pneumonia

Question 1

define pneumonia?

Answer 1

acute inflammation of lung tissue

Question 2

define infective pneumonia?

Answer 2

infection is the cause acute inflammation of lung tissue

Question 3

what is most common type of pathogen causing infective pneumonia?

-bacteria, fungi, viruses

Answer 3

bacteria

Question 4

which infective organism is most common cause of pneumonia?

which vaccine isavaialble for this?

Answer 4

Streptococcus pneumoniae

Pneumococcal vaccination

Question 5

which infective organism is associated with smokers and COPD getting pneumonia?

Answer 5

Haemophilus influenzae

Question 6

which infective organism causes a secondary pneumonia infection after a viral UTI or the flu?

Answer 6

Staphylococcus aureus

Question 7

which pneumonia is more common:

hospital or community?

Answer 7

community

Question 8

which infective organism that causes pneumonia is rapid-onset and causes high fever?

Answer 8

Streptococcus pneumoniae

Question 9

which infective organism associated with autoimmune haemolytic anaemia and erythema multiforme causes pneumonia?

Answer 9

Mycoplasma pneumoniae

Question 10

which infective organism associated with exposure to birds causes pneumonia?

Answer 10

Chlamydia psittaci

Question 11

which infective organism associated with an exposure to unclean water source causes pneumonia?

Answer 11

Legionella pneumophila

Question 12

pt has a fungal caused pneumonia and has Hx of HIV.

what is the infective organism?

Answer 12

Pneumocystis jiroveci

Question 13

Risk factors for pneumonia?

-5

Answer 13

Extremes of age

Preceding viral infection

Immunosuppressed

IV drug use: staph aureus

Respiratory conditions:
asthma, copd, CF, cancer

Question 14

symptoms for pneumonia?

-4

Answer 14

Productive cough
Pleuritic chest pain
Dyspnoea
Fever

Question 15

vital signs of pt with pneumonia?

-2

Answer 15

Low O2 sats

Tachycardia

Question 16

auscultation finding on pt with pneumonia?

-3

Answer 16

↓reduced breath sounds
bronchial breathing
coarse crepitations

Question 17

main CXR finding of pt with pneumonia?

what is this thing?

Answer 17

consolidation

exudate which is fluid with pus

Question 18

positive blood findings of pt with pneumonia?

-3

Answer 18

FBC: leukocytosis
U&Es: ↑urea
CRP: ↑

Question 19

how do you check antibiotics sensitivities?

Answer 19

Sputum culture

Question 20

Haemophilus influenzae vaccine name?

Answer 20

Have HiB vaccine

Question 21

Haemophilus influenzae can cause what in kids?

Answer 21

epiglottis

Question 22

person has pneumonia, now has meningitis.

which bacterial organism was it?

Answer 22

streptococcus pneumoniae

Question 23

which pneumonia causing bacteria commonly comes as a secondary bacterial infection after a viral URTI?

Answer 23

Staphylococcus aureus

Question 24

Child has pneumonia with mild symptoms.

bacterial or viral pneumonia?

Answer 24

viral (probably)

Question 25

Child has pneumonia with mild symptoms.

1st line Mx?

Answer 25

no treatment needed (send home)

Question 26

Child has bacteria caused pneumonia.

which antibiotics do you prescribe?
-2

route?

Answer 26

oral amoxicillin or erythromycin

Question 27

Child has bacteria caused pneumonia.

which antibiotics do you prescribe?
-2

route?

do you usually manage them at home/in community or at hospital?

Answer 27

oral amoxicillin or erythromycin

send home

Question 28

When to admit child with pneumonia into hospital?

-4

Answer 28

severe respiratory distress signs
dehydrated
vomiting
O2<92

Question 29

child with bacterial pneumonia very unwell and admitted to hospital.

what 3 Mx steps do you do?

explain principle behind each step?

Answer 29

IV antibiotics - target bacteria
IV fluids - dehydration
give oxygen - low O2 sats