Pneumonia

Question 1

General clinical features?

Answer 1

Fever, productive cough, SOB, pleuritic chest pain

raised inflammatory markers, new CXR infiltrate

Question 2

How to assesse severity for CAP

Answer 2

CURB65
C-Confusion
U-Urea>7
R-Respiratory rate>30
B-BP<90/60
65-age>65

Question 3

Associated with high fever, rapid onset, herpes. increasing age and co-morbidity

Answer 3

Strep Pneumonia

Question 4

Common in patients with COPD

Answer 4

H.influnzae (can also cause epiglottitis)

Question 5

younger patients and after travel

More severe infection, evidence of a multisystem disease

Answer 5

Legionella

Question 6

Younger patient who has had prior antibiotics and a dry cough with haemoptysis , atypical CXR findings and flue like symptoms

Answer 6

Mycoplasma pneumonia

Question 7

Recent influenza illness

Answer 7

Staph aureus

Question 8

In alcoholics, elderly, diabetics.

have low platelet count

Answer 8

Klebscella pneumonia

Question 9

In HIV pateints

Answer 9

Pneumocystis jiroveci

Question 10

Long duration of symptoms

Headache, fever, dry cough, SOB

Answer 10

Chlamydia Psttaci

Is caught from birds and animals

Question 11

Chlamydia Pneumonia

Answer 11

Pharyngitis, hoarseness, otitis followed by pneumonia

Question 12

Treatment for Sterp Pneumonia

Answer 12

Amoxicillin IV

Question 13

For H. influenza

Answer 13

If non-lactamase producing Amoxicillin PO

If lactamase producing Co-amoxiclav IV/PO

Question 14

For legionella

Answer 14

Clarithromycin PO/IV

Question 15

For Mycoplasma pneumonia

Answer 15

Clarithromycin or fluroquionolone

Question 16

For Staph aureus

Answer 16

Flucloaccilin +/- Rifampicin

Question 17

For Clamydias

Answer 17

Doxycline or clarithromycin

Question 18

A gram negative bacillus

Answer 18

H.Influnzae

Question 19

Acid-alcohol fast bacilli with a thick waxy coat

Answer 19

Mycobacterium tuberculosis

Question 20

Gram positive coccus in clusters

Answer 20

Staph aureus

Causes a bilateral caveating pneumonia

Question 21

Alpha haemolytic

Answer 21

Strep pneumonia