Resp 2 - Ziegler Lower Respiratory Tract Infections

Front 1

Viruses can cause chronic disease
True or False

Back 1

False - they can only cause latent diseases over long term, otherwise just acute

Front 2

The number one hospital acquired infection is what?
The number two hospital acquired infection is what?

Back 2

UTI

Respiratory tract infection

Front 3

Serious disease in young kids (less than 2), peaks at 2-6 mos old - due to anatomic considerations.
Major nosocomial infections and causes 80% of bronchitis.
Caused by what 2 viruses?

Back 3

Respiratory syncytial virus - major cause

Also parainfluenza which moves down... not as common

Front 4

What drug can be used to treat respiratory syncytial disease, severe infections?

Back 4

Ribivirin aerosol

Front 5

Prophylaxis of RSV can be given IV and as a capsule... what are the two forms?

Back 5

RSV-Ig IV (immunoglobulin) or palivizumab (monoclonal antibody)

Front 6

If bronchitis is caused by a _____ it is going to look more severe to begin with
But the number one thing you'll think when you have bronchitis symptoms is what cause?

Back 6

bacteria - more sputum, more discomfort

Respiratory syncytial virus

Front 7

Other than RSV, the majority of the rest of bronchitis are caused by what?
What tx is available?

Back 7

HPIV (same as croup... make sure if someone has croup that it doesn't go lower and set things up for bacteria to come down there)
Symptomatic only

Front 8

Pneumonia is children is mostly _____
Adult pneumonia is more commonly ______
Viruses cause what type of pneumonias?

Back 8

viral

bacterial

interstitial (relatively diffuse in x-ray)

Front 9

Viral infections predispose to acute _______ pneumonia

Back 9

bacterial

Front 10

Pneumonia from reactivated _______ is a leading cause of death in AIDS patients

Back 10

cytomegalovirus

Front 11

Viruses can only cause ____ pneumonias which usually present with fever, cough, pleuricy (pain on deep breathing), hear a rub, sputum.

Back 11

acute (5 days)

Front 12

You can not diagnose pneumonias clinically
True or False

Back 12

True - symptoms give you differential, best thing is the chest x-ray. certain bacteria give certain patterns. If its interstitial - consider virus

Front 13

What virus is most associated with acute respiratory disease?

Back 13

Adenovirus

Front 14

Adenovirus associated with ____ ______ disease occurs in close contact populations such as the _____

Back 14

respiratory disease
military - oral vaccine given to military recruits but not civilians

Front 15

Severe Acute Respiratory Syndrome (SARS) is associated with what virus?

Back 15

SARS-associated coronavirus

Front 16

Hantavirus Pulmonary Syndrome is rare, high mortality (50-70%) and is caused by which virus?
How is it passed?

Back 16

Sin Nombre virus

Saliva, urine, and droppings of infected rodents (deer mouse, cotton rat)

Front 17

Treatment with _____ may be helpful for the deadly Hantavirus Pulmonary Syndrome

Back 17

ribivirin