Pneumonia

Question 1

What lung sounds may be heard in patients with pneumonia?

Answer 1

Rales

Question 2

What will be on CXR in a patient with pneumonia?

Answer 2

Parenchymal infiltrate

Question 3

What is more common cause of pneumonia, bacteria or virus?

Answer 3

Bacteria

Question 4

What is the most common bacterial cause of pneumonia?

Answer 4

Streptococcus pneumonia

Question 5

What is the common cause of viral pneumonia?

Answer 5

Influenza

Question 6

What is a common smell of aspiration pneumonia/lung abscess sputum?

Answer 6

Foul, purulent smell

Question 7

How long does clearing of pulmonary infiltrates in patients with community acquired pneumonia take?

Answer 7

Can take up to 6 weeks
- fastest in young patients
- smokers and those with single lung involvement may take longer

Question 8

Treatment of community acquired pneumonia

Answer 8

Macrolides
- Clarithromycin 500mg BID for 7 days
- Azithromycin 500mg initial and then
250mg QD for 4 days OR
500mg QD for 3 days
Tetracycline
- Doxycycline 100mg BID for 7 days
Fluoroquinolones
- Levofloxacin 500mg QD for 7 days
- Moxifloxacin 400mg QD for 7 days
ALTERNATE TREATMENTS
Erythromycin 250-500mg QID
Amoxicillin 875/125mg BID or 500/125mg TID x 7days