory wheezing indicates an obstruction where?
Lower airway
31
What are the urine antigen tests that are available for assessing for a pulmonary tract infection?
Strep pneumo Legionella Histo Blasto
32
What is the difference between a lung abscess and an empyema?
Abscesses are within the lung parenchyma Empyemas are in the pleural space
33
What are the two alpha hemolytic bacteria? How you you differentiate between them?
Strep pneumo vs strep viridans Strep pneumo is sensitive to optochin, whereas strep viridans is resistant (strep mutans = strep viridans, and is not afraid of "da-chin [optochin])
34
What are the two bacteria that are beta hemolytic? How you you differentiate between them?
Strep pyogenes and strep agalactiae Strep pyogenes is bacitracin sensitive
35
What are the four major gram positive rods?
Clostridium Corynebacterium Listeria Bacillus
36
What is the culture that is used to grow TB?
Lowenstein-Jensen medium
37
How are TB skin tests read?
Area of induration on the axis perpendicular to the axis of the forearm
38
What is IGRA?
IFN gamma release assay (quantiferon gold test)
39
What is the role of procalcitonin in helping you diagnose infections?
Will be high in bacterial infections
40
What is Wegener's granulomatosis? What organs are primarily affected? What, generally, is the treatment? What ab is elevated in this condition?
a systemic disorder that involves both granulomatosis and polyangiitis. It is a form of vasculitis that affects small- and medium-size vessels in many organs. Damage to the lungs and kidneys can be fatal. It requires long-term immunosuppression. cANCA
41
What is Churg-Strauss syndrome? What is the progression of ssx? What, generally, is the treatment? What ab is elevated in this condition?
Autoimmune vasculitis that presents in people with atopy. progresses from asthma to hypereosinophilia, to lung and kidney damage. Treat with immunosuppression. pANCA
42
What pathogen, generally, is the most common cause of sinusitis?
Viral
43
What defines, acute vs chronic sinusitis?
Less than 4 weeks = acute | More than 12 weeks = chronic
44
What are the most common infectious etiologies of bronchitis?
Rhinovirus Parainfluenza Flu RSV
45
Contact, droplet, or airborne precautions: MRSA
Contact
46
Contact, droplet, or airborne precautions: influenza
Droplet
47
Contact, droplet, or airborne precautions: pertussis
Droplet
48
Contact, droplet, or airborne precautions: TB
Airborne
49
Contact, droplet, or airborne precautions: adenovirus
Droplet
50
Contact, droplet, or airborne precautions: zoster
Airborne
51
Contact, droplet, or airborne precautions: SARS
Airborne
52
Contact, droplet, or airborne precautions: smallpox
Airborne