Respiratory Infections Overview

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Questions and Answers

According to the information, which of these is a potential serious complication that could arise from Rhinitis?

  • Acute otitis media
  • Sinusitis
  • Asthma attack
  • All of the above (correct)

Which of the following is NOT a characteristic of Rhinitis?

  • Can be treated with antibiotics (correct)
  • Has a higher incidence in children
  • Characterized by nasal discharge and obstruction
  • Typically accompanied by fever

What is the recommended treatment for Rhinitis?

  • Aspirin
  • Symptomatic relief and waiting for the infection to resolve (correct)
  • Antibiotics
  • Antiviral medications

Why is aspirin contraindicated in the treatment of Rhinitis?

<p>It can increase the risk of Reye's syndrome (B)</p> Signup and view all the answers

What is the most likely mode of transmission for Rhinitis?

<p>Airborne droplets (C)</p> Signup and view all the answers

Which of these statements about Rhinitis is FALSE?

<p>Rhinitis is usually caused by a bacterial infection (C)</p> Signup and view all the answers

The information indicates that Rhinitis is most prevalent in what age group?

<p>Children (B)</p> Signup and view all the answers

Which of the following is a common symptom of viral rhinitis?

<p>Pale blue turbinates (B)</p> Signup and view all the answers

Which of the following groups of bacteria is MOST commonly associated with bacterial sinusitis?

<p>Streptococcus pneumoniae (A)</p> Signup and view all the answers

What is a common characteristic of viral pharyngitis compared to bacterial pharyngitis?

<p>Viral pharyngitis is always self-limiting, while bacterial pharyngitis may require antibiotics. (D)</p> Signup and view all the answers

Which of the following is a common clinical manifestation of bronchiolitis?

<p>Fever, cough, and tachypnea (A)</p> Signup and view all the answers

Which of the following is NOT a typical symptom of sinusitis?

<p>High fever with chills (C)</p> Signup and view all the answers

What distinguishes croup from bronchiolitis?

<p>Croup is characterized by a seal-like bark cough and stridor, while bronchiolitis presents with hyperinflated lungs. (A)</p> Signup and view all the answers

Which of the following is a potential consequence of repeated lower respiratory tract infections (LRTI)?

<p>Acute exacerbations of chronic bronchitis (B)</p> Signup and view all the answers

Which of the following statements about bronchiolitis is NOT true?

<p>Steroid therapy is a common treatment for bronchiolitis. (D)</p> Signup and view all the answers

Which statement MOST accurately describes the relationship between sinusitis and the respiratory system?

<p>Sinusitis can develop as a result of respiratory infections, but can also occur independently. (C)</p> Signup and view all the answers

Which of the following is NOT a common manifestation of croup?

<p>Tachycardia (B)</p> Signup and view all the answers

Based on the information provided, what is a key factor influencing the treatment approach for pharyngitis?

<p>Whether the infection is caused by a virus or bacteria (A)</p> Signup and view all the answers

Which of the following is NOT a recommended preventive measure for spreading sinusitis or other respiratory infections?

<p>Taking antibiotics as a preventative measure (B)</p> Signup and view all the answers

What does "subglottis edema" refer to in the context of croup?

<p>Inflammation of the larynx (C)</p> Signup and view all the answers

What is the most common cause of pediatric pneumonia?

<p>Respiratory syncytial virus (RSV) (C)</p> Signup and view all the answers

Based on the provided information, which of these statements BEST characterizes the relationship between rhinitis and sinusitis?

<p>Rhinitis and sinusitis are distinct conditions, but rhinitis can precede sinusitis. (C)</p> Signup and view all the answers

What is the term used to describe a noisy breathing sound heard in croup?

<p>Stridor (D)</p> Signup and view all the answers

What is a key characteristic that sets bronchiolitis apart from acute exacerbations of chronic bronchitis or COPD?

<p>Lack of tachycardia or pneumonia (B)</p> Signup and view all the answers

What are the most common signs of bronchiolitis in infants?

<p>Fever and tachypnea (D)</p> Signup and view all the answers

Which of the following statements BEST describes the underlying pathology of croup?

<p>A viral infection causing inflammation of the larynx and subglottic region (C)</p> Signup and view all the answers

Which of the following is NOT a predisposing factor for developing pneumonia?

<p>Presence of a functioning immune system (D)</p> Signup and view all the answers

Which of the following is a potential causative agent for pneumonia?

<p>All of the above (D)</p> Signup and view all the answers

According to the table, which of the following conditions is a potential iatrogenic factor that could contribute to developing pneumonia?

<p>Administration of anesthesia (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Bordetella pertussis infection?

<p>It is a respiratory virus (A)</p> Signup and view all the answers

Which of the following is the best definition of etiology?

<p>The study of the causes and origins of a disease (C)</p> Signup and view all the answers

How does the loss of the ciliated mucous escalator increase the risk of pneumonia?

<p>It impairs the body's ability to clear foreign particles from the respiratory tract (B)</p> Signup and view all the answers

Which of the following is an example of a predisposing factor for pneumonia, as opposed to a causative agent?

<p>Suppression of the immune system (C)</p> Signup and view all the answers

Which of the following statements accurately describes the relationship between Hib and pneumonia?

<p>Hib is a bacteria that can lead to pneumonia in some cases (D)</p> Signup and view all the answers

How does the administration of narcotics for pain contribute to the risk of pneumonia?

<p>Narcotics can suppress the cough reflex, making it difficult to clear respiratory secretions (A)</p> Signup and view all the answers

What is the main difference between iatrogenic and host factors in pneumonia?

<p>Iatrogenic factors are caused by medical treatments, while host factors are caused by the individual's own health status (A)</p> Signup and view all the answers

In which scenario would a patient exhibiting symptoms of pneumonia most likely be diagnosed with Legionnaire's Disease?

<p>A 68-year-old smoker who recently stayed at a hotel with a malfunctioning air conditioning system. (C)</p> Signup and view all the answers

A patient presents with a gradual onset of pneumonia with mild fever, cough, and no noticeable chest pain. X-ray images reveal patchy infiltrates, and sputum cultures yield no growth. Based on this, which type of pneumonia is most likely?

<p>Atypical (Interstitial) Pneumonia (B)</p> Signup and view all the answers

Which of the following statements about the clinical manifestations of Typical (Lobar) Pneumonia is TRUE?

<p>The patient will have a sudden onset of fever and a dry, hacking cough. (C)</p> Signup and view all the answers

Which of the following statements is TRUE regarding the treatment of Atypical Pneumonia?

<p>Mycoplasma and Chlamydia infections are often treated with specific antibiotics targeted towards these organisms. (C)</p> Signup and view all the answers

What is the main difference between Typical Lobar Pneumonia and Atypical Pneumonia?

<p>The type of organisms responsible for the infection, with Typical Lobar Pneumonia caused by extracellular bacteria and Atypical Pneumonia caused by intracellular bacteria. (C)</p> Signup and view all the answers

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Flashcards

Rhinitis

Upper respiratory tract infection caused by Rhinoviruses.

Etiology/Transmission

Rhinitis is mainly caused by human Rhinoviruses, often spread through contact.

Signs & Symptoms

Typical symptoms include nasal discharge, sneezing, cough, malaise, and pharyngeal discomfort without fever.

Treatment & Prevention

No aspirin, vaccines, antiviral medications, or antibiotics recommended for rhinitis.

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Complications of Rhinitis

Can lead to acute otitis media and sinusitis; higher incidence in children.

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Self-limiting

Rhinitis symptoms typically resolve on their own without treatment.

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Peak incidence

Rhinitis commonly peaks in children, especially during seasonal changes.

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Croup

A condition characterized by subglottic edema causing a cough like a seal, hoarseness, and stridor.

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RSV (Respiratory Syncytial Virus)

A virus causing respiratory infections, especially severe in premature infants and young children.

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Bronchiolitis

Inflammation of the bronchioles, often caused by RSV, leading to wheezing and respiratory distress.

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Stridor

A high-pitched, wheezing sound during breathing due to airway obstruction or narrowing.

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Bronchitis

Inflammation of the bronchial tubes, which may not indicate a lower respiratory tract infection.

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Typical Lobar Pneumonia

A type of pneumonia caused by extracellular bacteria leading to fluid buildup in alveoli, characterized by sudden onset and acute symptoms.

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Prodrome

The initial symptoms that signal the onset of a disease, like a warning signal.

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Dyspnea

Difficulty or labored breathing, often a symptom of respiratory issues.

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Atypical Pneumonia

Pneumonia caused by intracellular bacteria like Mycoplasma, often presents mild symptoms and is not well treated with penicillin.

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Tachycardia

An abnormally fast heart rate, which can accompany respiratory distress.

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Chronic Pneumonia

Often caused by anaerobic bacteria, takes weeks to develop with night sweats and weight loss, characterized by cavitary lesions on X-ray.

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Hyperinflated lungs

A condition where the lungs become overly expanded, often seen in severe respiratory illnesses.

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Legionella pneumophila

A Gram-negative bacterium causing severe pneumonia mostly in immunocompromised individuals, transmitted via inhalation from contaminated water sources.

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Clinical Manifestations

Signs and symptoms that present during the course of a disease, helping identify the condition.

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Staphylococcus

A Gram-positive bacterium, often implicated in a range of infections including pneumonia due to its capability to form abscesses.

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Purulent Rhinohea

A condition with thick, yellow or green nasal discharge, often associated with bacterial infections.

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Viral Sinusitis

A sinus infection caused by viruses, often characterized by clear rhinorrhea and headache.

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Bacterial Sinusitis

A sinus infection resulting from bacteria, typically causing purulent discharge and facial pain.

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Facial Pain in Sinusitis

A common symptom of sinusitis caused by inflammation in the sinuses affecting nearby areas.

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Tender Sinuses

Pain or discomfort when pressure is applied to the sinuses, indicating inflammation.

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Periorbital Edema

Swelling around the eyes, often seen in sinusitis due to fluid accumulation.

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Lymphoid Hyperplasia

Enlargement of lymphoid tissues, indicating an immune response to infection or inflammation.

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Viral Pharyngitis

A throat infection caused by viruses, typically self-limiting with symptoms like sore throat and fever.

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Group A Streptococcus

A type of bacteria that can cause pharyngitis and other infections, requiring quick diagnosis and treatment.

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Inhalation

The act of breathing in aerosols or particles, which can affect health.

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Iatrogenic factors

Health issues caused by medical treatment or care.

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Host compromise

When a person's health is weakened, making them more susceptible to infection.

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Ciliated cells

Cells with tiny hair-like structures that help clear mucus and debris from airways.

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Inhibition of cough

Prevention of the body's natural cough reflex, which can lead to complications.

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Pneumonia pathogens

Microorganisms that cause pneumonia, including bacteria and viruses.

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Aerosols

Tiny liquid droplets suspended in the air, which can carry viral infections.

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Legionella

Bacteria that can cause a severe form of pneumonia known as Legionnaires' disease.

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Cough/gag reflex

The automatic response that clears the throat and airways, essential for preventing choking.

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Gram-negative rods

A type of bacteria that is typically resistant to antibiotics; often found in infections.

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Study Notes

Rhinitis

  • Caused by human rhinovirus (HRV)
  • Affects all ages, but more common in children
  • Transmission via nose, eyes, and mouth
  • Symptoms are self-limiting
  • Characterized by nasal discharge and obstruction, sneezing, and coughing

Sinusitis

  • High attack rate
  • Primarily viral, though bacterial (Streptococcus pneumoniae) infection is also possible
  • Symptoms include purulent rhinorrhea and pale blue turbinates, along with facial or dental pain, periorbital edema, and tenderness in sinuses.

Pharyngitis

  • Adenovirus is the main cause in adults
  • Also caused by streptococcus, or other viruses.
  • Symptoms include sore throat, myalgia, and tonsillar exudate
  • Can be viral or bacterial, hard to distinguish clinically between the two

Diphtheria

  • Severe pharyngitis, caused by Corynebacterium diphtheriae
  • Toxin causes hemorrhagic and necrotic lesions in various organs
  • Characterized by a gray pseudomembrane on the throat

Epiglottitis

  • Primarily affects infants and young children
  • Caused by Haemophilus influenzae type b
  • Causes blockage of the airway
  • Symptoms evolve quickly with fever, sore throat, and difficulty swallowing

Bronchitis

  • Common in children
  • Caused by parainfluenza viruses
  • Symptoms include rhinitis, hoarseness, dyspnea, and a barking cough
  • Diagnosis often supported by X-ray findings

Bronchiolitis

  • Primarily in premature infants
  • Caused by Respiratory Syncytial Virus (RSV)
  • Peak incidence in the premature stage
  • Often co-exists with bronchitis or COPD

Pertussis (Whooping Cough)

  • Caused by Bordetella pertussis
  • Toxins damage cilia, resulting in sticky mucus
  • Characterized by involuntary, uncontrollable coughing fits
  • Diagnosed via clinical presentation and possibly lab confirmation

Influenza

  • Major respiratory tract infection
  • Caused by influenza virus
  • Demonstrates antigen drift and shift
  • Symptoms include fever, body aches, sore throat, and cough
  • High impact on lower respiratory tract infections

Pneumonia

  • Multiple etiologies (viral, bacterial, fungal)
  • Symptoms vary based on causative agent
  • Treatment varies based on the causative agent, and whether or not a cell wall is present
  • X-ray findings are often suggestive of the underlying cause

Tuberculosis

  • Atypical, Mycobacterium infection
  • Transmission primarily through inhalation

Other Pneumonia Agents

  • Causative agents include Pneumocystis pneumonia (PCP), Legionella pneumophila (severe pneumonia), Haemophilus influenzae type b, Streptococcus pneumonia, Klebsiella pneumoniae, Pseudomonas, and Staphylococcus.
  • The specific causative agent contributes to the type of pneumonia and treatment procedures needed.

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