Respiratory

Question 1

What is the CURB-65 score

Answer 1

Confusion
Urea > 7
Respiratory rate > 30
Blood pressue < 90/60
Age > 65

[Each worth 1 point]

Question 2

What do CURB-65 scores mean

Answer 2

Indication of CAP
3 or more = urgent hospital admission
1 or 2 = consider hospital management
0 = treat at home

Question 3

What is the first line treatment for a low risk CAP

[score 0 or 1]

Answer 3

Amoxicillin 500mg TDS for 5 days

Question 4

What would be an alternative treatment for low risk CAP

Answer 4

Doxycycline, clarithromycin, erythromycin

[oral]

Question 5

What would be first line treatment for a moderate risk CAP

[score 1 or 2]

Answer 5

Oral Amoxicillin
OR if atypical pneumonia suspected
amoxicillin AND clarithromycin/erythromycin
[for 5 days]

Question 6

What would be the first line treatment for a severe CAP

[score 3 or more]

Answer 6

Hospital admission
actually tazocin (piptaz, piperacillin/tazobactam)

second line
IV co-amoxiclav AND IV clarithromycin/erythromycin
[for 5 days]

Question 7

What are the commonest causes of CAP in adults

Answer 7

Influenza, streptococcus pneumoniae, haemophilus influenzae, mycoplasma pneumoniae

Question 8

Whats the commonest cause of pneumonia in neonates

Answer 8

GBS (group B strep from vaginal tract)

E.coli

Question 9

Commonest cause of HAP

Answer 9

Pseudomonas aeruginosa
E.coli
Klebsiella pneumoniae
[all gram negative bacteria]