Pneumonia

Question 1

Accounts for 80% of cases

Particularly associated with high fever, rapid onset and herpes labialis

Answer 1

Streptococcus pneumoniae

Question 2

Particularly common in patients with COPD

Answer 2

Haemophilus influenzae

Moraxella Catarrhalis

Question 3

Often occurs in patient following influenza infection

Answer 3

Staphylococcus aureus

Question 4

One of the atypical pneumonias, which often present a dry cough and atypical chest signs/x-ray findings
Autoimmune haemolytic anaemia and erythema multiforme (rash) may be seen

Answer 4

Mycoplasma pneumoniae

Question 5

Another one of the atypical pneumonias
Hyponatraemia and lymphopenia common
Classically seen secondary to infected air conditioning units

Answer 5

Legionella pneumophilia

Question 6

Classically seen in alcoholics

Answer 6

Klebsiella pneumoniae

Question 7

Typically seen in patients with HIV

Presents with a dry cough, exercise-induced desaturations and the absence of chest signs

Answer 7

Pneumocystis jiroveci

Question 8

Symptoms of pneumonia?

Answer 8

Cough
Sputum
Dyspnoea
Chest pain: may be pleuritic
Fever

Question 9

Signs of pneumonia?

Answer 9

Systemic inflammatory response: fever, tachycardia
Reduced oxygen saturations
Ausculatation: reduced breath sounds, bronchial breathing

Question 10

Investigations of pneumonia?

Answer 10

Chest XRay
Bloods
Arterial Blood Gases

Question 11

What might a chest x-ray show in pneumonia?

Answer 11

Consolidation

Question 12

What might a blood test indicate in pneumonia?

Answer 12

FBC - neutrophilia
U&E - dehydration
CRP - infection

Question 13

Which criterion is used for management of pneumonia?

Answer 13

CURB-65 Score