Pneumonia

Question 1

Typical or atypical: no response to beta-lactams

Answer 1

atypical

Question 2

typical or atypical: no leukocytosis

Answer 2

atypical

Question 3

also known as “walking pneumonia”

Answer 3

atypical

Question 4

typical or atypical: acute onset

Answer 4

typical

Question 5

typical or atypical: diffuse interstitial filtrates with ground glass appearance

Answer 5

atypical

Question 6

typical or atypical: dense focal/lobular consolidation

Answer 6

typical

Question 7

Typical or atypical effects young healthy people more frequently?

Answer 7

atypical

Question 8

typical or atypical: productive cough is biggest complaint

Answer 8

typical

Question 9

typical or atypical: constitutional symptoms may outweigh resp ones

Answer 9

atypical

Question 10

What are you typical PNA offending agents?

Answer 10

Staph, strep, klebsiella, H. influenza

Question 11

What are your atypical PNA offending agents?

Answer 11

mycoplasma, chlamydia

Question 12

To diagnosis viral bronchitis, the cough has lasted how many weeks?

Answer 12

3

Question 13

What would you see on a cxr in viral bronchitis?

Answer 13

nothing :)

Question 14

Most common CAP

Answer 14

strep

Question 15

How can you confirm the diagnosis of strep PNA?

Answer 15

urinary antigen test

Question 16

Most common HAP

Answer 16

staph

Question 17

Treated with nafacillin

Answer 17

mssa

Question 18

treated with vancomyocin or linezolid

Answer 18

mrsa

Question 19

Usually follow a URI

Answer 19

H. influenza

Question 20

Which types of pneumonia can you vaccinate against?

Answer 20

H. influenza and strep

Question 21

Is klebsiella hospital or community acquired?

Answer 21

hospital acquired

Question 22

Seen most commonly in patients with DM, alcoholism and diabetes

Answer 22

klebsiella

Question 23

red currant jelly sputum

Answer 23

klebsiella

Question 24

This atypical pneumonia is diagnosed via MIF test

Answer 24

chlamydia

Question 25

outbreaks associated with contaminated water sources such as shower heads and faucets and air conditioners

Answer 25

legionella

Question 26

most common form of atypical pneumonia

Answer 26

mycoplasma

Question 27

Foul-smelling sputum and poor dentition

Answer 27

anaerobic pneumonia

Question 28

Who is at risk for developing an anaerobic pneumonia?

Answer 28

those are risk for aspiration

Question 29

Is anaerobic acute or insidious onset?

Answer 29

insidious

Question 30

How do you treat anaerobic pna?

Answer 30

clindamycin IV then orally until FULL resolution of symptoms

Question 31

Where would you expect to see infiltrate or abscess in a patient with anaerobic pna?

Answer 31

in DEPENDENT lung zones, i.e. how the patient was positioned during aspiration

Question 32

What are the five components of CURB 65?

Answer 32

age (>65), hypotension (19), confusion, respiration (30),BUN (19)

Question 33

What CURB score requires hospital admission ?

Answer 33

3-5

Question 34

Define hospital acquired

Answer 34

Symptoms developing AFTER 48 hours or more in the hospital

Question 35

Occurs outside the hospital or within 48 hours of admission is defined as?

Answer 35

community acquired pneumonia

Question 36

Which is more likely to be drug resistant: CAP or HAP?

Answer 36

hospital acquired!

Question 37

Community acquired or hospital acquired has the potential to be more harmful to the patient?

Answer 37

hospital acquired given less susceptible to antibiotics

Question 38

Rust colored sputum

Answer 38

strep pneumonia