EMQs in Clinical Medicine.pdf - Peshawar Medical College

36 Respiratory medicine
19 Treatment of respiratory infections
A
B
C
D
E
F
G
H
intravenous benzylpenicillin
oral flucloxacillin
oral tetracycline
oral ciprofloxacin
intravenous ceftazidime
oral isoniazid rifampicin
intravenous flucloxacillin
oral amoxicillin
I
J
K
L
M
high-dose AZT
(zidovudine) pyrazinamide
intravenous amoxicillin
intravenous co-trimoxazole
intravenous teicoplanin
intravenous
cefuroxime erythromycin
For each clinical scenario below, suggest the most appropriate management. Each
option may be used only once.
1 Standard therapy for community-acquired pneumococcal pneumonia not
requiring hospital admission.
2 A 35-year-old patient on the ward admitted to hospital 10 days ago presents
with severe pneumonia.
3 A 40-year-old builder presents with a severe community-acquired pneumonia.
Atypical pathogens are suspected.
4 A 22-year-old HIV-positive individual on anti-retroviral therapy presents with
Pneumocystis carinii pneumonia.
5 A 19-year-old man contracts pneumonia with symptoms of headache, fever and
dry cough. Serology shows evidence of chlamydia infection.
Answers: see page 47.