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Respiratory Tract Infections

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Test 11
Leon Schwarze
Quiz by Leon Schwarze, updated 9 months ago
Leon Schwarze
Created by Leon Schwarze 9 months ago
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Resource summary

Question 1

Question
Antibiotics for B. Pertussis
Answer
  • Erythromycin
  • Azithromycin
  • Trimethoprim-sulfamethoxazole

Question 2

Question
Antibiotics for streptococcal pharyngitis (Streptococcus Pyogenes)
Answer
  • Phenoxy methyl penicillin (penicillin V)
  • amoxicillin
  • cephalosporin
  • clindamycin
  • macrolides
  • vancomycin
  • Erythromycin
  • Trimethroprim-sulfamethoxazole

Question 3

Question
VAP - Ventilator associated Pneumonia
Answer
  • Acinetobacter
  • Pseudomonas
  • Klebsiella
  • E.Coli
  • B. anthracis

Question 4

Question
VAP Vent. associated Pneumonia
Answer
  • Klebsilla pneumonie
  • Acinetobacter
  • Stahphylococcus aureus
  • Stenotrophomonas maltophilia
  • C. difficile

Question 5

Question
Hospital Aquired pneumonia
Answer
  • Streptococcus pneumonia
  • E. Coli
  • E. Cloacae
  • Klebsiella
  • Enterobacter

Question 6

Question
Hospital Aquired pneumonia - II.
Answer
  • Klebsilla Pneumonia
  • P. Aeruginosa
  • A. Baumanii
  • Enterobacteriales
  • Staphyococcus

Question 7

Question
CAP abbreviation [blank_start]Community[blank_end] [blank_start]acquired[blank_end] [blank_start]pneumonia[blank_end]
Answer
  • Community
  • Clinical
  • acquired
  • pneumonia
  • Polyuria

Question 8

Question
RTI Vaccines - Viral
Answer
  • Influenza
  • Sars-Cov 2
  • Rubella
  • measles
  • mumps
  • RSV - Respiratory syncytial virus
  • Polio
  • coxsackievirus
  • adenovirus
  • viral aquired pressure pneumothorax

Question 9

Question
RTI Vaccines - Bacterial
Answer
  • Tuberculosis
  • Pertussis
  • Diphteria
  • Covid-19
  • Rubella

Question 10

Question
What Assay is NOT used for atypical bacteria detection
Answer
  • Gram - Staining
  • Culture diagnostics
  • ELISA
  • PCR
  • Serology IgM - Not IgG

Question 11

Question
Antigen detection for atypical pneumonia
Answer
  • 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

Question 12

Question
Antigen detection for atypical pneumonia
Answer
  • Urine Test for legionella
  • ELISA
  • PCR
  • Serology with IgG or IgM
  • IF

Question 13

Question
Atypical Pneumonia in Children - most common
Answer
  • Mycoplasma pneumonie
  • Chlamydia pneumonie
  • Legionella
  • RSV
  • H. Influenza

Question 14

Question
Causes of atypical Pneumonia (bacterial)
Answer
  • Mycoplasma pneumonia
  • Chlamydia pneumonia
  • Legionella pneumonia
  • H. Influenza
  • Parainfluenza

Question 15

Question
Typical Pneumonia
Answer
  • RSV
  • H- Influenza
  • B. anthracis
  • Streptococcus pneumonia
  • Enterobacteriaceae

Question 16

Question
Typical Pneumonia bacterial etiology
Answer
  • Staphylococcus aureus
  • Klebsilla Pneumonia => Enterobacteriaceae
  • Moraxella catarrhalis
  • B. Pertussis, C. Diphteriae
  • Heamophilus Influenzae

Question 17

Question
Bacterial pneumonia infilitrating alveolar spaces, present in lower lobe & blood in sputum
Answer
  • Pneumococcal pneumonia
  • Covid (Sars Cov)
  • Aspergillus
  • Pneumocystis (fungi)
  • Cryptococcus (fungi)

Question 18

Question
Streptococcus pneumonia (pneumococcal pneumonia) is resistant against
Answer
  • Aztreonam
  • Vancomyocin
  • Penicillin
  • clarithromycin
  • erythromycin
  • Azithromycin

Question 19

Question
Streptococcus pneumonia (pneumococcal pneumonia) is susceptible to
Answer
  • Vancomyocin
  • Penicilin
  • Aztreonam
  • quinolones
  • Doxycycline

Question 20

Question
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
Answer
  • Corynebacterium diphtheriae
  • Staphylococcus aureus
  • Haemophilus influenzae
  • Streptococcus pneumoniae
  • Coxiella burnetii

Question 21

Question
RNA Viruses in RTI
Answer
  • SARS
  • RSV
  • Influenza A
  • Coxsacklevirus
  • Parainfluenza
  • RHinovirus

Question 22

Question
MERS [blank_start]Middle[blank_end] [blank_start]East[blank_end] [blank_start]Respiratory Syndrome[blank_end]
Answer
  • Middle
  • East
  • Respiratory Syndrome

Question 23

Question
Which of the following is most likely to cause a VAP infection that may result in necrotizing pneumonia.
Answer
  • Pseudomonas aeruginosa
  • Streptococcus pneumonia
  • Pneumocystis jiroveci
  • Chlamydophila pneumonia

Question 24

Question
Fungal RTI
Answer
  • pulmonary cryptococcosis
  • pneumocystis pneumonia
  • obstructive bronchial aspergillosis
  • pneumococcal pneumonia
  • Cryptococcal pneumonia

Question 25

Question
The sudden onset, with exudative pharyngitis, malaise and development of thick pseudomembrane over the pharynx: The characteristic indicates:
Answer
  • Pertussis
  • Influenza
  • Diphtheria
  • Whooping cough
  • Legionnaires disease

Question 26

Question
Atypical pneumonia diagnosis includes:
Answer
  • Antigen detection in urine in Legionella
  • ELISA
  • Culturing on MacConkey medium
  • Antigen detection in Streptococcus Pneumonia

Question 27

Question
Choose true statements
Answer
  • 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

Question 28

Question
RTIs caused by Corona Virus
Answer
  • SARS
  • Rubella
  • Covid - 19

Question 29

Question
This bacterium is commonly found in natural bodies of water, cooling towers, causes severe pneumonia or influenza like illness:
Answer
  • Legionella pneumophilia
  • Bordatella Pertussis
  • B. Anthracis
  • Azithromyocin

Question 30

Question
Legionella Pneumophilia is susceptible to
Answer
  • Azithromycin
  • Ciprofloxacin
  • Cefuroxime
  • Erythromycin
  • Fluoroquinolones as an alternative therapy
  • Meroponem

Question 31

Question
Empiric Treatment based on Penicillin V indicates the treatment of
Answer
  • Strep - throat
  • Q fever
  • M. Catarrhalis bronchopneumonia
  • Pulmonary cryptococcus
  • Legionnaires disease

Question 32

Question
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]
Answer
  • macrolides or fluoroquinolones
  • cephalosporins, amoxicillin
  • doxycycline

Question 33

Question
Typical viral RTIs
Answer
  • Measles and Influenza
  • Parainfluenza and Influenza
  • RSV, HSV, EBV
  • Rhino-, Corona-, Entero-, Adenovirus
  • Mumps

Question 34

Question
Atypical Viral RTIs
Answer
  • Measles
  • Mumps
  • Rubella
  • Varicella Zoster Virus
  • HSV

Question 35

Question
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]
Answer
  • rhinovirus, RSV? parainfluenza?
  • influenza, adenovirus 4,7, rhinovirus
  • most cases
  • (epidemic)

Question 36

Question
Fungal RTIs
Answer
  • Candida spp.
  • Aspergillus spp
  • Mucor, Rhisopus
  • Cryptococcus spp
  • Dimorphic fungi
  • P. Carinii

Question 37

Question
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
Answer
  • True
  • False

Question 38

Question
Lower RTI bacterial dominant Cold like symptoms No fever usually benign
Answer
  • True
  • False

Question 39

Question
Lower RTI Bacterial dominance Inhalation cough, fever, chest pain, tachypnea and sputum production sputum, blood cultures, serologic methods usually severe
Answer
  • True
  • False

Question 40

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

Question 41

Question
Upper RTI Sinusitis infection of one or more of the paranasal sinuses acute or chronic
Answer
  • 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

Question 42

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

Question 43

Question
Upper RTI epiglottitis, laryngitis
Answer
  • 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

Question 44

Question
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]
Answer
  • birds
  • Dogs
  • Chlamydia psittaci
  • S. pneumoniae, K. pneumoniae
  • S. pneumoniae, M. pneumoniae

Question 45

Question
Bronchitis Etiology
Answer
  • 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

Question 46

Question
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]
Answer
  • After 48 Hours
  • within 48 hours
  • CAP
  • HAP

Question 47

Question
Typical Pneumonia
Answer
  • Dry Cough
  • Fever
  • No Symptoms in clincal examination
  • Physical examination shows pneumonia signs
  • Purulent Sputum

Question 48

Question
Streptococcus pneumoniae
Answer
  • 30 - 54 % of CAP
  • Unilobar disease, rigors, toxaemia
  • Laboratory Gram-positive diplococci in sputum
  • Laboratory Gram-negative diplococci on mccorney

Question 49

Question
mark correct pneumonia etiology
Answer
  • 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

Question 50

Question
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]
Answer
  • Coxiella Burnetii
  • Legionella Pneumonia

Question 51

Question
[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
Answer
  • Legionella pneumophila
  • Coxiella Burnetti

Question 52

Question
Mark Correct - Diagnosticcs
Answer
  • 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

Question 53

Question
Specimen Collection
Answer
  • 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

Question 54

Question
Atypical RTI Treatment involves the addition of macrolides, fluoroquinolones, tetracyclines for 2-3weeks
Answer
  • True
  • False

Question 55

Question
Treatment of RTI
Answer
  • 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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