Pneumonia

Question 1

Mention the 3 pathological stages of pneumonia

Answer 1

1.congestion
2.red hepatization
3.grey hepatization.
4.resolution

Question 2

Mention 3 atypical bacteria causing atypical pneumonia

Answer 2

Mycoplasma
Coxiella
Legionella
Chlamydia

Question 3

High procalcitonin levels correlates with hivh probability of (viral/bacterial) infection

Answer 3

Bacterial

Question 4

Mix and match
In CURB 65 score
*SCORES:
.Score 0-1
.Score 2
. Score 3-5

*SETTING OF TREATMENT
. ICU
. Ward
. Home

Answer 4

Score 0-1 : at Home
Score 2: in the ward
Score 3-5 :in the ICU (severe pneumonia)

Question 5

Management of non severe pneumonia (score 0-1) if no comorbidities are present

Answer 5

Amoxicillin or doxicyclin or macrolide

Question 6

Management of non severe pneumonia (score 0-1) if comorbidities are present

Answer 6

. Combination:amoclav + macrolide or doxucyclin
Or
.monotherapy: fluoroquinolone0

Question 7

Management of a Patient with pneumonia with curb score <1

Answer 7

. B. Lactam +macrolide or fluoroquinolones

Question 8

Management of a Patient with pneumonia with curb 65 score >1

Answer 8

. Beta lactam +macrolide
OR
. Beta lactam +fluoroquinolones

Question 9

Atibiotics used in management of pseudomonas aerginosa

Answer 9

. Levofloxacin
. Meropenem

Question 10

Antibiotics used against MRSA

Answer 10

. Vancomycin
. Linezolid

Question 11

Mention types of antibiotic resistance

Answer 11

. MDR: resistant to at least 1 AB from ≥ 3 classes
of AB
. XDR: susceptible to only 1 -2 classes of AB
. PDR: resistant to all antibiotics