Pneumonia

Question 1

describe the clinical presentation of streptococcus pneumonia (pneumococcal)

Answer 1

rust coloured sputum

(associated with) herpes labialis aka cold sores

Question 2

where does strep pneumonia usually affect?

Answer 2

lung lobes

Question 3

treatment of strep. pneumonia

Answer 3

amoxicillin

Question 4

describe the clinical presentation of haemophilus influenza

Answer 4

gram negative, opportunistic bacteria in COPD patients

Question 5

treatment for h. influenza

Answer 5

benzopenicillin (cephlasporin, if allergic)

Question 6

what type of pneumonia does klebsiella cause

Answer 6

interstital pneumonia

Question 7

klebsiella is associated with _

Answer 7

alcoholics and diabetics

Question 8

treatment of a klebsiella pneumonia

Answer 8

cefotaxime
[unconfirmed, treat with:amoxicillin, gentamicin and metronidazole
(if allergic, co-trimoxazole)]

Question 9

a single dose of cefotaxime is used for treatment of almost all STI’s - true or false?

Answer 9

true

Question 10

mycoplasma pneumonia presents with dry cough, low grade fever and malaise. what is the treatment.

Answer 10

clarithromycin or doxycycline

Question 11

what pneumonia causing bacteria may cause haemolytic anaemia

Answer 11

mycoplasma pneumonia

Question 12

legionella pneumophilia is treated with what antibiotics?

Answer 12

fluoroquinilones such as levofloxacin

Question 13

what is associated with hyponatremia and hypolymphopenea?

Answer 13

legionella pneumophilia

Question 14

name a test for legionella

Answer 14

urine antigen

Question 15

chlamydophilia psittaci is the same as bird fanciers lung - true or false

Answer 15

false. bacteria is carried by birds, but bird fanciers lung is a form of EEA (antigen exposure causing reaction)

Question 16

presentation of chlamydophilia psytachy

Answer 16

mucoid sputum - grey coloured

Question 17

treatment of C. Psittaci

Answer 17

Tetracycline (doxycycline) (maybe clarithromycin)

Question 18

immunocompromised patients are associated with which type of pneumonia?

Answer 18

pneumocystis pneumonia (jiroveci)

Question 19

treatment of pneumocystis pneumonia

Answer 19

co-trimoxazole

Question 20

what is preformed before a diagnosis of pneumocystis is confirmed

Answer 20

bronchial alveolar lavage

Question 21

coxiella burnetti is associated with which animal?

Answer 21

tics (carried on sheep, goats and other domestic animals)

Question 22

treatment of coxiella burnetti pneumoniae

Answer 22

doxycycline

Question 23

MSSA treatment

Answer 23

flucloxacillin

Question 24

MRSA treatment

Answer 24

vancomycin + gentamicin + rifampicin

Question 25

pseudomonas (aeruginosa) is found in what people

Answer 25

CF and bronchiectasis

Question 26

treatment of pseudomonas

Answer 26

ciprofloxacin (+ gentamicin)