Pneumonia

Question 1

CURB 65?

Answer 1

Confusion
Urea >7mmol/l
RR =>30
BP <90 systolic or <=60 diastolic
65 or older

Question 2

CURB score and treatment for SEVERE CAP

Answer 2

3-5
Co-amoxiclav IV + doxycycline 100mg PO BD
ICU or NBM swap doxy for Clarithromycin 500mg
Pen allergic sub co-amoxiclav to levofloxacin

Question 3

CURB score and treatment for MILD CAP

Answer 3

0-2
Amox PO/IV (5days)
Pen allergic - doxy (200mg day one then 100mg)

Question 4

Legionella pneumonia treatment?

Answer 4

Levoflaxin

Question 5

Treatment for SEVERE HAP?

Answer 5

IV Amox (co-trimoxazole) + metronidazole + Gent

Step down - co-trimoxazole + met PO

Question 6

H.Pylori eradication?

Answer 6

PPI (20-40) + amox (metronidazole) + clarithromycin

Question 7

Coxiella burnetti

Answer 7

Doxycycline

Question 8

Haemophilus influenza

Answer 8

Benzopenicillin

Question 9

Klebsiella confirmed

Klebsiella unconfirmed

Answer 9

Cephalosporin

IV Amox + Gent + Metronidazole

Question 10

Jirrovexi

Answer 10

Co-trimoxazole

Question 11

Pseudomonas

Answer 11

Ciprofloxacin (+gent)

Question 12

MRSA

Answer 12

Rifampicin + Gent + Vanc

Question 13

MSSA

Answer 13

Flucloxacillin

Question 14

Psittacosis

Answer 14

Doxycycline/Gent

Question 15

Post op pneumonia

Answer 15

<5 days in hospital - 7 days Amox

> 5 days in hospital - HAP

Question 16

Mycoplasma

Answer 16

Clarithromycin and doxycycline

Question 17

Sepsis and enterococci?

Answer 17

Amox or Vanc if pen allergic

Question 18

Sepsis and coliforms?

Answer 18

Gent

Question 19

Sepsis and anaerobes?

Answer 19

Metronidazole

Question 20

Sepsis management?

Answer 20

BUFALO
Blood cultures, sepsis screen and Us&Es
Urine output 
Fluid resuscitation 
Abx IV
Lactate measurements
Oxygen

Question 21

Gut coliforms…
Lactose fermenting?
Non-lactose fermenting?

Answer 21

Klebsiella and E.coli

Shigella and Salmonella