Quiz
Respiratory Tract Infections
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1Antibiotics for B. Pertussis
- AErythromycin
- BAzithromycin
- CTrimethoprim-sulfamethoxazole
2Antibiotics for streptococcal pharyngitis
(Streptococcus Pyogenes)- APhenoxy methyl penicillin (penicillin V)
- Bamoxicillin
- Ccephalosporin
- Dclindamycin
- Emacrolides
- Fvancomycin
- GErythromycin
- HTrimethroprim-sulfamethoxazole
3VAP - Ventilator associated Pneumonia
- AAcinetobacter
- BPseudomonas
- CKlebsiella
- DE.Coli
- EB. anthracis
4VAP Vent. associated Pneumonia
- AKlebsilla pneumonie
- BAcinetobacter
- CStahphylococcus aureus
- DStenotrophomonas maltophilia
- EC. difficile
5Hospital Aquired pneumonia
- AStreptococcus pneumonia
- BE. Coli
- CE. Cloacae
- DKlebsiella
- EEnterobacter
6Hospital Aquired pneumonia - II.
- AKlebsilla Pneumonia
- BP. Aeruginosa
- CA. Baumanii
- DEnterobacteriales
- EStaphyococcus
7CAP abbreviation [blank_start]Community[blank_end] [blank_start]acquired[blank_end] [blank_start]pneumonia[blank_end]
- ACommunity
- BClinical
- Cacquired
- Dpneumonia
- EPolyuria
8RTI Vaccines - Viral
- AInfluenza
- BSars-Cov 2
- CRubella
- Dmeasles
- Emumps
- FRSV - Respiratory syncytial virus
- GPolio
- Hcoxsackievirus
- Iadenovirus
- Jviral aquired pressure pneumothorax
9RTI Vaccines - Bacterial
- ATuberculosis
- BPertussis
- CDiphteria
- DCovid-19
- ERubella
10What Assay is NOT used for atypical bacteria detection
- AGram - Staining
- BCulture diagnostics
- CELISA
- DPCR
- ESerology IgM - Not IgG
11Antigen detection for atypical pneumonia
- AComplete blood count (CBC)
- BBlood tests to identify the specific bacteria
- CBlood Cultures
- DSputum Culture
- ECT scan of the Naso, Oro and Laryngopharynx to reduce Exposure compared with Chest
12Antigen detection for atypical pneumonia
- AUrine Test for legionella
- BELISA
- CPCR
- DSerology with IgG or IgM
- EIF
13Atypical Pneumonia in Children - most common
- AMycoplasma pneumonie
- BChlamydia pneumonie
- CLegionella
- DRSV
- EH. Influenza
14Causes of atypical Pneumonia (bacterial)
- AMycoplasma pneumonia
- BChlamydia pneumonia
- CLegionella pneumonia
- DH. Influenza
- EParainfluenza
15Typical Pneumonia
- ARSV
- BH- Influenza
- CB. anthracis
- DStreptococcus pneumonia
- EEnterobacteriaceae
16Typical Pneumonia bacterial etiology
- AStaphylococcus aureus
- BKlebsilla Pneumonia
=> Enterobacteriaceae - CMoraxella catarrhalis
- DB. Pertussis, C. Diphteriae
- EHeamophilus Influenzae
17Bacterial pneumonia infilitrating alveolar spaces, present in lower lobe & blood in sputum
- APneumococcal pneumonia
- BCovid (Sars Cov)
- CAspergillus
- DPneumocystis (fungi)
- ECryptococcus (fungi)
18Streptococcus pneumonia (pneumococcal pneumonia) is resistant against
- AAztreonam
- BVancomyocin
- CPenicillin
- Dclarithromycin
- Eerythromycin
- FAzithromycin
19Streptococcus pneumonia (pneumococcal pneumonia) is susceptible to
- AVancomyocin
- BPenicilin
- CAztreonam
- Dquinolones
- EDoxycycline
20A man has been on vacation in Hawaii, fever, mucus producing, or produces exudate blabla. Which of the following is the likely cause
RECHECK WITH PRESENTATION- ACorynebacterium diphtheriae
- BStaphylococcus aureus
- CHaemophilus influenzae
- DStreptococcus pneumoniae
- ECoxiella burnetii
21RNA Viruses in RTI
- ASARS
- BRSV
- CInfluenza A
- DCoxsacklevirus
- EParainfluenza
- FRHinovirus
22MERS
[blank_start]Middle[blank_end] [blank_start]East[blank_end] [blank_start]Respiratory Syndrome[blank_end]- AMiddle
- BEast
- CRespiratory Syndrome
23Which of the following is most likely to cause a VAP infection that may result in necrotizing pneumonia.
- APseudomonas aeruginosa
- BStreptococcus pneumonia
- CPneumocystis jiroveci
- DChlamydophila pneumonia
24Fungal RTI
- Apulmonary cryptococcosis
- Bpneumocystis pneumonia
- Cobstructive bronchial aspergillosis
- Dpneumococcal pneumonia
- ECryptococcal pneumonia
25The sudden onset, with exudative pharyngitis, malaise and development of thick pseudomembrane over the pharynx: The characteristic indicates:
- APertussis
- BInfluenza
- CDiphtheria
- DWhooping cough
- ELegionnaires disease
26Atypical pneumonia diagnosis includes:
- AAntigen detection in urine in Legionella
- BELISA
- CCulturing on MacConkey medium
- DAntigen detection in Streptococcus Pneumonia
27Choose true statements
- AAspiration pneumonia caused by S. aureus is seen in patients with influenza
- BAspergiloma may be seen on x-ray and always characterized by the fatal onset
- CPrimary tuberculosis is pulmonary
- DAspergiloma can be seen on X-ray
28RTIs caused by Corona Virus
- ASARS
- BRubella
- CCovid - 19
29This bacterium is commonly found in natural bodies of water, cooling towers, causes severe pneumonia or influenza like illness:
- ALegionella pneumophilia
- BBordatella Pertussis
- CB. Anthracis
- DAzithromyocin
30Legionella Pneumophilia is susceptible to
- AAzithromycin
- BCiprofloxacin
- CCefuroxime
- DErythromycin
- EFluoroquinolones as an alternative therapy
- FMeroponem
31Empiric Treatment based on Penicillin V indicates the treatment of
- AStrep - throat
- BQ fever
- CM. Catarrhalis bronchopneumonia
- DPulmonary cryptococcus
- ELegionnaires disease
32Match therapeutic drug with disease
Q fever - treatment of choice [blank_start]doxycycline[blank_end]
M. Catarrhalis bronchopneumonia - uses [blank_start]cephalosporins, amoxicillin[blank_end] and clavulanic acid
Legionnaires disease - [blank_start]macrolides or fluoroquinolones[blank_end]- Amacrolides or fluoroquinolones
- Bcephalosporins, amoxicillin
- Cdoxycycline
33Typical viral RTIs
- AMeasles and Influenza
- BParainfluenza and Influenza
- CRSV, HSV, EBV
- DRhino-, Corona-, Entero-, Adenovirus
- EMumps
34Atypical Viral RTIs
- AMeasles
- BMumps
- CRubella
- DVaricella Zoster Virus
- EHSV
35Transmission match correct
droplet infection – [blank_start]most cases[blank_end]
by inhalation [blank_start](epidemic)[blank_end] - [blank_start]influenza, adenovirus 4,7, rhinovirus[blank_end]
by direct contact – [blank_start]rhinovirus, RSV? parainfluenza?[blank_end]- Arhinovirus, RSV? parainfluenza?
- Binfluenza, adenovirus 4,7, rhinovirus
- Cmost cases
- D(epidemic)
36Fungal RTIs
- ACandida spp.
- BAspergillus spp
- CMucor, Rhisopus
- DCryptococcus spp
- EDimorphic fungi
- FP. Carinii
37Upper RTI
Mostly Viral
By Droplet inhalation
Symptoms: Cold like usually without fever
Clinical recognized, throat swab only in case of bacterial epiglottitis + blood culture
Usually benign- ARichtig
- BFalsch
38Lower RTI
bacterial dominant
Cold like symptoms
No fever
usually benign- ARichtig
- BFalsch
39Lower RTI
Bacterial dominance
Inhalation
cough, fever, chest pain, tachypnea and sputum production
sputum, blood cultures, serologic methods
usually severe- ARichtig
- BFalsch
40Upper RTI Otitis media
infection of the middle ear with formation of pus leading to pressure and pain- AAfter upper respiratory infection extending from the nasopharynx via the eustachian tube to the middle ear
- BS. pneumoniae 30-40%
- CH. influenzae 20-30%
- DM. catarrhalis 10%
- ES. pyogenes, S. aureus, M. pneumoniae, P. aeruginosa, anaerobic bacteria – chronic
- FViruses contribute to the most severe form of it
41Upper RTI Sinusitis
infection of one or more of the paranasal sinuses
acute or chronic- AChronic after 4 weeks
- BS. pneumoniae 20-30%
- CH. influenzae 20%
- DM. catarrhalis 10%
- ES.pyogenes, S. aureus, gram-negative, anaerobes - chronic
- FS. pyogenes, S. aureus, M. pneumoniae, P. aeruginosa, anaerobic bacteria – chronic
42Upper RTI Pharyngitis
sore throat
an inflammation of the pharynx involving lymphoid tissues of the posterior pharynx and lateral pharyngeal bands- AViral mostly without cold like symptoms
- BViral with cold like symptoms
- CCandida Albicans with a thrush
- DS. pyogenes or beta hemolytic steptococci C & G
- ECoxsackievirus, EBV, adenovirus, HSV
43Upper RTI epiglottitis, laryngitis
- Aparticularly in children age 2 to 5 years, less common in adults
- BHaemophilus influenzae type b in adults, viral
- CParainfluenza more common for epiglottitis after 25 years of age
- DParainfluenza mmost common for laryngitis
- ESevere laryngitis sttems from S Pneumonia H Influenza type B
44Bronchitis - [blank_start]S. pneumoniae, M. pneumoniae[blank_end], and other
Pneumonia - [blank_start]S. pneumoniae, K. pneumoniae[blank_end], M. pneumoniae
Ornithosis - transmitted by [blank_start]birds[blank_end] – [blank_start]Chlamydia psittaci[blank_end]- Abirds
- BDogs
- CChlamydia psittaci
- DS. pneumoniae, K. pneumoniae
- ES. pneumoniae, M. pneumoniae
45Bronchitis Etiology
- AViruses cause most cases of bronchitis and bronchiolitis
- BFungi cause most cases of bronchitis and bronchiolitis
- CRSV, Parainfluenza, Influenza, adenovirus
- DBaccterial acute: H.influenzae
- EBacterial Chronic - S. pneumoniae, M. pneumoniae, H.influenzae
46Pneumonia choose for each statement
[blank_start]After 48 Hours[blank_end] of admission into Hospital HAP
With Common Pathogen, [blank_start]within 48 hours[blank_end] CAP
Suscebtible to antibiotics [blank_start]CAP[blank_end]
With Gram - rods, staphylococci, resistant to antibiotics [blank_start]HAP[blank_end]- AAfter 48 Hours
- Bwithin 48 hours
- CCAP
- DHAP
47Typical Pneumonia
- ADry Cough
- BFever
- CNo Symptoms in clincal examination
- DPhysical examination shows pneumonia signs
- EPurulent Sputum
48Streptococcus pneumoniae
- A30 - 54 % of CAP
- BUnilobar disease, rigors, toxaemia
- CLaboratory
Gram-positive diplococci in sputum - DLaboratory
Gram-negative diplococci on mccorney
49mark correct pneumonia etiology
- AHaemophilus influenzae
Affects children and the elderly, especially those in nursing homes - BStaphylococcus aureus
Follows influenza infection
Laboratory findings – Gram-positive cocci in sputum, netrophil leucocytosis - CKlebsiella pneumoniae
Laboratory findings – Gram-negative bacilli in sputum - DMycoplasma pneumoniae
Atypical Pneumonia
Laboratory- acute, convalescent antibodies rise
- AHaemophilus influenzae
50History with contact with farm animals
High fever, malaise, headache, dry cough, pleuritic chest pain, prolonged fever
Laboratory findings – phase 2 antibody rise
[blank_start]Coxiella Burnetii[blank_end]- ACoxiella Burnetii
- BLegionella Pneumonia
51[blank_start]Legionella pneumophila[blank_end]
History of exposure to Legionella –contaminated aerosols – hotel air-conditioning, older patient, gradual onset, malaise, lethargy, fever, headache, myalgia, dry non-productive cough, confusion, hallucinations
Laboratory findings – abnormal liver function tests, positive urinary antigen, convalescent antibody rise, culture after 7-10 days- ALegionella pneumophila
- BCoxiella Burnetti
52Mark Correct - Diagnosticcs
- AFor CAP:
Routine haematology and biochemistry
Chest radiography
Microbiological diagnostic: - BBacterial typical and fungal
Easy
Typical – microscopy, cutivation
Specimen: sputum, BAL, swabs, - CBacterial typical and fungal
Acute due to life threatening condition with fungal infection
Antigen detection in serum (IF,Elisa, PCR)
cultivation is difficult
Specimen: sputum, BAL, swabs, - DBacterial atypical
Antigen detection in serum (IF,Elisa, PCR)
Serology (antibodies- IgM, increase in IgG titer),
Cultivation is difficult - EViral
Antigen detection (RSV, EBV, Influenza, Parainfluenza, Adeno) in epithelial cells (washings, nasal aspirates, BAL)
Serology- (antibodies) in serum
Not common, epidemiological purposes
- AFor CAP:
53Specimen Collection
- AFor any RTI use non induced Sputum Collection
- BURTI
Swabs from throat, nose, ear - CLRTI
Sputum, induced sputum, Secretions
NO Pleural Fluid due risk of spreading infection - DLRTI
Sputum, induced sputum,
Aspiration of pleureal fluid – for biochemistry and culture
Blood culture – positive in 30% cases of pneumonia - EAcute and convalescent serology to detect antibodies to viruses, Mycoplasma, Chlamydia, Legionella, Coxiella burnetii
54Atypical RTI Treatment involves the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks
- ARichtig
- BFalsch
55Treatment of RTI
- Aaminopenicillins (oral amoxicillin or i.v.ampicillin)
- Bmacrolides or II or III generation of cephalosporin in penicillin-allergic patients
- Cin patients with atypical features
the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks - Dmacrolides iv + II or III generation of cephalosporin in severe pneumonia
Informationen
- Beschreibung
- Test 11
- Autor
- Leon Schwarze
- Sprache
- English
- Aufrufe
- 33
- Schlagwörter
- Bewertung
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