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27 Cards in this Set
- Front
- Back
what is the most common cause of bacterial community acquired pneumonia?
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streptococcus pneumoniae
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a 18 year old walks into the clinic with a hx for a chronic cough and mild fever. chest x-ray shows lots of interstitial infiltrates. what is the most likely cause of his pneumonia?
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mycoplasma pneumoniae
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what is the most common viral cause of community acquired pneumonia?
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influenza A
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what is antigenic drift? what does it cause?
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- minor changes in the viral genome
- epidemics |
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what is antigenic shift? what does it cause?
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- major changes in the viral genome
- pandemics |
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who is most likely to be infected with influenza? who is most likely to die from influenza?
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- children
- adults |
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what is Reye's syndrome?
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post-infectious encephalopathy due to aspirin use during viral infections
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what causes adenoconjuctivitis?
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adenovirus; a DNA virus
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who gets adenoconjunctivitis?
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people who live in crowded places; schools, military recruits, prisons
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what is the pathogenesis of adenoconjunctivitis?
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- day 1 = sore throat
- day 2 = eyes are red - day 3 = cannot open eyes because they have rubbed the infection into the eye |
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how do we treat adenoconjunctivitis?
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this is a self-limiting disease but we watch it for secondary bacterial infections
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T or F: if the rapid strep test comes back negative we can rule out GAS infection.
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false
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how do we treat GAS? how do we treat recurrent GAS?
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- penicillin V
- erythromycin |
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who gets epiglottitis? what is the cause? what are the symptoms?
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- children > 2 y/o
- Hemophilus influenzae - the 4 D's - dysphagia - dysphonia - drooling - distress |
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what is croup?
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an URI that causes swelling of the larynx resulting in the characteristic barking cough; can be viral or bacterial
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what are the bacterial causes of sinusitis? how do we treat them?
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- S. pneumoniae (1) & H. influenzae
- amoxicillin works for both |
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what is chronic sinusitis?
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symptoms of sinusitis > 3 months
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what causes typical pneumonia? what causes atypical pneumonia?
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- S. pneumoniae
- mycoplasma and legionella |
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what are the cause in order from most common to least common of community acquired pneuomia?
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1. S. pneumoniae
2. H, influenzae 3. K. pneumoniae 4. P. aeruginosa 5. S. aureus |
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what are the causes in order from most common to least common of nosocomial pneumonia?
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1. S. aureus
2. P. aeruginosa 3. K. pneumoniae 4. H. influenzae 5. S. pneumoniae |
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what will a good sputum sample have?
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less than 10 squamous epithelial cells per low power field
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who gets mycoplasma? who gets legionella?
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- young people who live in crowded areas
- older people especially those who are around air conditioners, cooling towers, etc. |
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how do we treat mycoplasma?
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macrolides
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what is the definition of nosocomial pneumonia?
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pneumonia occurring > 48 hours after admission and excluding any infection that is incubating at the time of admission
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what is the strongest predisposing factor to developing nosocomial pneumonia?
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intubation
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where will aspiration pneumonia always occur?
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right bronchus in the posterior
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what is severe acute respiratory syndrome (SARS)? what causes it?
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- a new form of atypical pneumonia
- corona virus |