Lung Infection

Question 1

What are the two ways of aquiring pneumonia?

Answer 1

Community acquired

Hospital Infections (nosocomial)

Question 2

What causes community acquired pneumonia?

list 5

Answer 2

Question 3

What causes hospital-acquired pneumonia?

list 6

Answer 3

Question 4

List 3 atypical bacteria and state why they are atypical?

Answer 4

Question 5

Risk factors for pneumonia

Answer 5

Question 6

Is it pneumonia, bronchitis or just a bad cold?

List 6 features of pneumonia and 3 features of acute bronchitis which is used to diagnose them?

Answer 6

COPD- xray changes over time

Bronchitis doesn’t have this

Question 7

BTS Guidelines for diagnosing pneumonia

Answer 7

1. Acute lower respiratory tract symptoms
2. New focal chest signs and, if in hospital, new CXR changes
3. >1 systemic feature (fever, shivers, aches and pains, temperature >380C)
4. No other explanation for illness

Question 8

When should we admit CAP cases to hospital?

Answer 8

Question 9

What are the effects of viruses on the lung

Answer 9

Question 10

What is known to cause more severe flu?

Answer 10

1. Highly pathogenic strain of flu
2. Absence of prior immunity

Innate immunodeficiency

B cells (antibody- presumably local)

T cells (correlate with peripheral levels?)

3. Weakened host immune response

Frail elderly

COPD/asthma

Diabetes etc.

Question 11

RSV Bronchiolitis: Clinical Features

List 6

Answer 11

Question 12

look at laz notes

Answer 12

look at laz notes