Question 1:
A 42-year-old woman presents with a cough productive of green sputum and worsening breathlessness. She has been febrile at home and suffering with rigors. On examination she is tachypnoeic with audible left lower lobe crackles on chest examination. She has no other past medical history of note and is a non-smoker. A chest X-ray is performed which shows an air bronchogram and left lower lobe consolidation.
Coxiella burnetii Pneumocystis jiroveci Legionella pneumophila Mycoplasma pneumoniae Francisella tularensis Cryptococcus neoformans Klebsiella pneumoniae Influenza virus Chlamydia psittica Staphylococcus aureus Borrelia burgdorferi Streptococcus pneumoniae Chlamydophila pneumoniae Streptococcus agalactiae
Question 2:
A 40-year-old man presents with a non-productive cough and marked exertional dyspnoea. He tells you that he used to abuse intravenous drugs. On examination he has marked oral thrush and widespread lymphadenopathy. Respiratory examination reveals scattered crackles and wheeze. His oxygen saturations are 97% at rest but drop to 87% on walking.
Klebsiella pneumoniae Cryptococcus neoformans Chlamydophila pneumoniae Streptococcus agalactiae Coxiella burnetii Francisella tularensis Pneumocystis jiroveci Staphylococcus aureus Chlamydia psittica Legionella pneumophila Influenza virus Borrelia burgdorferi Streptococcus pneumoniae Mycoplasma pneumoniae
Question 3:
A 35-year-old man presents with a one-week history of a dry cough that has now started to produce a little sputum. He is also complaining of myalgia, tiredness, headaches and has had diarrhoea for the past 2 days. On examination he has audible crackles on the right side of his chest. He has developed a rash on the backs of his hands and feet. The rash comprises multiple small circular lesions with central ‘target lesions’.
Klebsiella pneumoniae Streptococcus agalactiae Legionella pneumophila Pneumocystis jiroveci Influenza virus Coxiella burnetii Cryptococcus neoformans Borrelia burgdorferi Chlamydophila pneumoniae Francisella tularensis Chlamydia psittica Streptococcus pneumoniae Staphylococcus aureus Mycoplasma pneumoniae
Question 4:
A 36-year-old man presents with a dry cough and a fever. Today he has also had several episodes of diarrhoea and has developed bilateral pleuritic chest pain. He states that he is short of breath, most notably on exertion. He works as an air conditioning installer and smokes 15 cigarettes per day.
Chlamydia psittica Pneumocystis jiroveci Chlamydophila pneumoniae Cryptococcus neoformans Legionella pneumophila Staphylococcus aureus Mycoplasma pneumoniae Borrelia burgdorferi Streptococcus pneumoniae Streptococcus agalactiae Klebsiella pneumoniae Francisella tularensis Coxiella burnetii Influenza virus
Question 5:
A 40-year-old man presents with a flu-like illness that has been worsening for the past two and a half weeks. He has been unable to return to work at his job at the local slaughterhouse because of this illness. He has high fevers, severe headache and myalgia. He has now also developed a dry cough and diarrhoea. On examination he has no chest signs of note but you can palpate a liver edge 4 cm below the costal margin. His transaminases are elevated but he is not jaundiced.
Legionella pneumophila Staphylococcus aureus Francisella tularensis Coxiella burnetii Klebsiella pneumoniae Chlamydophila pneumoniae Borrelia burgdorferi Streptococcus pneumoniae Streptococcus agalactiae Influenza virus Pneumocystis jiroveci Cryptococcus neoformans Mycoplasma pneumoniae Chlamydia psittica