Question 1

describe the presentation of pharyngitis

Accepted Answer

reddening of the oropharynx and soft palate Inflammation of the tonsils (lymph nodes swell in 1-2 days)

Question 2

What are the 4 D's of epiglottitis

Accepted Answer

Drooling Drawn Dysphonia Dysphagia

Question 3

Is epiglottitis a medical emergency

Accepted Answer

YES! can loose airway so must be secured ASAP. Pts also should be given IV cefuroxime.

Question 4

What is the most common causative agent of epiglottitis

Accepted Answer

H. influenzae

Question 5

which structure marks the boundary between an URTI and a LRTI

Accepted Answer

the epiglottis

Question 6

name a viral cause of pharyngitis

Accepted Answer

EBV Adenovirus Enterovirus HSV

Question 7

name two bacterial causes of pharyngitis

Accepted Answer

Group A streptococci --> penicillin/amoxicillin Corynebacterium dipthreiae--> MEDICAL EMERGENCY --> slow asphyxiation (reqs antitoxin treatment)

Question 8

Most likely diagnosis of: Rust coloured sputum Peri oral HSV Abrupt onset

Accepted Answer

CAP --> streptococcus pneumoniae Treat with amoxicillin and clarithromycin Medical emergency

Question 9

``` Most likely diagnosis of Young adult in closed population Long prodrome WCC normal Extra pulmonary complications (rash, myocarditis, percarditis, haemolytic anaemia, myalgia, neurological abnormalities, abnormal LFTs, diarrhoea) ```

Accepted Answer

atypical CAP Mycoplasma pneumoniae

Question 10

``` most likely diagnosis of: lung abscesses/empyema following untie cavitation IV drug user/ recently ill children ```

Accepted Answer

staph aureus CAP&HAP treat with fluclox (unless MRSA--> vancomycin)

Question 11

most likely diagnosis of: preexisting lung disease weak grumbly illness small pleural effusions

Accepted Answer

H. influenza

Question 12

``` most likely diagnosis of underlying lung disease jaundice SIADH institutional outbreak ```

Accepted Answer

legionella atypical CAP

Question 13

``` most likely diagnosis of contact with birds bilateral lung inlfammation fever myalgia macular rash splenomegaly severe cough dyspnoea depression ```

Accepted Answer

Chlamydia psittacci

Question 14

``` most likely diagnosis of abattoir worker multiple lesion on X-ray dry cough high fever young men ```

Accepted Answer

CAP coxiella burnetti

Question 15

``` most likely diagnosis of aspiration risk haemoptysis male alcohol abuse poor dental hygeine ```

Accepted Answer

HAP klebsiella spp IV cefuroxime and metranidazole

Bronchial Sepsis/ Pnuemonia Flashcards