Infection

Question 1

Describe fine crackles

Answer 1

Sound like snow

Seen in fibrosis or overload

Question 2

Describe coarse crackles

Answer 2

Sound wet crackles

Pneumonia, bronchiectasis, pulmonary oedema

Question 3

Define rigors

Answer 3

Episodes of feeling shivery or cold or very hot while your temperature rises and falls

Question 4

How would pneumonia/oedema affect vocal fremitus

Answer 4

Would increase

Question 5

Describe the difference between lower respiratory tract infection (LRTI) and pneumonia

Answer 5

LRTI - no x-ray shown
Pneumonia - radiological diagnosis

Question 6

Name a test that can be used to measure confusion

Answer 6

AMT

Question 7

Describe the treatment of CAP using CURB-65

Answer 7

<2 = amoxicillin

2 = amoxicillin + clarithromycin (treatment more broad spectrum - legionella)

3 = IV co-amox + clari

Follow local antibiotic procedure

Question 8

How do you remember the difference between ALT and ALP

Answer 8

ALT = tissue (think liver)

ALP = pipes (think bile)

Question 9

What causes a rash

Answer 9

IgE allergic mechanism (antibiotics)

Question 10

Name a fact about beta lactams

Answer 10

Can be cross reactions between them