©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Pulmology Review Study Guide 100%
Verified.
Most common bacterial pneumonia organisms - Answer✔Strep pneumo (MC)
M. cat
H. flu
Characteristics of klebsiellsa pneumonia - Answer✔Alcolohics
currant jelly sputum
gram negative
Mycoplasma pneumoniae bacteria - Answer✔Atypical bacterium
walking pneumonia
What is mc viral pneumonia - Answer✔influenza a/b
Fungal pneuomnia organisms - Answer✔Histoplasma capsulatum
coccidioides immitis
Fungal treatment and at risk pneumonia - Answer✔Self limiting
IC pts
HIV related pneumonia organism - Answer✔Pneumocystis jiroveci
Opportunistic infections HIV - Answer✔aspergillus
toxoplasma gondii
herpes visus like CMV
EBV
zoster
Community acquired pneumonia organisms - Answer✔Streptococcus pneumonia
Hospital acquired pneumonia organism - Answer✔Pseudomonas aeruginosa
and staph aureus (including MRSA)
1|Page
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Bacterial pneumonia treatment - Answer✔healthy before: macrolide
comorbidites, abx w/in 3 months, inpatient- fluoroquinolone or beta lactam
Viral pneumonia treatment - Answer✔Flu with oseltamivir or zanamivir within 48 hrs sx onset
acyclovic for voster
symptomatic
Fungal pneumo tx - Answer✔anti-fungals
Pertussis organism - Answer✔Bordetella pertusis
Three stages of pertussis - Answer✔catarrhal, cold/runny nose
paroxysmal, coughing spells leaving person breathless, whoop sound, vomiting
convalescent- chronic cough gradually fades
Abx given for pertussis? - Answer✔yes due to it reducing the spread of the disease, treat with
azithromycin or erythromycin
TB organism - Answer✔mycobacterium thberculosis
how is tb spread and what two forms are there - Answer✔respiratory droplets
latent or active
Treatment TB - Answer✔Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Asthma FEV1 and FEV1/FVC - Answer✔forced vital capacity (FEV1/FVC <75%); <12%
increase FEV1 after bronchodilatory therapy is supportive of diagnosis
Step one asthma tx - Answer✔SABA PRN
Step 2 asthma tx - Answer✔Low dose ICS
Step 3 asthma tx - Answer✔Los dose ICS + LABA
OR
medium dose ICS
Step 4 asthma tx - Answer✔Medium dose ICS plus LABA
Step 5 asthma tx - Answer✔High dose ICS + LABA AND consider omalizumab for pts with
allergies
2|Page
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Step 6 asthma tx - Answer✔High dose ICS + LABA + oral steroids AND consider omalizumab
Bronchitis main sx - Answer✔chough with or without sputum for 1-3 weeks
What should be avoided in kids less than 2 - Answer✔OTC cough and cold products
acute exacerbation of chronic bronchitis tx - Answer✔empirit first line tx second gen
cephaloaporin
Secone line- macrolide or bactrum
What is bronchitis most commonly cuased by - Answer✔viruses (adenovirus)
COPD characteristics - Answer✔loss of elastic recoil and increasing airway resistance
Two components of COPD - Answer✔Emphysema and chronic bronchitis
Emphysema is damage past what - Answer✔Terminal bronchiole
What does emphysema cause - Answer✔hyperinflation of the lungs, hyperresonance to
percussion
What does the ph do in emphysema - Answer✔respiratory alkalosis
What does pink puffers mean in emphysema - Answer✔cachectic with pursed lip breathing
What is COPD pts deficient in and can be genetic as well - Answer✔alpha 1 antitrypsin
deficiency
hallmark sign of COPD - Answer✔dyspnea on exertion
What kind of respiratory impacts on ph - Answer✔respiratory acidosis (bronchitis aspect)
characteristics of chronic bronchitis in COPD - Answer✔severe V/Q mismatch, severe
hypoxemia, hypercapnia
What does blue bloaters mean in chornic bronchitis - Answer✔obese and cyanotic
Gold standard testing for COPDq - Answer✔PFTs/ spirometry
Most important factor of prognosis and mortality in COPD - Answer✔FEV1
What levels are decreased in COPD - Answer✔fev1, FEV, FEV1/fev
Mainstay tx in COPD - Answer✔bronchodilators
What are three classes of bronchodilators - Answer✔anticholinergics
B2 agnoist
Thenophylline
3|Page
Pulmology Review Study Guide 100%
Verified.
Most common bacterial pneumonia organisms - Answer✔Strep pneumo (MC)
M. cat
H. flu
Characteristics of klebsiellsa pneumonia - Answer✔Alcolohics
currant jelly sputum
gram negative
Mycoplasma pneumoniae bacteria - Answer✔Atypical bacterium
walking pneumonia
What is mc viral pneumonia - Answer✔influenza a/b
Fungal pneuomnia organisms - Answer✔Histoplasma capsulatum
coccidioides immitis
Fungal treatment and at risk pneumonia - Answer✔Self limiting
IC pts
HIV related pneumonia organism - Answer✔Pneumocystis jiroveci
Opportunistic infections HIV - Answer✔aspergillus
toxoplasma gondii
herpes visus like CMV
EBV
zoster
Community acquired pneumonia organisms - Answer✔Streptococcus pneumonia
Hospital acquired pneumonia organism - Answer✔Pseudomonas aeruginosa
and staph aureus (including MRSA)
1|Page
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Bacterial pneumonia treatment - Answer✔healthy before: macrolide
comorbidites, abx w/in 3 months, inpatient- fluoroquinolone or beta lactam
Viral pneumonia treatment - Answer✔Flu with oseltamivir or zanamivir within 48 hrs sx onset
acyclovic for voster
symptomatic
Fungal pneumo tx - Answer✔anti-fungals
Pertussis organism - Answer✔Bordetella pertusis
Three stages of pertussis - Answer✔catarrhal, cold/runny nose
paroxysmal, coughing spells leaving person breathless, whoop sound, vomiting
convalescent- chronic cough gradually fades
Abx given for pertussis? - Answer✔yes due to it reducing the spread of the disease, treat with
azithromycin or erythromycin
TB organism - Answer✔mycobacterium thberculosis
how is tb spread and what two forms are there - Answer✔respiratory droplets
latent or active
Treatment TB - Answer✔Isoniazid
Rifampin
Pyrazinamide
Ethambutol
Asthma FEV1 and FEV1/FVC - Answer✔forced vital capacity (FEV1/FVC <75%); <12%
increase FEV1 after bronchodilatory therapy is supportive of diagnosis
Step one asthma tx - Answer✔SABA PRN
Step 2 asthma tx - Answer✔Low dose ICS
Step 3 asthma tx - Answer✔Los dose ICS + LABA
OR
medium dose ICS
Step 4 asthma tx - Answer✔Medium dose ICS plus LABA
Step 5 asthma tx - Answer✔High dose ICS + LABA AND consider omalizumab for pts with
allergies
2|Page
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED.
Step 6 asthma tx - Answer✔High dose ICS + LABA + oral steroids AND consider omalizumab
Bronchitis main sx - Answer✔chough with or without sputum for 1-3 weeks
What should be avoided in kids less than 2 - Answer✔OTC cough and cold products
acute exacerbation of chronic bronchitis tx - Answer✔empirit first line tx second gen
cephaloaporin
Secone line- macrolide or bactrum
What is bronchitis most commonly cuased by - Answer✔viruses (adenovirus)
COPD characteristics - Answer✔loss of elastic recoil and increasing airway resistance
Two components of COPD - Answer✔Emphysema and chronic bronchitis
Emphysema is damage past what - Answer✔Terminal bronchiole
What does emphysema cause - Answer✔hyperinflation of the lungs, hyperresonance to
percussion
What does the ph do in emphysema - Answer✔respiratory alkalosis
What does pink puffers mean in emphysema - Answer✔cachectic with pursed lip breathing
What is COPD pts deficient in and can be genetic as well - Answer✔alpha 1 antitrypsin
deficiency
hallmark sign of COPD - Answer✔dyspnea on exertion
What kind of respiratory impacts on ph - Answer✔respiratory acidosis (bronchitis aspect)
characteristics of chronic bronchitis in COPD - Answer✔severe V/Q mismatch, severe
hypoxemia, hypercapnia
What does blue bloaters mean in chornic bronchitis - Answer✔obese and cyanotic
Gold standard testing for COPDq - Answer✔PFTs/ spirometry
Most important factor of prognosis and mortality in COPD - Answer✔FEV1
What levels are decreased in COPD - Answer✔fev1, FEV, FEV1/fev
Mainstay tx in COPD - Answer✔bronchodilators
What are three classes of bronchodilators - Answer✔anticholinergics
B2 agnoist
Thenophylline
3|Page
