Pneumonia and Its Treatments

Question 1

Following flu symptoms?
or with IV Drug Users
Or accompanying endocarditis

MRSA?

Answer 1

Staph Aureus
Flucloxacillin

MRSA - Treat MRSA with ViGouR

Vancomycin + Gentamicin + Rifampicin

Question 2

Patient with COPD

Answer 2

H. Influenzae

Amoxicillin

If allergic treat with Ceftriaxone or Cefotaxime

Question 3

Most common pneumonia?

Answer 3

Strep Pneumoniae
Rust Coloured Sputum
Herpes labialis
Both Lung Lobes
Amoxicillin

Question 4

Atypical in a healthy young man?

Answer 4

Mycoplasma pneumoniae

Erythema Multiforme

Painful mouth ulcers/Crusting
Haemolytic anaemia.

Doxycycline or clarithromycin

Question 5

Patient has recently travelled to spain

N.B: How do u test for this antigen? and how does it present?

Answer 5

Legionella

Hyponatraemia

Dry cough

Levofloxacin

Diagnosed with urine antigen test

Question 6

Pneumonia in a HIV patient with a dry unproductive cough

N.B how is this diagnosed

Answer 6

Pneumocystis

Treated with cotrimoxazole

DIagnosed with bronchoalveolar lavage

Question 7

Cystic Fibrosis/Bronchiectasis?

Answer 7

Pseudomonas

Ciprofloxacin

Question 8

Bird Fancier

Answer 8

Bird - Clamidia Psitacci

(Mucoid Sputum, grey coloured sputum)

Clarithromycin

or ezithromycin if pregnant

Question 9

Alcoholics/Diabetics

Answer 9

Kelbsiella pnuemoniae

Intersitial Pneumoniae

Cefotxamine

Red Jelly Sputum

Question 10

Sheep

Answer 10

Coxiella Burnetti

Q - Fever AKA lyme disease

Doxycycline