Pneumonia

Question 1

CURB 65

Answer 1

Confusion, Urea > 7, RR > 30, BP < 90/60, 65+

Question 2

Community acquired pneumonia

Answer 2

0 - 2 = Amoxicillin
o Doxycycline if penicillin allergic
- 3 - 5 = Co-amoxiclav IV + Doxycycline IV / Clarithromycin IV [ICU]
- Levofloxacin IV monotherapy if penicillin allergic

Question 3

Hospital acquired pneumonia

Answer 3

Non-severe = Amoxicillin
- Severe = IV amoxicillin + gentamicin
-Co-trimoxazole + Gentamicin

Question 4

Aspiration pneumonia

Answer 4

• Non-severe = Amoxicillin + Metronidazole
• Severe = Amoxicillin + Metronidazole + Gentamicin

Question 5

Strep pneumonia

Answer 5

most common

Question 6

H. Influenza

Answer 6

COPD

Question 7

Staph Aureus

Answer 7

PWID, bilateral bronchopneumonia

Question 8

Pseudomonas

Answer 8

Flucloxacillin
bronchiectasis, CF, bronchopneumonia

Question 9

Klebsiella

Answer 9

alcoholics, diabetics, red-jelly sputum, cavitating upper lobes

Question 10

Mycoplasmic

Answer 10

young, epidemics, patchy consolidation, unilateral

Question 11

legionella

Answer 11

azithromycin+levofloxacin water, abroad, lobar

Question 12

C. Psittaci

Answer 12

doxycycline

Birds, patchy

Question 13

Pneumocystitis jirovecci

Answer 13

co-trimoxazole
immunocompromised, bilateral crepitations

Question 14

coxiella burnetti

Answer 14

sheep, goats