Resp- lower respiratory infections

Question 1

pneumonia

Answer 1

common LRT infection caused by inflammation of the lung tissue

Question 2

most common causative organism of pneumonia

Answer 2

streptococcus pneumoniae

Question 3

who is most likely to have H.infleunza pneumoniae

Answer 3

elderly
COPD patients

Question 4

PWIDs common causative organism for pneumonia

Answer 4

straph aureus

Question 5

legionella pneumoniae cause

Answer 5

inhalation of contaminated water droplets (eg hotel air conditioning)

Question 6

an atypical pneumonia causative organism that most commonly affects children and young adults and peaks every 4 years

Answer 6

mycoplasma pneumonia

Question 7

coxiella brunette atypical pneumonia organism associated with what?

Answer 7

farming

Question 8

Chlamydophila psittaci atypical pneumonia organism associated with what?

Answer 8

birds (pets)

Question 9

an atypical pneumoniae causative organism that can affect alcoholics

Answer 9

klebsiella

Question 10

Pneumocytis jiroveci pneumoniae organism usually affects

Answer 10

immunocompromised eg AIDS patients

Question 11

pleuritic chest pain most commonly caused by what LRT infection

Answer 11

pneumonia

Question 12

CURB65 risk score

Answer 12

confusion
urea >7mmol
resp rate >30
blood pressure systolic <90, diastolic </=60
>/= 65

Question 13

strep pneumoniae sputum

Answer 13

rust coloured sputum

Question 14

klebsiella sputum

Answer 14

red currant-jelly sputum

Question 15

community acquired pneumonia CURB score 0-2 management

Answer 15

amoxicillin

Question 16

community acquired pneumonia CURB score 3-5 management

Answer 16

co-amoxiclav IV and doxycycline IV

Question 17

ICU pneumonia patients management

Answer 17

co-amoxiclav IV and clarithromycin IV

Question 18

severe hospital acquired pneumonia management

Answer 18

IV amoxicillin and gentamicin

Question 19

aspiration pneumonia non-severe management

Answer 19

amoxicillin and metronidazole

Question 20

severe aspiration pneumonia management

Answer 20

IV amoxicillin and gentamicin and metronidazole

Question 21

common organisms causing aspiration pneumonia

Answer 21

Streptococcus pneumoniae
Staphylococcus aureus
Haemophilus influenzae Enterobacteriaceae
Pseudomonas

Question 22

first line treatment for mild community acquired pneumonia when patient has penicillin allergy

Answer 22

doxycycline/ clarithyromycin

Question 23

symptoms of mycoplasma pneumonia

Answer 23

rash
low grade fever
dry cough
anaemia
> WCC
bilateral consolidation on XRAY

Question 24

pneumonia presenting gradually with bilateral consolidation on XRAY most likely to be

Answer 24

mycoplasma pneumonia