Pneumonia

Question 1

Define pneumonia

Answer 1

• Signs and symptoms consistent with LRTI

- Associated with new radiographic shadowing for which there is no other explanation

Question 2

Symptoms required for a diagnosis of pneumonia

Answer 2

Cough + at least one of the following

• Pleural pain
• Dyspnoea
• Tachypnoea

Systemic symptoms are a fever of 38 degrees +

Question 3

Which organism causes 80% of community acquired pneumonia?

Answer 3

Streptococcus pneumonae

Question 4

Features of strep pneumonae pneumonia?

Answer 4

Rapid onset
High fever
Pleuritic chest pain

Question 5

Name 3 causes of CAP in previously healthy patients

Answer 5

Strep pneumonae
Haemophillus influenza
Staphylococcus aureus

Question 6

Which organism commonly causes pneumonia post flu

Answer 6

Staph aureus

Question 7

Which organism causes pneumonia in the immunosuppressed?

Answer 7

Pneumocystitis

Question 8

How does pneumocystitis pneumonia present as?

Answer 8

Slight fever, dyspnoea, non- productive cough

Question 9

What organisms cause hospital acquired pneumonia?

Answer 9

Usually gram negative
Pseudomonas auruginoa
Enterobcater

Question 10

Which bacteria often causes pneumonia in school aged children and young adults?

Answer 10

Mycoplasma pneumonae

Question 11

Features of mycoplasma pneumonae pneumonia

Answer 11

Myalgia
Earache
Dry cough

Question 12

When is chlamydia pneumoniae common?

Answer 12

In institutions (prisons etc.)

Question 13

Which organism often gives pneumonia in bird keepers?

Answer 13

C. Pittaci

Question 14

What are the different sections of CURB 65

Answer 14

C- confusion
U- urea > 7mmol
R- resp rate >30/min
B- blood pressure <90/<=60)
65- Aged 65 or older

Question 15

What do the various possible scores on CURB 65 indicate?

Answer 15

0-1: treat at home
2- short admission, oral abx
3- admit, urgent senior review
4-5: admit, critical care

Question 16

What organisms are urinary antigens useful in

Answer 16

Pneumococcal and legionella