Leon Schwarze
Quiz by , created 9 months ago

Test 11

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Leon Schwarze
Created by Leon Schwarze 9 months ago
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Respiratory Tract Infections

Question 1 of 55

1

Antibiotics for B. Pertussis

Select one or more of the following:

  • Erythromycin

  • Azithromycin

  • Trimethoprim-sulfamethoxazole

Explanation

Question 2 of 55

1

Antibiotics for streptococcal pharyngitis
(Streptococcus Pyogenes)

Select one or more of the following:

  • Phenoxy methyl penicillin (penicillin V)

  • amoxicillin

  • cephalosporin

  • clindamycin

  • macrolides

  • vancomycin

  • Erythromycin

  • Trimethroprim-sulfamethoxazole

Explanation

Question 3 of 55

1

VAP - Ventilator associated Pneumonia

Select one or more of the following:

  • Acinetobacter

  • Pseudomonas

  • Klebsiella

  • E.Coli

  • B. anthracis

Explanation

Question 4 of 55

1

VAP Vent. associated Pneumonia

Select one or more of the following:

  • Klebsilla pneumonie

  • Acinetobacter

  • Stahphylococcus aureus

  • Stenotrophomonas maltophilia

  • C. difficile

Explanation

Question 5 of 55

1

Hospital Aquired pneumonia

Select one or more of the following:

  • Streptococcus pneumonia

  • E. Coli

  • E. Cloacae

  • Klebsiella

  • Enterobacter

Explanation

Question 6 of 55

1

Hospital Aquired pneumonia - II.

Select one or more of the following:

  • Klebsilla Pneumonia

  • P. Aeruginosa

  • A. Baumanii

  • Enterobacteriales

  • Staphyococcus

Explanation

Question 7 of 55

1

CAP abbreviation

Drag and drop to complete the text.

    Community
    Clinical
    acquired
    pneumonia
    Polyuria

Explanation

Question 8 of 55

1

RTI Vaccines - Viral

Select one or more of the following:

  • Influenza

  • Sars-Cov 2

  • Rubella

  • measles

  • mumps

  • RSV - Respiratory syncytial virus

  • Polio

  • coxsackievirus

  • adenovirus

  • viral aquired pressure pneumothorax

Explanation

Question 9 of 55

1

RTI Vaccines - Bacterial

Select one or more of the following:

  • Tuberculosis

  • Pertussis

  • Diphteria

  • Covid-19

  • Rubella

Explanation

Question 10 of 55

1

What Assay is NOT used for atypical bacteria detection

Select one or more of the following:

  • Gram - Staining

  • Culture diagnostics

  • ELISA

  • PCR

  • Serology IgM - Not IgG

Explanation

Question 11 of 55

1

Antigen detection for atypical pneumonia

Select one or more of the following:

  • 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

Explanation

Question 12 of 55

1

Antigen detection for atypical pneumonia

Select one or more of the following:

  • Urine Test for legionella

  • ELISA

  • PCR

  • Serology with IgG or IgM

  • IF

Explanation

Question 13 of 55

1

Atypical Pneumonia in Children - most common

Select one or more of the following:

  • Mycoplasma pneumonie

  • Chlamydia pneumonie

  • Legionella

  • RSV

  • H. Influenza

Explanation

Question 14 of 55

1

Causes of atypical Pneumonia (bacterial)

Select one or more of the following:

  • Mycoplasma pneumonia

  • Chlamydia pneumonia

  • Legionella pneumonia

  • H. Influenza

  • Parainfluenza

Explanation

Question 15 of 55

1

Typical Pneumonia

Select one or more of the following:

  • RSV

  • H- Influenza

  • B. anthracis

  • Streptococcus pneumonia

  • Enterobacteriaceae

Explanation

Question 16 of 55

1

Typical Pneumonia bacterial etiology

Select one or more of the following:

  • Staphylococcus aureus

  • Klebsilla Pneumonia
    => Enterobacteriaceae

  • Moraxella catarrhalis

  • B. Pertussis, C. Diphteriae

  • Heamophilus Influenzae

Explanation

Question 17 of 55

1

Bacterial pneumonia infilitrating alveolar spaces, present in lower lobe & blood in sputum

Select one or more of the following:

  • Pneumococcal pneumonia

  • Covid (Sars Cov)

  • Aspergillus

  • Pneumocystis (fungi)

  • Cryptococcus (fungi)

Explanation

Question 18 of 55

1

Streptococcus pneumonia (pneumococcal pneumonia) is resistant against

Select one or more of the following:

  • Aztreonam

  • Vancomyocin

  • Penicillin

  • clarithromycin

  • erythromycin

  • Azithromycin

Explanation

Question 19 of 55

1

Streptococcus pneumonia (pneumococcal pneumonia) is susceptible to

Select one or more of the following:

  • Vancomyocin

  • Penicilin

  • Aztreonam

  • quinolones

  • Doxycycline

Explanation

Question 20 of 55

1

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

Select one or more of the following:

  • Corynebacterium diphtheriae

  • Staphylococcus aureus

  • Haemophilus influenzae

  • Streptococcus pneumoniae

  • Coxiella burnetii

Explanation

Question 21 of 55

1

RNA Viruses in RTI

Select one or more of the following:

  • SARS

  • RSV

  • Influenza A

  • Coxsacklevirus

  • Parainfluenza

  • RHinovirus

Explanation

Question 22 of 55

1

MERS

Drag and drop to complete the text.

    Middle
    East
    Respiratory Syndrome

Explanation

Question 23 of 55

1

Which of the following is most likely to cause a VAP infection that may result in necrotizing pneumonia.

Select one or more of the following:

  • Pseudomonas aeruginosa

  • Streptococcus pneumonia

  • Pneumocystis jiroveci

  • Chlamydophila pneumonia

Explanation

Question 24 of 55

1

Fungal RTI

Select one or more of the following:

  • pulmonary cryptococcosis

  • pneumocystis pneumonia

  • obstructive bronchial aspergillosis

  • pneumococcal pneumonia

  • Cryptococcal pneumonia

Explanation

Question 25 of 55

1

The sudden onset, with exudative pharyngitis, malaise and development of thick pseudomembrane over the pharynx: The characteristic indicates:

Select one or more of the following:

  • Pertussis

  • Influenza

  • Diphtheria

  • Whooping cough

  • Legionnaires disease

Explanation

Question 26 of 55

1

Atypical pneumonia diagnosis includes:

Select one or more of the following:

  • Antigen detection in urine in Legionella

  • ELISA

  • Culturing on MacConkey medium

  • Antigen detection in Streptococcus Pneumonia

Explanation

Question 27 of 55

1

Choose true statements

Select one or more of the following:

  • 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

Explanation

Question 28 of 55

1

RTIs caused by Corona Virus

Select one or more of the following:

  • SARS

  • Rubella

  • Covid - 19

Explanation

Question 29 of 55

1

This bacterium is commonly found in natural bodies of water, cooling towers, causes severe pneumonia or influenza like illness:

Select one or more of the following:

  • Legionella pneumophilia

  • Bordatella Pertussis

  • B. Anthracis

  • Azithromyocin

Explanation

Question 30 of 55

1

Legionella Pneumophilia is susceptible to

Select one or more of the following:

  • Azithromycin

  • Ciprofloxacin

  • Cefuroxime

  • Erythromycin

  • Fluoroquinolones as an alternative therapy

  • Meroponem

Explanation

Question 31 of 55

1

Empiric Treatment based on Penicillin V indicates the treatment of

Select one or more of the following:

  • Strep - throat

  • Q fever

  • M. Catarrhalis bronchopneumonia

  • Pulmonary cryptococcus

  • Legionnaires disease

Explanation

Question 32 of 55

1

Match therapeutic drug with disease

Q fever - treatment of choice
M. Catarrhalis bronchopneumonia - uses and clavulanic acid
Legionnaires disease -

Drag and drop to complete the text.

    macrolides or fluoroquinolones
    cephalosporins, amoxicillin
    doxycycline

Explanation

Question 33 of 55

1

Typical viral RTIs

Select one or more of the following:

  • Measles and Influenza

  • Parainfluenza and Influenza

  • RSV, HSV, EBV

  • Rhino-, Corona-, Entero-, Adenovirus

  • Mumps

Explanation

Question 34 of 55

1

Atypical Viral RTIs

Select one or more of the following:

  • Measles

  • Mumps

  • Rubella

  • Varicella Zoster Virus

  • HSV

Explanation

Question 35 of 55

1

Transmission match correct

droplet infection –
by inhalation -
by direct contact –

Drag and drop to complete the text.

    rhinovirus, RSV? parainfluenza?
    influenza, adenovirus 4,7, rhinovirus
    most cases
    (epidemic)

Explanation

Question 36 of 55

1

Fungal RTIs

Select one or more of the following:

  • Candida spp.

  • Aspergillus spp

  • Mucor, Rhisopus

  • Cryptococcus spp

  • Dimorphic fungi

  • P. Carinii

Explanation

Question 37 of 55

1

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

Select one of the following:

  • True
  • False

Explanation

Question 38 of 55

1

Lower RTI

bacterial dominant

Cold like symptoms

No fever

usually benign

Select one of the following:

  • True
  • False

Explanation

Question 39 of 55

1

Lower RTI

Bacterial dominance

Inhalation

cough, fever, chest pain, tachypnea and sputum production

sputum, blood cultures, serologic methods

usually severe

Select one of the following:

  • True
  • False

Explanation

Question 40 of 55

1

Upper RTI Otitis media
infection of the middle ear with formation of pus leading to pressure and pain

Select one or more of the following:

  • 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

Explanation

Question 41 of 55

1

Upper RTI Sinusitis

infection of one or more of the paranasal sinuses
acute or chronic

Select one or more of the following:

  • 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

Explanation

Question 42 of 55

1

Upper RTI Pharyngitis
sore throat
an inflammation of the pharynx involving lymphoid tissues of the posterior pharynx and lateral pharyngeal bands

Select one or more of the following:

  • 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

Explanation

Question 43 of 55

1

Upper RTI epiglottitis, laryngitis

Select one or more of the following:

  • 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

Explanation

Question 44 of 55

1

Bronchitis - , and other

Pneumonia - , M. pneumoniae

Ornithosis - transmitted by –

Drag and drop to complete the text.

    birds
    Dogs
    Chlamydia psittaci
    S. pneumoniae, K. pneumoniae
    S. pneumoniae, M. pneumoniae

Explanation

Question 45 of 55

1

Bronchitis Etiology

Select one or more of the following:

  • 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

Explanation

Question 46 of 55

1

Pneumonia choose for each statement

of admission into Hospital HAP

With Common Pathogen, CAP

Suscebtible to antibiotics

With Gram - rods, staphylococci, resistant to antibiotics

Drag and drop to complete the text.

    After 48 Hours
    within 48 hours
    CAP
    HAP

Explanation

Question 47 of 55

1

Typical Pneumonia

Select one or more of the following:

  • Dry Cough

  • Fever

  • No Symptoms in clincal examination

  • Physical examination shows pneumonia signs

  • Purulent Sputum

Explanation

Question 48 of 55

1

Streptococcus pneumoniae

Select one or more of the following:

  • 30 - 54 % of CAP

  • Unilobar disease, rigors, toxaemia

  • Laboratory
    Gram-positive diplococci in sputum

  • Laboratory
    Gram-negative diplococci on mccorney

Explanation

Question 49 of 55

1

mark correct pneumonia etiology

Select one or more of the following:

  • 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

Explanation

Question 50 of 55

1

History with contact with farm animals
High fever, malaise, headache, dry cough, pleuritic chest pain, prolonged fever
Laboratory findings – phase 2 antibody rise

Drag and drop to complete the text.

    Coxiella Burnetii
    Legionella Pneumonia

Explanation

Question 51 of 55

1


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

Drag and drop to complete the text.

    Legionella pneumophila
    Coxiella Burnetti

Explanation

Question 52 of 55

1

Mark Correct - Diagnosticcs

Select one or more of the following:

  • 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

Explanation

Question 53 of 55

1

Specimen Collection

Select one or more of the following:

  • 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

Explanation

Question 54 of 55

1

Atypical RTI Treatment involves the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks

Select one of the following:

  • True
  • False

Explanation

Question 55 of 55

1

Treatment of RTI

Select one or more of the following:

  • 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

Explanation

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