pneumonia

Question 1

what is the most common cause of CAP

Answer 1

strep pneumonia

Question 2

when is haemophilus influenzae seen to cause pneumonia

Answer 2

COPD

nursery school workers

Question 3

what can recurrent pneumonia be a sign of

Answer 3

bronchial carcinoma

Question 4

what kind of pattern is pneumonia on spirometry

Answer 4

restrictive

Question 5

what does pneumonia do to pulmonary compliance

Answer 5

decrease

Question 6

what are some signs of pneumonia

Answer 6

bronchial breathing
dull to percuss
crackles on auscultation
rub
cyanosis
hypotension
mouth herpes

Question 7

what is the most common cause of viral pneumonia

Answer 7

influenza

others: CMV, measles, varicella zoster

Question 8

how is viral pneumonia diagnosed

Answer 8

viral culture and PCR

Question 9

what is viral pneumonia treated with

Answer 9

ciprofloxacin + co-amoxiclav

oseltamivir - prophylactic

Question 10

what is a common cause of pneumonia in bronchiectasis and CF and in hospital

Answer 10

pseudomonas

Question 11

what is the treatment for pseudomonas

Answer 11

ciprofloxacin + gentamicin

Question 12

what is the cause of pneumonia in alcoholics / homeless / diabetics / COPD

Answer 12

klebsiella

Question 13

what is a sign of klebsiella pneumonia

Answer 13

red jelly sputum

Question 14

what is seen in klebsiella pneumonia

Answer 14

cavitating pneumonia of upper lobes

Question 15

what is the treatment for klebsiella

Answer 15

carbapenem or cefotaxime/ceftazidime

Question 16

what is a common cause of pneumonia in immunosuppressed

Answer 16

jiroveci

Question 17

what are some s/s pneumonia jiroveci (PCP)

Answer 17

dry cough
fever
SOB
bilateral crepitation

Question 18

what does a CXR of jiroveci show

Answer 18

bilateral perihilar interstitial shadowing

Question 19

how is jiroveci diagnosed

Answer 19

BAL/induced sputum/direct immunofluorescence

Question 20

what is the treatment of jiroveci

Answer 20

high dose co-trimoxazole

or pentamidine

Question 21

what is the pneumonia associated with travel, diarrhoea, water, foreign holiday, air conditioning, water tanks

Answer 21

legionella

Question 22

what is the presentation of legionella

Answer 22

symptoms usually precede a dry cough

Question 23

how is legionella diagnosed

Answer 23

urine antigen / serology

Question 24

what are some complications of legionella

Answer 24

renal failure
confusion
hepatitis
coma
haematuria

Question 25

what is the treatment of legionella

Answer 25

clarithromycin + ciprofloxacin/levofloxacin or rifampicin

Question 26

what cause of pneumonia causes epidemics every 4 years

Answer 26

mycoplasma pneumonia

Question 27

who mycoplasma pneumonia usually effect and how is it spread

Answer 27

older children/young adults | person - person

Question 28

how does mycoplasma present

Answer 28

flu like symptoms followed by a dry cough

Question 29

what is seen on the X-ray of mycoplasma pneumonia

Answer 29

reticular nodular shadowing or patchy consolidation of 1 lower lobe

Question 30

what are some complications of mycoplasma pneumonia

Answer 30

rash myelitis GB syndrome haemolytic anaemia

Question 31

what is the treatment for mycoplasma pneumonia

Answer 31

doxycycline clarithromycin ciprofloxacin

Question 32

what is coxiella burnetti associated with

Answer 32

sheep and goats | Q fever

Question 33

what is a complication of coxiella burnetti

Answer 33

IEC

Question 34

what is the treatment of coxiella burnetti

Answer 34

doxycycline | clarithromycin

Question 35

what is chlamydia psittaci associated with

Answer 35

birds

Question 36

how is chlamydia psittaci diagnosed

Answer 36

serology

Question 37

what is a classic symptom of chlamydia psittaci

Answer 37

mucoid sputum

Question 38

what does chlamydia psittaci cause

Answer 38

psittacosis

Question 39

what is seen on the X-ray of chlamydia psittaci

Answer 39

patchy consolidation

Question 40

what is the treatment of chlamydia psittaci

Answer 40

doxycycline | clarithromycin

Question 41

what is the most common cause of CAP

Answer 41

strep pneumonia / pneumococcus

Question 42

what is a sign of strep pneumonia

Answer 42

rusty sputum

Question 43

what is seen on a CXR of strep pneumonia

Answer 43

lobar consolidation

Question 44

what is the treatment of strep pneumonia

Answer 44

amoxicillin / Benzopenicillin / cephalosporin | doxycycline if PA

Question 45

when would staph aureus cause pneumonia

Answer 45

post flu HAP IVDU elderly

Question 46

what is seen in staph aureus pneumonia

Answer 46

bilateral cavitating bronchopneumonia

Question 47

what is the treatment of staph aureus | what is the treatment if MRSA is suspected

Answer 47

flucloxacillin | vancomycin

Question 48

what are some s/s Chlamyophilia pneumonia

Answer 48

pharyngitis hoarseness otitis followed by pneumonia

Question 49

what is the treatment for Chlamyophilia pneumonia

Answer 49

doxycycline | clarithromycin

Question 50

what is the treatment for Chlamyophilia pneumonia

Answer 50

tetracycline | clarithromycin

Question 51

what is the commonest chlamydial infection

Answer 51

Chlamyophilia pneumonia

Question 52

how is Chlamyophilia pneumonia spread

Answer 52

person-person

Question 53

who is Chlamyophilia pneumonia associated with

Answer 53

older people

Question 54

what organism can cause infantile pneumonia

Answer 54

chlamydia trachomatis

Question 55

how is chlamydia trachomatis spread

Answer 55

STI | mother - child

Question 56

when is haemophilus influenzae seen to cause pneumonia

Answer 56

COPD | nursery school workers

Question 57

how is haemophilus influenza diagnosed

Answer 57

cultured on chocolate agar

Question 58

what can haemophilus influenza cause

Answer 58

pneumonia COPD exac acute epiglottitis