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1) A 37 yr old man presents with dyspnoea, cough, weight loss and night sweats. His CXR shows diffuse bilateral infiltrates. What is the single most likely causative organism?

One answer only.

Pneumocystis carinii

Chlamydia psittaci

Coli

Pseudomonas aeruginosa

Mycobacterium tuberculosis

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2) A 48 yr old man presents with fever, rigors, headache and diarrhoea. He recently had been on a holiday abroad. CXR shows consolidation. What is the single most likely causative organism?

One answer only.

Staphylococcus aureus

Crytococcus

Streptococcus pneumoniae

Legionella pneumphilia

Mycobacterium avium -intracellulare

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3) A 45 yr old farmer presents with flu like illness anorexia and dry cough. His CXR shows patchy consolidation. What is the single most likely causative organism?

One answer only.

Legionella pneumphilia

Mycobacterium avium -intracellulare

Mycoplasma pneumoniae

Pneumocystis carinii

Chlamydia psittaci

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4) A 41 yr old drug abuser presents with fever, cough and breathlessness. This was preceded by viral influenza. Chest radiograph shows multiple abscesses. What is the single most likely causative organism?

One answer only.

Pneumocystis carinii

Chlamydia psittaci

Escherichia Coli

Pseudomonas aeruginosa

Mycobacterium tuberculosis

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5) A 14 yr old student with cystic fibrosis rapidly deteriorated and developed acute respiratory failure while in hospital. What is the single most likely causative organism?

One answer only.

Crytococcus

Streptococcus pneumoniae

Legionella pneumphilia

Mycobacterium avium -intracellulare

Mycoplasma pneumoniae

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6) A 55 yr old smoker with a long history of recurrent chest infection presents with haemoptysis and greenish sputum. On examination he has clubbing and coarse crepitations over the bases of both lungs. What is the single most likely disease process?

One answer only.

Pulmonary infarction

Pneumonia

Tuberculosis

Bronchiectasis

Mitral stenosis

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7) A 69 yr old woman who had a total hip replacement a week ago presents with severe chest pain, shortness of breath and haemoptysis What is the single most likely disease process?

One answer only.

Pulmonary infarction

Pneumonia

Tuberculosis

Bronchiectasis

Mitral stenosis

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8) A 52 yr old diabetic presents with fever, pleuritic pain an rusty coloured sputum. What is the single most likely disease process?

One answer only.

Pneumonia

Tuberculosis

Bronchiectasis

Mitral stenosis

SLE

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9) A 45 yr old bank manager presents with cough, pleuritic chest pain and haemoptysis. This was preceded by rhinitis, recurrent epistaxis and haematuria, CXR shows multiple nodular masses. What is the single most likely disease process?

One answer only.

Foreign body inhalation

Wegener's granulomatosis

Haemorrhagic telengiectasia

Polyarteritis nodosa

Bronchogenic carcinoma

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10) A 70 yr old smoker presents with cough, haemoptysis and weight loss. On examination, there is clubbing and gynaecornastia. What is the single most likely disease process?

One answer only.

Foreign body inhalation

Wegener's granulomatosis

Haemorrhagic telengiectasia

Polyarteritis nodosa

Bronchogenic carcinoma