Pneumonia

Question 1

describe CURB65 points system

Answer 1

C = Confusion
U = Urea >7
R = Resp >30
B = Bp <90/60
65 = >65

Question 2

what treatment is given for CURB65 = 0?

Answer 2

amox at home

Question 3

what treatment is given for non severe hospital CAP?

Answer 3

amox + clari

Question 4

what treatment is given for severe CAP IV?

Answer 4

co-amox + clari

Question 5

when do we send pneumococcal +/ legionella antigens?

Answer 5

severe CAP

Question 6

for aspiration pneumonia, what antibiotics are given?

Answer 6

amox + metro

Question 7

which pathogen causes a pneumonia in a young patient, erythema nodosum and pericarditis?

Answer 7

mycoplasma

Question 8

what does the CXR of a patient which mycoplasma look like?

Answer 8

often bilateral consolidation

(looks worse than symptoms)

Question 9

which investigation is used to confirm Mycoplasma pneumonia?

Answer 9

*mycoplasma serology
*positive cold aggultinin test

Question 10

which is the most common pneumonia pathogen?

Answer 10

strep pneumonia - 70 %

Question 11

which pneumonia pathogen causes abscess or cavitation?

Answer 11

staph aureus

Question 12

which pneumonia pathogen is associated with a cold sore?

Answer 12

strep pneumonia

Question 13

flu like symptoms, dry cough and derranged LFTs feature in whcih atypical pneumonias?

Answer 13

mycoplasma + legionella

Question 14

which blood markers are often derranged in Legionella pneumonia?

Answer 14

hyponatremia
Lymphopenia
derranged LFTs

Question 15

which atypical pneumonia features very high fever +/ culture negative endocarditis

Answer 15

coxiella burnetti