BUGS
DRUGS
DISCIPLINE
2 STEP
SCIALLA YOU LATER
100
I am the most common cause of community acquired pneumonia (CAP). I am usually seen in middle-aged adults and the elderly.
Who is Streptococcus Pneumoniae?
100
I am a drug class that covers both atypical and typical bugs so I can be used alone in both outpatient and inpatient (non-ICU) settings. Unfortunately, I can't be used for children because I cause nausea and damage growing cartilage.
Who are the quinolones?
100
I am the bug that is better seen upon staining with methenamine silver stain (GMS).
Who is PCP (Pneumocystis jirovecii)?
100
A patient presents with tachypnea, dyspnea, and respiratory distress. The patient has a low-grade fever and a non-productive cough. In addition, this patient has disproportionate hypoxia on physical exam and is extremely immunocompromised. I am the main drug used to treat this patient’s bug.
What is Bactrim?
100
I am the score used to assess the severity of pneumonia.
What is CURB-65? C= confusion, U= urea >7, R = respiratory rate >30, B = blood pressure (systolic <90 and diastolic <60), 65 = age
200
It's a bird... it's a plane... I am the bug caused by birds.
Who is Chlamydia Psittaci?
200
Unfortunately, many drugs to not work on me so a macrolide must be added.
Who is Legionella Pneumophilia?
200
We are the two bugs for which one might want to do urine antigen testing.
Who are Legionella Pneumophilia and Streptococcus Pneumoniae?
200
A patient has a CFTR mutation and a sweat chloride test of 62 mmol/L. I am a pathogen that can lead to severe pulmonary complications in this patient.
Who is Pseudomonas Aeruginosa?
200
Light’s criteria is used to distinguish between a transudate and exudate. We are the three aspects of light’s criteria that indicate that a fluid is an exudate.
What are Protein ratio (pleural fluid/serum fluid) > 0.5, Lactate dehydrogenase (LDH) ratio (pleural fluid/serum fluid) > 0.6, and Pleural fluid LDH > 2/3 upper limit of normal serum LDH level
300
I am a type of pneumonia that is seen in farmers. I can cause Q fever!
Who is Coxiella Burnetti?
300
I am a class of drugs that inhibit cytochrome P450 leading to increases in serum concentration of several drugs. BONUS: two other drugs (that we have learned about in this module) that inhibit cyctochrome P450.
Who are the macrolides? BONUS: What are coumadin and rifampin?
300
I am the bug that causes bullous myringitis (inflammation of the tympanic membrane).
Who is Mycoplasma Pneumoniae?
300
A patient is HIV positive and the CD4 count drops to 48. I am the morphological pattern of the bug that can be seen in this immunocompromised patient.
What is interstitial (atypical) pneumonia? The most likely bug is CMV.
300
There are different cutoffs for the tuberculin skin test (TST). We are the cutoffs for IVDU, HIV positive patients, and people with no risk factors.
What are >10mm, >5mm, and >15mm (but the no risk group should not be routinely tested), respectively?
400
I am a pneumonia that is community-acquired, transmitted through the water source, and can cause GI symptoms.
Who is Legionella Pneumophilia?
400
I am the mechanisms by which Haemophilus Influenza, Staphlococcus Aureus, and Streptococcus Pneumoniae are resistant to penicillin, respectively.
What are beta-lactamase production for H. Influenza & modification of PBP (penicillin binding protein) or impaired penetration to reach PBP for Staph Aureus and Streptococcus Pneumoniae.
400
I am the most common type of bacteria that causes a type of pneumonia characterized by diffuse interstitial infiltrates (mononuclear-rich).
Who is Mycoplasma Pneumonia?
400
A college student has an acute onset of fever, chills, and chest pain. The patient has rusty colored sputum and lobar consolidation. The patient has no comorbidities and is evaluated at a local clinic. I am a side effect of the class of drugs that can be used to treat this patient.
What is QT prolongation?
400
The findings associated with a consolidation on physical exam.
What are lag affected on inspection, INCREASED fremitis on palpation, dullness to precussion, and bronchial sounds on auscultation? May also have eugophany.
500
I am a common cause of secondary pneumonia and the MOST COMMON bacterial cause of acute aspiration of COPD.
Who is Haemophilus Influenza?
500
I am the drug that is used when a patient has MRSA. I have two main toxicities and one rare one! BONUS: I am another class of drugs has the same two main toxicities.
Who is Vancomycin. What are nephrotoxicity and ototoxicity (main) and red man syndrome (rare due to histamine release)! BONUS: Aminoglycosides
500
These are the four causes of health-care associated pneumonia (HCAP).
What are patients who have been hospitalized in an acute care facility for 2 or more days within 90 days of the infection, residents of a nursing home, patients who received intravenous antibiotic therapy, chemotherapy, or wound care within the last 30 days of the current infection, patients who receive hemodialysis in any setting? Buzzwords = hospitalized within 90 days, nursing home, IV therapy within 30 days, and hemodialysis.
500
A premature infant was born and needed oxygen supplementation for 40 postnatal days. I am the pathological findings for this patient’s disease in the first stage.
What are atelectasis, hyaline membrane formation, and intra-alveolar hemorrhage? Note: disease is BPD.
500
Outpatients with comorbidities and inpatients not in the ICU are both treated with either a combination of ceftriaxone (3rd generation cephalosporin) and a macrolide OR quinolones. I am the first-line treatment in each of the two patient populations mentioned.
What are quinolones for outpatients with comorbidities and a combination of macrolide and ceftriaxone for inpatients (non ICU)?
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