Guess that germ
The Fever Dream
How It All Goes Down
Abx to the rescue
Well… That Escalated Quickly
100

This is the most common cause of community-acquired bacterial pneumonia.

What is Streptococcus pneumoniae?

100

Rust-colored sputum is classically associated with this organism.

What is Streptococcus pneumoniae?

100

This imaging study is commonly used to confirm pneumonia.

What is a chest X-ray?

100

In severe hypoxemia refractory to supplemental oxygen, patients may require this invasive respiratory intervention.


What is mechanical ventilation

100

Infection spreading into the pleural space causing pus accumulation is known as this.


What is empyema?

200

This bacterium is commonly associated with pneumonia following influenza infection.

What is Staphylococcus aureus?

200

This type of sputum is classically associated with Klebsiella pneumoniae infection.


What is currant jelly sputum?

200

In lobar pneumonia, the alveoli fill with this inflammatory material.

What is exudate (fluid, neutrophils, and debris)?

200

This class of antibiotics is commonly used for atypical pneumonia organisms like Mycoplasma.

What are macrolides?

200

Necrotizing pneumonia can lead to cavitary destruction of lung tissue forming this complication.

What is a lung abscess?

300

Aspiration pneumonia is most commonly caused by these types of bacteria. (Name at least 1)

What are anaerobic bacteria? Prevotella,  Porphyromonas, Fusobacterium nucleatum Peptostreptococcus species

300

A respiratory rate greater than this threshold is one of the CURB-65 severity criteria.

What is 30 breaths per minute?

300

This virulence factor of Streptococcus pneumoniae inhibits phagocytosis.

What is the polysaccharide capsule?

300

Patients with MRSA pneumonia are commonly treated with these two antibiotics.

What are vancomycin or linezolid?

300

Diffuse alveolar damage leading to refractory hypoxemia is characteristic of this syndrome.

What is acute respiratory distress syndrome (ARDS)?

400

This atypical organism lacks a cell wall, making beta-lactam antibiotics ineffective against it.

What is Mycoplasma pneumoniae?

400

"This physical exam finding refers to the ability to hear whispered words clearly through the stethoscope over an area of consolidation."

Yes! First team to spell it out on the board gets +200

400

This inflammatory biomarker is typically elevated in bacterial CAP but low in viral CAP, and its synthesis is triggered by bacterial cytokine responses

What is procalcitonin?

400

Name all five components of the CURB-65 pneumonia severity score (must include the reference numbers)


  • Confusion
  • Uremia (BUN >19–20 mg/dL)
  • Respiratory rate ≥30/min
  • Blood pressure <90 systolic or ≤60 diastolic
  • Age ≥65 years
400

Name all four major SIRS criteria used to identify systemic inflammation.

  • Temperature >38°C or <36°C
  • Heart rate >90/min
  • Respiratory rate >20/min or PaCO₂ <32 mmHg
  • WBC >12,000, <4,000, or >10% bands
500

This intracellular pathogen associated with contaminated water sources can cause hyponatremia and diarrhea along with pneumonia.

What is Legionella pneumophila?

500

A procalcitonin level at or above this threshold (in μg/L) has been used as an indication of bacterial pneumonia.

What is 0.25 μg/L?

500

What are the four classic stages of lobar pneumonia? :)

What congestion, red hepatization, gray hepatization, and resolution?

500

A 45-year-old man with HIV presents with fever, weight loss, hepatosplenomegaly, diffuse lymphadenopathy, and pancytopenia. Chest imaging shows diffuse reticulonodular infiltrates. Urine antigen is positive for a dimorphic fungus endemic to the Ohio and Mississippi River valleys. What is the treatment of this disseminated condition?

What is amphotericin B for severe/disseminated disease, followed by oral itraconazole for step-down and maintenance therapy?

500

First-line therapy for BOOP typically involves this class of medication, which leads to rapid clinical and radiographic improvement in most patients.


What are systemic corticosteroids?

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