Pneumonia

Question 1

most common type

Answer 1

pneumococcus

(Streptococcus pneumoniae

Question 2

associated with herpes labialis

Answer 2

Pneumococcal (Streptococcus pneumoniae)

Question 3

type in IVDU

Answer 3

Staphylococcal

Question 4

specific treatment of Staphylococcal

Answer 4

flucloxicillin

Question 5

type associated with alcoholic

Answer 5

Klebsiella

Question 6

Klebsiella on CXR

Answer 6

cavitating pneumonia particularly in upper lobes

Question 7

post-surgery

Answer 7

Pseudomonas

Question 8

dry cough + atypical CXR

Answer 8

Mycoplasma Pneumoniae

Question 9

reticular-nodular shadowing

Answer 9

Mycoplasma Pneumoniae

Question 10

specific treatment of Mycoplasma Pneumoniae

Answer 10

Clarithromycin or Tetracycline or Fluroquinolone (e.g. ciprofloxacin or norfloxacin)

Question 11

water tanks

Answer 11

Legionella Pneumophilia

Question 12

foreign holiday

Answer 12

Legionella Pneumophilia

Question 13

specific treatment of Legionella Pneumophilia

Answer 13

Clarithromycin + rifampicin OR

Fluoroquinolone (e.g. cirporfloxin) for 2-3 weeks

Question 14

birds

Answer 14

Chlamydiophilia Psittaci

Question 15

immunosupressed

Answer 15

Pneumocystis Pneumonia (PCP) aka Pneumocystis jiroveci

Question 16

HIV patients

Answer 16

Pneumocystis Pneumonia (PCP) aka Pneumocystis jiroveci

Question 17

high fever + rapid onset

Answer 17

pneumococcus (Streptococcus pneumoniae )

Question 18

type that COPD patients get

Answer 18

Haemophilus influenzae

Question 19

after a influenza infection

Answer 19

Staphylococcus aureus

Question 20

erythema multiforme

Answer 20

Mycoplasma pneumoniae

Question 21

haemolytic anaemia

Answer 21

Mycoplasma pneumoniae

Question 22

what is the score used to rate severity

Answer 22

CURB65

Question 23

What does CURB65 stand for

Answer 23

C = new onset of confusion
U = Urea>7mmol/L
R = RR> 30
B = BP, systolic <90, diastolic <60
65 = aged >65yrs

Question 24

CURB65 score of 0 means what?

Answer 24

patients should be managed in the community (mild)

Question 25

CURB65 score of 1 means what?

Answer 25

patients should be managed in the community (mild)

Question 26

CURB65 score of 2 means what?

Answer 26

patients should be managed in the hospital (moderate)

Question 27

CURB65 score of more than 2 means what?

Answer 27

patients should be managed in the hospital (severe)

Question 28

type that affects CF patients

Answer 28

Pseudomonas

Question 29

type that affects bronchiectasis patients

Answer 29

Pseudomonas

Question 30

bi-basal consolidation

Answer 30

Legionella Pneumophilia

Question 31

what is the specific treatment for non-severe HAP with no allergies

Answer 31

Amoxicillin (oral) + Metronidazole for 5 days

Question 32

what is the specific treatment for non-severe HAP with penicillin allergies

Answer 32

Co-trimoxazole + Metronidazole (oral)

Question 33

what is the specific treatment for severe HAP with penicillin allergies

Answer 33

IV Co-trimoxazole + Metronidazole + Gentamicin

Question 34

what is the specific treatment for severe HAP with no allergies

Answer 34

IV Amoxicillin + Metronidazole + Gentamicin for 7 days

Question 35

what is the specific treatment for non-severe CAP with no allergies

Answer 35

amoxicillin (oral)

Question 36

what is the specific treatment for non-severe CAP with penicillin allergies

Answer 36

Doxycycline (oral)

Question 37

what is the specific treatment for non-severe CAP with penicillin allergies and pregnant

Answer 37

clarithromycin

Question 38

what is the specific treatment for severe CAP with no allergies

Answer 38

Co-amoxiclav IV + Doxycycline (oral)

Question 39

what is the specific treatment for severe CAP with penicillin allergies

Answer 39

IV Levofloxacin + Doxycycline (oral) | Step down to doxycycline only

Question 40

when would you consider HAP

Answer 40

if paint has been in hospital 48hrs before symptoms started

Question 41

red jelly sputum

Answer 41

Klebsiella Pneumoniae

Question 42

rusty sputum

Answer 42

Pneumococcal pneumonia

Question 43

what would you find on percussion

Answer 43

dullness

Question 44

what would you hear in the chest

Answer 44

crackles