Pneumonia

Question 1

Typical community acquired pneumonia organisms

Answer 1

streptococcus pneumonia, haemophilus influenza

Question 2

Atypical community acquired pneumonia organisms

Answer 2

mycoplasma pneumoniae, legionella, coxiella burnetti , chlamydia psitacci..

Question 3

Infection that can arise from birds

Answer 3

chlamydia psitacci

Question 4

infection arise from farming

Answer 4

coxiella burnetti, (Q fever)

Question 5

Curb65 score breakdown

Answer 5

C- confusion
U- urea >7
R- respiration >30
B- BP sys<90 dyas <60
65: >/65 y/o

Question 6

Mild Curb score community acquired pneumonia treatment (no penicillin allergy)

Answer 6

amoxicillin

5 days

Question 7

Mild Curb score community acquired pneumonia (penicillin allergy)

Answer 7

doxycycline

5 days

Question 8

Mild curb score community acquired pneumonia (penicillin allergy and IV required)

Answer 8

clarithromycin (500mg)

5 days

Question 9

Moderate CURB score CAP (no penicillin allergy)

Answer 9

IV/oral amoxicillin

5 days

Question 10

Moderate CURB score CAP (penicillin allergy)

Answer 10

doxycycline 200mg day 1 and 100mg 4 days

Question 11

Moderate curb score community acquired pneumonia (penicillin allergy and IV required)

Answer 11

IV clarithromycin 500mg

5 days

Question 12

Severe CURB CAP ( no allergy)

Answer 12

Co-amoxiclav + doxycycline

if not doxycycline IV clarithromycin

Question 13

severe CURB CAP (penicillin allergy)

Answer 13

IV levofloxacin 500mg monotherapy
+
blood cultures, sputum culture, virology, PCR etc
7 days

Question 14

Legionella Pneumonia treatment

Answer 14

Best treatment: levofloxacin

Question 15

How is legionella transmitted

Answer 15

Not person to person

transmitted by inhalation of contaminated water particles

Question 16

What is mycoplasma Pneumoniae known as?

Answer 16

The walking pneumoniae

Question 17

first line treatment for mycoplasma pneumoniae

Answer 17

doxycycline: organism has no cell wall so penicillin treatment has no effect

Question 18

Microbiology of hospital acquired pneumonia

Answer 18

60% gram -ve (E.coli, klebsiella, pseudomonas)

CAP organisms, S. Aureus and anaerobes

Question 19

Hospital acquired pneumonia non severe medication (both non and allergy)

Answer 19

PO amoxicillin
if penicillin allergy: doxycycline
5 days

Question 20

Hospital acquired pneumonia severe (both non and allergy)

Answer 20

amoxicillin+ gentamicin
penicillin allergy: Co-trimoxazole (gram -ve bacilli) + gentamicin (pseudomonas)
7 days

Question 21

aspiration pneumonia

non severe medication (non and allergy)

Answer 21

PO amoxicillin+ metronidazole
penicillin allergy: doxycycline+ metronidazole
5 days

Question 22

severe aspiration pneumonia medication (non and allergy)

Answer 22

IV amoxicillin+ gentamicin+ metronidazole
penicillin allergic: doxycycline or IV clarithromycin
if patient gets batter: doxycycline+ metronidazole

Question 23

what organism produces a red current jelly sputum

Answer 23

klebsiella