Pneumonia

Question 1

CURB score

Answer 1

Confusion
Urea >7
RR >30
BP (SBP <90)
Age >65

Question 2

Scores: severity + when to admit

Answer 2

0: low risk, manage at home
1-2: moderate risk, consider for hospital/ outpatient
>3: severe, need to admit!

Question 3

Key investigation in pneumonia

Answer 3

CXR

Question 4

Abx for low risk (score of 0)

Answer 4

Amoxicillin PO 500mg 3x daily

Question 5

Abx for moderate (1-2)

Answer 5

Amoxicillin 500mg AND clarithromycin (atypical coverage)

Question 6

Abx for severe (>3)

Answer 6

IV antibiotics - LOOK AT TRUST GUIDELINES

e.g. co-amoxiclav + clarithromycin