39287318
Descrição
Quiz por Leon Schwarze, atualizado 2 meses atrás
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Criado por Leon Schwarze
2 meses atrás
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|
Questão 1
Questão
Antibiotics for B. Pertussis
Responda
-
Erythromycin
-
Azithromycin
-
Trimethoprim-sulfamethoxazole
Questão 2
Questão
Antibiotics for streptococcal pharyngitis
(Streptococcus Pyogenes)
Responda
-
Phenoxy methyl penicillin (penicillin V)
-
amoxicillin
-
cephalosporin
-
clindamycin
-
macrolides
-
vancomycin
-
Erythromycin
-
Trimethroprim-sulfamethoxazole
Questão 3
Questão
VAP - Ventilator associated Pneumonia
Responda
-
Acinetobacter
-
Pseudomonas
-
Klebsiella
-
E.Coli
-
B. anthracis
Questão 4
Questão
VAP Vent. associated Pneumonia
Responda
-
Klebsilla pneumonie
-
Acinetobacter
-
Stahphylococcus aureus
-
Stenotrophomonas maltophilia
-
C. difficile
Questão 5
Questão
Hospital Aquired pneumonia
Responda
-
Streptococcus pneumonia
-
E. Coli
-
E. Cloacae
-
Klebsiella
-
Enterobacter
Questão 6
Questão
Hospital Aquired pneumonia - II.
Responda
-
Klebsilla Pneumonia
-
P. Aeruginosa
-
A. Baumanii
-
Enterobacteriales
-
Staphyococcus
Questão 7
Questão
CAP abbreviation [blank_start]Community[blank_end] [blank_start]acquired[blank_end] [blank_start]pneumonia[blank_end]
Responda
-
Community
-
Clinical
-
acquired
-
pneumonia
-
Polyuria
Questão 8
Questão
RTI Vaccines - Viral
Responda
-
Influenza
-
Sars-Cov 2
-
Rubella
-
measles
-
mumps
-
RSV - Respiratory syncytial virus
-
Polio
-
coxsackievirus
-
adenovirus
-
viral aquired pressure pneumothorax
Questão 9
Questão
RTI Vaccines - Bacterial
Responda
-
Tuberculosis
-
Pertussis
-
Diphteria
-
Covid-19
-
Rubella
Questão 10
Questão
What Assay is NOT used for atypical bacteria detection
Responda
-
Gram - Staining
-
Culture diagnostics
-
ELISA
-
PCR
-
Serology IgM - Not IgG
Questão 11
Questão
Antigen detection for atypical pneumonia
Responda
-
Complete blood count (CBC)
-
Blood tests to identify the specific bacteria
-
Blood Cultures
-
Sputum Culture
-
CT scan of the Naso, Oro and Laryngopharynx to reduce Exposure compared with Chest
Questão 12
Questão
Antigen detection for atypical pneumonia
Responda
-
Urine Test for legionella
-
ELISA
-
PCR
-
Serology with IgG or IgM
-
IF
Questão 13
Questão
Atypical Pneumonia in Children - most common
Responda
-
Mycoplasma pneumonie
-
Chlamydia pneumonie
-
Legionella
-
RSV
-
H. Influenza
Questão 14
Questão
Causes of atypical Pneumonia (bacterial)
Responda
-
Mycoplasma pneumonia
-
Chlamydia pneumonia
-
Legionella pneumonia
-
H. Influenza
-
Parainfluenza
Questão 15
Questão
Typical Pneumonia
Responda
-
RSV
-
H- Influenza
-
B. anthracis
-
Streptococcus pneumonia
-
Enterobacteriaceae
Questão 16
Questão
Typical Pneumonia bacterial etiology
Responda
-
Staphylococcus aureus
-
Klebsilla Pneumonia => Enterobacteriaceae
-
Moraxella catarrhalis
-
B. Pertussis, C. Diphteriae
-
Heamophilus Influenzae
Questão 17
Questão
Bacterial pneumonia infilitrating alveolar spaces, present in lower lobe & blood in sputum
Responda
-
Pneumococcal pneumonia
-
Covid (Sars Cov)
-
Aspergillus
-
Pneumocystis (fungi)
-
Cryptococcus (fungi)
Questão 18
Questão
Streptococcus pneumonia (pneumococcal pneumonia) is resistant against
Responda
-
Aztreonam
-
Vancomyocin
-
Penicillin
-
clarithromycin
-
erythromycin
-
Azithromycin
Questão 19
Questão
Streptococcus pneumonia (pneumococcal pneumonia) is susceptible to
Responda
-
Vancomyocin
-
Penicilin
-
Aztreonam
-
quinolones
-
Doxycycline
Questão 20
Questão
A 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
Responda
-
Corynebacterium diphtheriae
-
Staphylococcus aureus
-
Haemophilus influenzae
-
Streptococcus pneumoniae
-
Coxiella burnetii
Questão 21
Questão
RNA Viruses in RTI
Responda
-
SARS
-
RSV
-
Influenza A
-
Coxsacklevirus
-
Parainfluenza
-
RHinovirus
Questão 22
Questão
MERS
[blank_start]Middle[blank_end] [blank_start]East[blank_end] [blank_start]Respiratory Syndrome[blank_end]
Responda
-
Middle
-
East
-
Respiratory Syndrome
Questão 23
Questão
Which of the following is most likely to cause a VAP infection that may result in necrotizing pneumonia.
Responda
-
Pseudomonas aeruginosa
-
Streptococcus pneumonia
-
Pneumocystis jiroveci
-
Chlamydophila pneumonia
Questão 24
Questão
Fungal RTI
Responda
-
pulmonary cryptococcosis
-
pneumocystis pneumonia
-
obstructive bronchial aspergillosis
-
pneumococcal pneumonia
-
Cryptococcal pneumonia
Questão 25
Questão
The sudden onset, with exudative pharyngitis, malaise and development of thick pseudomembrane over the pharynx: The characteristic indicates:
Responda
-
Pertussis
-
Influenza
-
Diphtheria
-
Whooping cough
-
Legionnaires disease
Questão 26
Questão
Atypical pneumonia diagnosis includes:
Responda
-
Antigen detection in urine in Legionella
-
ELISA
-
Culturing on MacConkey medium
-
Antigen detection in Streptococcus Pneumonia
Questão 27
Questão
Choose true statements
Responda
-
Aspiration pneumonia caused by S. aureus is seen in patients with influenza
-
Aspergiloma may be seen on x-ray and always characterized by the fatal onset
-
Primary tuberculosis is pulmonary
-
Aspergiloma can be seen on X-ray
Questão 28
Questão
RTIs caused by Corona Virus
Responda
-
SARS
-
Rubella
-
Covid - 19
Questão 29
Questão
This bacterium is commonly found in natural bodies of water, cooling towers, causes severe pneumonia or influenza like illness:
Responda
-
Legionella pneumophilia
-
Bordatella Pertussis
-
B. Anthracis
-
Azithromyocin
Questão 30
Questão
Legionella Pneumophilia is susceptible to
Responda
-
Azithromycin
-
Ciprofloxacin
-
Cefuroxime
-
Erythromycin
-
Fluoroquinolones as an alternative therapy
-
Meroponem
Questão 31
Questão
Empiric Treatment based on Penicillin V indicates the treatment of
Responda
-
Strep - throat
-
Q fever
-
M. Catarrhalis bronchopneumonia
-
Pulmonary cryptococcus
-
Legionnaires disease
Questão 32
Questão
Match 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]
Responda
-
macrolides or fluoroquinolones
-
cephalosporins, amoxicillin
-
doxycycline
Questão 33
Questão
Typical viral RTIs
Responda
-
Measles and Influenza
-
Parainfluenza and Influenza
-
RSV, HSV, EBV
-
Rhino-, Corona-, Entero-, Adenovirus
-
Mumps
Questão 34
Questão
Atypical Viral RTIs
Responda
-
Measles
-
Mumps
-
Rubella
-
Varicella Zoster Virus
-
HSV
Questão 35
Questão
Transmission 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]
Responda
-
rhinovirus, RSV? parainfluenza?
-
influenza, adenovirus 4,7, rhinovirus
-
most cases
-
(epidemic)
Questão 36
Questão
Fungal RTIs
Responda
-
Candida spp.
-
Aspergillus spp
-
Mucor, Rhisopus
-
Cryptococcus spp
-
Dimorphic fungi
-
P. Carinii
Questão 37
Questão
Upper 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
Responda
- True
- False
Questão 38
Questão
Lower RTI
bacterial dominant
Cold like symptoms
No fever
usually benign
Responda
- True
- False
Questão 39
Questão
Lower RTI
Bacterial dominance
Inhalation
cough, fever, chest pain, tachypnea and sputum production
sputum, blood cultures, serologic methods
usually severe
Responda
- True
- False
Questão 40
Questão
Upper RTI Otitis media
infection of the middle ear with formation of pus leading to pressure and pain
Responda
-
After upper respiratory infection extending from the nasopharynx via the eustachian tube to the middle ear
-
S. pneumoniae 30-40%
-
H. influenzae 20-30%
-
M. catarrhalis 10%
-
S. pyogenes, S. aureus, M. pneumoniae, P. aeruginosa, anaerobic bacteria – chronic
-
Viruses contribute to the most severe form of it
Questão 41
Questão
Upper RTI Sinusitis
infection of one or more of the paranasal sinuses
acute or chronic
Responda
-
Chronic after 4 weeks
-
S. pneumoniae 20-30%
-
H. influenzae 20%
-
M. catarrhalis 10%
-
S.pyogenes, S. aureus, gram-negative, anaerobes - chronic
-
S. pyogenes, S. aureus, M. pneumoniae, P. aeruginosa, anaerobic bacteria – chronic
Questão 42
Questão
Upper RTI Pharyngitis
sore throat
an inflammation of the pharynx involving lymphoid tissues of the posterior pharynx and lateral pharyngeal bands
Responda
-
Viral mostly without cold like symptoms
-
Viral with cold like symptoms
-
Candida Albicans with a thrush
-
S. pyogenes or beta hemolytic steptococci C & G
-
Coxsackievirus, EBV, adenovirus, HSV
Questão 43
Questão
Upper RTI epiglottitis, laryngitis
Responda
-
particularly in children age 2 to 5 years, less common in adults
-
Haemophilus influenzae type b in adults, viral
-
Parainfluenza more common for epiglottitis after 25 years of age
-
Parainfluenza mmost common for laryngitis
-
Severe laryngitis sttems from S Pneumonia H Influenza type B
Questão 44
Questão
Bronchitis - [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]
Responda
-
birds
-
Dogs
-
Chlamydia psittaci
-
S. pneumoniae, K. pneumoniae
-
S. pneumoniae, M. pneumoniae
Questão 45
Questão
Bronchitis Etiology
Responda
-
Viruses cause most cases of bronchitis and bronchiolitis
-
Fungi cause most cases of bronchitis and bronchiolitis
-
RSV, Parainfluenza, Influenza, adenovirus
-
Baccterial acute: H.influenzae
-
Bacterial Chronic - S. pneumoniae, M. pneumoniae, H.influenzae
Questão 46
Questão
Pneumonia 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]
Responda
-
After 48 Hours
-
within 48 hours
-
CAP
-
HAP
Questão 47
Questão
Typical Pneumonia
Responda
-
Dry Cough
-
Fever
-
No Symptoms in clincal examination
-
Physical examination shows pneumonia signs
-
Purulent Sputum
Questão 48
Questão
Streptococcus pneumoniae
Responda
-
30 - 54 % of CAP
-
Unilobar disease, rigors, toxaemia
-
Laboratory Gram-positive diplococci in sputum
-
Laboratory Gram-negative diplococci on mccorney
Questão 49
Questão
mark correct pneumonia etiology
Responda
-
Haemophilus influenzae Affects children and the elderly, especially those in nursing homes
-
Staphylococcus aureus Follows influenza infection Laboratory findings – Gram-positive cocci in sputum, netrophil leucocytosis
-
Klebsiella pneumoniae Laboratory findings – Gram-negative bacilli in sputum
-
Mycoplasma pneumoniae Atypical Pneumonia Laboratory- acute, convalescent antibodies rise
Questão 50
Questão
History 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]
Responda
-
Coxiella Burnetii
-
Legionella Pneumonia
Questão 51
Questão
[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
Responda
-
Legionella pneumophila
-
Coxiella Burnetti
Questão 52
Questão
Mark Correct - Diagnosticcs
Responda
-
For CAP: Routine haematology and biochemistry Chest radiography Microbiological diagnostic:
-
Bacterial typical and fungal Easy Typical – microscopy, cutivation Specimen: sputum, BAL, swabs,
-
Bacterial 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,
-
Bacterial atypical Antigen detection in serum (IF,Elisa, PCR) Serology (antibodies- IgM, increase in IgG titer), Cultivation is difficult
-
Viral Antigen detection (RSV, EBV, Influenza, Parainfluenza, Adeno) in epithelial cells (washings, nasal aspirates, BAL) Serology- (antibodies) in serum Not common, epidemiological purposes
Questão 53
Questão
Specimen Collection
Responda
-
For any RTI use non induced Sputum Collection
-
URTI Swabs from throat, nose, ear
-
LRTI Sputum, induced sputum, Secretions NO Pleural Fluid due risk of spreading infection
-
LRTI Sputum, induced sputum, Aspiration of pleureal fluid – for biochemistry and culture Blood culture – positive in 30% cases of pneumonia
-
Acute and convalescent serology to detect antibodies to viruses, Mycoplasma, Chlamydia, Legionella, Coxiella burnetii
Questão 54
Questão
Atypical RTI Treatment involves the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks
Responda
- True
- False
Questão 55
Questão
Treatment of RTI
Responda
-
aminopenicillins (oral amoxicillin or i.v.ampicillin)
-
macrolides or II or III generation of cephalosporin in penicillin-allergic patients
-
in patients with atypical features the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks
-
macrolides iv + II or III generation of cephalosporin in severe pneumonia
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