Acute resp tract infections

Question 1

who is recommended for Hepatitis A vaccination

Answer 1

those at high risk

• MSM
• close contact with someone with hep A
• travelling to area of high prevalence of hep A
• IVDU
• Hep A exposure at job e.g. sewage workers

Question 2

signs of hypovolemia

Answer 2

• hypotensive
• increased CRT
• oliguria (

Question 3

what is complicated influenza

Answer 3

influenza requiring hospital admission +/or symptoms/signs lower resp tract infection

Question 4

investigations for a patient presenting with signs + symptoms of a resp tract infection

Answer 4

• blood + sputum cultures
• viral PCRs
• viral throat swabs
• urine dipstick +/- culture
• urine: pneumococcal + legionella
• ABGs + lactate
• HIV test
• CXR
• FBC, U+E, LFTs, CRP, clotting, glucose

Question 5

signs of lower resp tract infection

Answer 5

• hypoxaemia
• dyspnoea
• lung infiltrates

Question 6

cause of secondary bacterial infection

and 3 pathogens

Answer 6

superimposed bacterial infection that occurs when the patients influenza symptoms are improving.

• streptococcus pneumoniae
• staph aureus
• haemophilus influenza

Question 7

clinical presentation of influenza

Answer 7

• fever, cough
• sore throat
• myalgia
• fronto/retro-orbital headache