Pneumonia 3 - Mx

Question 1

The ? score is used for severity assessment of cap
?- score of what is under how much?
?- if over ? 
?- if over ? per min
?- ? under ? OR ? under ?
? years or older

one point given for each new finding

Answer 1

CURB65
confusion
amt <8
urea >7
RR >30
BP - SBP <90 DBP <60
65

Question 2

0/1 - non-sev CAP % mortality

-managed as ? with oral ? - ? if allergic

Answer 2

3
o/p
amox
doxy

Question 3

2 - mod sev CAP ?% mortality

• oral ? and ? usually ? the patient
• oral ? if allergic

Answer 3

9
amox
clarithro
admit
doxy

Question 4

> 2 = severe CAP - 15-?% mortality

• IV ? plus ? - admit to ???
• if pen allergic or ? is suspected -> treat with ? and ?
• trt at least for ?

Answer 4

40
clarithro
co-amox
HDU
MRSA
vanc
levofloxacin
10d

Question 5

if ? is suspected in CAP of any severity - ? will be added

inpatients may have chest ? to encourage effective ?

Answer 5

aspiration
metronidazole
physio
coughing

Question 6

HAP mx

• assess ? RF’s - known ?/previous infection, long term ? line/?, admitting from a ? home with ? breaks
• mild HAP trt with oral ?
• severe HAP trt with oral ?
• these pts should be dis w/ ?

Answer 6

MRSA
colonisation
indwelling
catheter
nursing
skin
doxy
co-trimoxazole
microbiology

Question 7

Pts should always have a FU ? at ? weeks - ensure resolution of ? and assess for persistent abnorm of the lung ?

non-resolution should raise possibility of ? ? as a cause of the pneumonia eg lung ?

Answer 7

CXR
6
consolidation
parenchyma
endobronchial obstruction
ca

Question 8

Complx -

• ? effusion/?
• post-infective ?
• lung ? giving the sign of clubbing
• could it be…

Answer 8

parapneumonic
empyema
bronchiectasis
abscess
SEPSIS