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Pulm 2 (Low Resp.)

Step-2

QuestionAnswer
What is the reversal agent for heparin? protamine sulfate
Which class of antihypertensive is contraindicated in the following patient: COPD nonselective b-blockers
Which class of antihypertensive is contraindicated in the following patient: bilateral renal artery stenosis ACE-I/ARBs
Which class of antihypertensive is contraindicated in the following patient: pregnancy ACE-I/ARBs
Which class of antihypertensive is contraindicated in the following patient: advanced renal failure with hyperkalemia ACE-I or ARBs, and K+ sparing drugs
Which class of antihypertensive is contraindicated in the following patient: gout diuretics(thiazides and loops can raise uric acid level)
What is the mcc of HTN in young women? OCPs
What are the mcc of pneumonia in newborns? GBS>Gram neg coliforms(ecoli), listeria, chlamydia trachomatis
What are the mcc of pneumonia in 1-4 month old? RSV, chlamydia trachomatis, parainfluenza, bordetella, step.pneumo, staph aureus
What are the mcc of pneumonia in 4mo-4yrs old? RSV or other virus, strep. pneumo, H.Flu, mycoplasma, staph.aureus
What are the mcc of pneumonia in 5-15 yrs old? strep pneumo.>mycoplasma, C.pneumoniae, other viruses(rhinovirus, influenza, parainfluenza, adenovirus, coronavirus)
What is the empiric tx for pneumonia in a 2 month old? macrolide
What is the empiric tx for pneumonia in a 2 year old? amoxicillin or ampicillin
What organism is associated with the following: atypical pneumonia in young adults mycoplasma pneumonia
What organism is associated with the following: atypical pneumonia in the elderly and very young chlamydia pneumonia
What organism is associated with the following: most common pneumonia in children (infant to 5yr) RSV
What organism is associated with the following: mcc of pneumonia in neonates GBS
A hospital has multiple admissions of elderly pts presenting with atypical pneumonia. All were present at the grand re-opening of an old bingo establishment that has an indoor waterfall. What is the likely causative organism? Legionella pneumonia
Cystic fibrosis pts are at risk for aquiring pneumonia from which organism? pseudomonas aeruginosa
What xray and lab finding would lead you to highly suspect PCP as a cause of respiratory distress? CXR with diffuse, b/l, intertitial infiltrates(most common finding). CD4<200, LDH level usually >220
What is the tx for PCP? 21 days of abx: Bactrim, pentamidine(IV), or Primaquine(PO) + clindamycin (IV or PO)
What is the ddx (Short list) for ground-glass opacities of the lung on CXR? interstitial pneumonia, PCP, pulmonary edema, pulmonary hemorrhage, hyersensitivity pneumonitits.
How is the dx of active TB made? sputum acid-fast stain (in 3 different samples over 3 days in the early am), sputum culture for TB, bronchoscopy with bronchoalveolar lavage or biopsy
5mm induration on a PPD test is considered postitive in which situations? HIV+, close contact with TB infected person, CXR signs of TB
10mm induration on a PPD test is considered postitive in which situations? homeless, immigrants from endemic regions, IV drug user, chronically ill, health care worker, recently incarcerated
15mm induration on a PPD test is considered postitive in which situations? Always considered positive
Which infectious agent(s) fit the following description: common cause of pneumonia in immunocompromised pts PCP
Which infectious agents fit the following description: mcc of atypical pneumonia mycoplasma pneumonia, legionella and chlamydia pneumonia
Which infectious agent(s) fit the following description: pneumonia associated with "current jelly" sputum klebsiella pneumonia
Which infectious agent(s) fit the following description: can cause an interstitial pneumonia in bird handlers chlamydophilia psittaci
Which infectious agent(s) fit the following description: often the cause of pneumonia in a pt with a history of exposure to bats and bat droppings histoplasmosis
Which infectious agent(s) fit the following description: often the cause of pneumonia in a pt who has recently visited south california, new mexico, or west texas. Coccidioidomycosis
Which infectious agent(s) fit the following description: common causative agent for pneumonia in alcoholics Klebsiella
Which infectious agent(s) fit the following description: Q fever coxiella burnetti
Which infectious agent(s) fit the following description: associated with pneumonia acquired from air conditioners Legionella pneumophilia
Which infectious agent(s) fit the following description: mcc of pneumonia in kids 1 yr or younger. RSV
Which infectious agent(s) fit the following description: mcc of pneumonia in neonates GSB, ecoli
Which infectious agent(s) fit the following description: mcc of pneumonia in young adults(including college kids, military recruits, and prison dudes) mycoplasma pneumonia
Which infectious agent(s) fit the following description: common cause of pneumonia in pts with other health problems klebsiella
Which infectious agent(s) fit the following description: mcc of viral pneumonia RSV, influenza
Which infectious agent(s) fit the following description: causes woolsorters' dz bacillus anthracis
Which infectious agent(s) fit the following description: common bacterial cause of COPD exacerbation haemophilus influenza
Which infectious agent(s) fit the following description: pontiac fever legionella pneumophilia
Created by: shelybel