Pneumonia

Question 1

most common pathogen pneumonia

Answer 1

s pneumoniae

Question 2

2nd most common pathogen pneumoniae

Answer 2

mycoplasma pneumonia

Question 3

this bug colonizes in pts with COPD and CF

Answer 3

H. influenza

Question 4

this bug is common in young children and elderly

Answer 4

moraxella catarrhalis

Question 5

this bug is associated with necrotizing and more severe forms of CAP

Answer 5

CA-MRSA

Question 6

common cause of pneumonia in children

Answer 6

viral

Question 7

common bug viral pneumonia children

Answer 7

RSV, influenza A, parainfluenza

Question 8

viral bugs pneumonia adults

Answer 8

much less common, influenza A&B, adenovirus

Question 9

aspiration pneumonia- oral contents include what bugs

Answer 9

variety of anaerobesL bacteroides, fusobacterium, prevotella, anaerobic gram cocci

Question 10

aspiration pneumonia- gastric contents include

Answer 10

gram negative bacilli and s aureus

Question 11

etiology HAP/VAP

Answer 11

aerobic gram neg: pseudomonas, e coli, klebsialla, acinetobacter
gram positive: MRSA
anaerobes RARE

Question 12

gold standard for diagnosing pneumonia

Answer 12

CXR reveals infiltrates

Question 13

what is required for all patients hospitalized with pneumonia

Answer 13

BLOOD CULTURES

Question 14

pt had a CURB-65 score of 3. what to do?

Answer 14

consider ICU

Question 15

CURB stands for

Answer 15

Confusion
BUN (over 7)
RR (over 30)
BP (sys less than 90, dia less than 60)
Age (over 65)

Question 16

To dx HAP or VAP, the CXR needs to reveal infiltrates, plus two of the following:

Answer 16

temp over 38C
leukocytosis or leukopenia
purulent secretions
cultures with pathogens

Question 17

treatment of aspiration pneumonia (oral)

Answer 17

PCN G, ampi/sulb, clindamycin

Question 18

treatment of aspiration pneumonia (gastric)

Answer 18

ampi/sulbac, amox/clav, piper/tazo

Question 19

treatment for early onset HAP

Answer 19

3rd generation cephalosporin plus macrolide or a respiratory fluoroquin

Question 20

treatment of early onset VAP, no risk for MDR

Answer 20

cefotaxime
ceftriaxone
amp/sulb
antipneumo fluoro

Question 21

add these two ab if suspect MRSA

Answer 21

vanco

linezolid

Question 22

respiratory fluoro abx

Answer 22

levofloxacin
moxifloxican
gemifloxacin

Question 23

beta lactam abx (inpatient)

Answer 23

ceftriaxone
cefotaxime
amp/sulb

Question 24

antipneumo/antipseudo beta lactams

Answer 24

cefepime
imipnem
meropenem
piper/tazo

Question 25

antipneumo quino

Answer 25

ciproflox

levoflox

Question 26

macrolide

Answer 26

azithromycin
clarithromycin
erythromycin

Question 27

aminoglycoside abx

Answer 27

amikacin
gentamicin
tobramycin

Question 28

antipseudomonal carbapenem

Answer 28

imipenem

meropenem