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1) A 20 yr old woman presents with a week's history of fever, rigors and productive rusty cough. CXR shows right lower iobe consolidation. What is the SINGLE most appropriate treatment?

One answer only.

Tetracycline

Flucoxaciilin

Benzyl penicillin

Cefotaxime

Prednisolone

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2) A 12 yr old boy with cystic fibrosis presents with persistent productive cough. The CXR shows spherical shadow containing a central lucency. An air fluid level is also seen. What is the SINGLE most appropriate treatment?

One answer only.

Erythromycin

Tetracycline

Flucoxaciilin

Benzyl penicillin

Cefotaxime

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3) A 50 yr old man presents with shortness of breath and dry cough. CXR shows widespread pulmonary shadowing. He takes azathioprine for resistant rheumatoid arthritis. What is the SINGLE most appropriate treatment?

One answer only.

Pyridoxine and ethambutol

Isoniazid alone

Cotrimoxazole

Salbutamol inhaler

Ciprofloxacin

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4) A 20 yr old woman presents with malaise cough and progressive shortness of breath. The CXR shows symmetrical lobulated bilateral hilar gland enlargement. What is the SINGLE most appropriate treatment?

One answer only.

Tetracycline

Flucoxaciilin

Benzyl penicillin

Cefotaxime

Prednisolone

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5) A 50 yr old diabetic presents with a productive cough and malaise. CXR shows right upper lobe consolidation and hilar lymphedenopathy, What is the SINGLE most appropriate treatment?

One answer only.

Rifampicin + Isonizid

Pyridoxine and ethambutol

Isoniazid alone

Cotrimoxazole

Salbutamol inhaler

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6) A 35 yr old pet shop owner presents with high fever, excruciating head-acne and a dry hacking cough. The CXR shows patchy consolidation. What is the SINGLE most likely causative organism?

One answer only.

Chlamydia psittaci

Actinomycosis

Pneumocystis carinii

Streptococcus pneumoniae

Mycoplasma pneumoniae

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7) A 40 yr old man who works in an abattoir presents with sudden onset of fever, myalgia, headache, dry cough and chest pain. CXR shows patchy consolidation of the right lower lobe giving a ground glass appearance. What is the SINGLE most likely causative organism?

One answer only.

Tuberculosis

Pseudomonas aeruginosa

Coxiella burnetti

Legionella pneumophilia

Aspergillosis

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8) A 44 yr old traveling insurance salesman presents with high fever myalgia abdominal pain and haemoptysis. CXR shows diffuse patchy lobar shadows. The cough progresses from a modest nonproductive cough to producing mucopurulent sputum. The fever persists for 2 weeks. What is the SINGLE most likely causative organism?

One answer only.

Tuberculosis

Pseudomonas aeruginosa

Coxiella burnetti

Legionella pneumophilia

Aspergillosis

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9) A JO yr old man with HIV presents with a productive cough and haemoptysis. CXR shows a round ball in the right upper lobe surmounted by a dome of air. What is the SINGLE most likely causative organism?

One answer only.

Tuberculosis

Pseudomonas aeruginosa

Coxiella burnetti

Legionella pneumophilia

Aspergillosis

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10) A 20 yr old male IV drug abuser presents with breathlessness and cough. CXR reveals patchy areas of consolidation with abscess formation. What is the SINGLE most likely causative organism?

One answer only.

Streptococcus pneumoniae

Mycoplasma pneumoniae

Haemophilus influenzae

Staphylococcus aureus

Legionella pneumophilia