Y1 Pneumonia Organisms and Treatment

Question 1

Treatment for CAP 0-2

Answer 1

Amoxicillin

Question 2

Treatment for CAP 0-2 but penicillin allergic

Answer 2

Doxycycline or Clarithromycin

Question 3

Treatment for CAP 3+

Answer 3

IV Co-amoxiclav + clarithromycin

Question 4

Treatment for CAP 3+ but penicillin allergic

Answer 4

Levofloxacin

Question 5

Treatment for severe HAP

Answer 5

IV Amoxicillin + metronidazole + gentamicin

Question 6

Treatment for non-severe HAP but penicillin allergic

Answer 6

Co-trimoxazole + metronidazole

Question 7

Treatment for severe HAP

Answer 7

IV Amoxicillin + metronidazole + gentamicin

Question 8

Treatment for severe HAP but penicillin allergic

Answer 8

Co-trimoxazole + metranidazole + gentamicin

Question 9

Symptoms of Pneumonia?

Answer 9

Fever 
Malaise 
Productive Cough 
Anorexia 
Sweating 
Dyspnoea 
Rigors

Question 10

Describe the CXR

Answer 10

New shadowing / pulmonary infiltrates

Question 11

Describe the breathing

Answer 11

Bronchial breathing (due to consolidation)

Question 12

Investigations for suspected pneumonia?

Answer 12

FBC - high WCC
CXR - new shadowing
Sputum/blood culture/bronchial lavage - causative organism

Question 13

Complications of pneumonia

Answer 13

Respiratory Failure
Empyema
Pleural Effusion
Death

Question 14

Describe the resonance in pneumonia

Answer 14

Increased

Question 15

Describe chest expansion in pneumonia

Answer 15

Reduced

Question 16

Describe percussion in pneumonia

Answer 16

Dull

Question 17

How is CAP assessed?

Answer 17

CURB65

Question 18

What does CURB65 stand for?

Answer 18

C = Confusion (New Onset) 
U = Urea > 7 
R = Respiratory Rate > 30 
B = Blood Pressure

Question 19

Most common causative organism for CAP?

Answer 19

Streptococcus Pneumonia

Question 20

Most common causative organism for pneumonia in the young?

Answer 20

Mycoplasma pneumonia

Question 21

Most likely agents to cause COPD exacerbations

Answer 21

Haemophilus Influenzae

Streptococcus Pneumoniae

Question 22

Causative agent in:

Bird owners

Answer 22

Chlamydia Psittaci

Question 23

Causative agent in:

Sheep workers

Answer 23

Coxiella Burnetti

Question 24

Causative agent in:

Alcoholics or diabetics

Answer 24

Klebsiella Pneumoniae

Question 25

Causative agent in: | Patients recently been on holiday eg Spain

Answer 25

Legionella Pneumophila

Question 26

Most likely to present with Rusty Sputum and herpes labiallis

Answer 26

Pneumococcal

Question 27

Most likely to present with Erythema Multiforme, dry cough or in epidemics

Answer 27

Mycoplasma

Question 28

Causative agent in: | CF/Bronchiectasis patients

Answer 28

Pseudomonas

Question 29

Causative agent in: | HIV patients

Answer 29

Pneumocystis (PCP - HIV)

Question 30

Most likely organism to present with Red Jelly Sputum

Answer 30

Klebsiella

Question 31

Treatment of: | H. Influenzae Pneumonia

Answer 31

Amoxicillin

Question 32

Treatment of: | Staph Aureus Pneumonia

Answer 32

Flucloxacillin

Question 33

Treatment of: | MRSA

Answer 33

Vancomycin

Question 34

Treatment of: | Mycoplasma

Answer 34

Clarithromycin | If pregnant: doxycycline

Question 35

Treatment of: | Chlamydia Psittaci

Answer 35

Clarithromycin | If pregnant: doxycycline

Question 36

Treatment of: | Legionella

Answer 36

Clarithromycine or Ciprofloxacin

Question 37

Treatment of: | Pseudomonas

Answer 37

Ciproxloxacin

Question 38

Treatment of: | Klebsiella

Answer 38

Cefotaxime

Question 39

Treatment of: | Pneumococcal Pneumonia

Answer 39

Amoxicillin

Question 40

Treatment of: | PCP (pneumocystis)

Answer 40

Co-trimoxazole