GP Quiz

Question 1

Anatomical extent of the upper respiratory tract

Answer 1

Nasopharynx to larynx

Question 2

‘Red flag’ signs of a really sick child with respiratory disease

Answer 2

Hypoxia - drowsiness, irritability
Increased RR, noisy breathing
Cold extremities, delayed capillary refill (>2s)

Question 3

RR and HR of children <6mths and at 2 years and or a 21 yo person.

Answer 3

<6months

• RR = 45/min
• HR = 120-140/min

2y. o.
- RR = 30/min
- HR = 110/min

21 y.o.

• RR = 12-20/min
• HR = 60-100/min

Question 4

Atypical Pneumonia Causes

Answer 4

Mycoplasma pneumoniae
Chalmydia pneumoniae
Chalmydia psittaci
Legionella spp.
Qfever

Question 5

Bronchiolitis causes

Answer 5

RSV (45-75%)
Parainfluenza virus
Adenovirus
Mycoplasma pneumoniae

Question 6

Croup cause

Answer 6

Parainfluenza virus

Question 7

Common influenza

Answer 7

Influenza A & B

Question 8

Common cold

Answer 8

Rhinovirus
Parainfluenza
RSV
Coronavirus

Question 9

Whooping cough

Answer 9

Bordetella pertussis

Question 10

Epiglottitis

Answer 10

Haemophilus influenza B

Question 11

Avian influenza

Answer 11

H5N1 influenza

Question 12

Swine flu

Answer 12

H1N1 influenza

Question 13

SARS

Answer 13

(Severe Acute Respiratory Syndrome)

Coronavirus

Question 14

Community Acquired Pneumonia

Answer 14

Strep. pneumoniae (esp)
H. influenza
Moraxella catarrhalis
Klebsiella pneumoniae
Staph aureus

Question 15

What are the key clinical criteria of influenza during

an epidemic/pandemic?

Answer 15

Fever > 38’C 
 plus at least one respiratory symptom 
 – dry cough, sore throat, coryza 
 plus one systemic symptom 
 – prostration/weakness, muscle aches, headache, rigors/chill

Question 16

How does the common cold/URTI differ from 
influenza?
- Incubation
- Fever
- Cough
- Sore throat
- Rhinitis (sneezing, rhinorrhea)
- Muscle aches
- Toxaemia

Answer 16

Common Cold

• Incubation - 12hrs - 5 days
• Fever - +/-
• Cough - (later)
• Sore throat - ++ (early)
• Rhinitis (sneezing, rhinorrhea) - +
• Muscle aches - none
• Toxaemia - none

Influenzae

• Incubation - 1-3 days
• Fever - ++
• Cough - +
• Sore throat - +/-
• Rhinitis (sneezing, rhinorrhea) - none
• Muscle aches - +
• Toxaemia - +/-