Respiratory

Question 1

Treatment for low and mod. severity CAP in children over 2 months old

Answer 1

amoxicillin 25mg/kg tds

for 3 days for low severity, 5-7 days mod severity

Question 2

Treatment for low and mod. severity CAP in children over 2 months with non-severe penicillin allergy

Answer 2

cefuroxime 15mg/kg bd for 3 days

for 3 days for low severity, 5-7 days mod severity

Question 3

Treatment for low severity CAP children over 2 months with severe penicillin allergy

Answer 3

azithromycin daily for 3 days

OR doxycyline bd for 3 days

Question 4

Define mild COPD

Answer 4

Few symptoms
breathless on moderate exertion
Little or no effect on daily activity
Cough and sputum production

FEV1: 60-80% predicted

Question 5

Define moderate COPD

Answer 5

Breathless walking on level ground
Increasing limitation on daily activity
Recurrent chest infections
Exacerbations requiring oral steroids and/or abx

FEV1: 40-59%

Question 6

Define severe COPD

Answer 6

Breathless on minimal exertion
Daily activities severely curtailed
Exacerbations of increasing frequency and severity

FEV<40%

Question 7

Treatment for mild-moderate COPD

Answer 7

SABA (salbutamol 100mcg MDI)

PLUS LAMA OR LABA

Question 8

Features of legionella pneumonia

Answer 8

Early systemic symptoms precede respiratory. symptoms
- (high-grade fever, malaise, myalgia, headache)
Dry cough, dyspnoea
Patchy or confluent consolidation (predominantly at bases) on CXR
Pleural effusion common
Hyponatremia