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Chest infections – Adult (ALL)
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1. What is the most common cause of acute chest infection in adults?
*
Bacterial infection
Viral infection
Fungal infection
Parasitic infection
2. Which of the following is NOT a typical symptom of chest infection?
*
Cough
Chest pain
Dyspnoea
Haemoptysis
3. Which organism is a common cause of bacterial pneumonia in adults?
*
Escherichia coli
Staphylococcus epidermidis
Streptococcus pneumoniae
Haemophilus influenzae
4. What is the CURB-65 score used for?
*
Assessing asthma severity
Diagnosing tuberculosis
Assessing severity of pneumonia
Identifying cause of infection
5. Which symptom is most concerning for pneumonia rather than viral bronchitis?
*
Dry cough
Fever >38°C
Mild fatigue
Sore throat
6. What is the first-line antibiotic for suspected community-acquired pneumonia in adults with no comorbidities?
*
Amoxicillin
Metronidazole
Trimethoprim
Ciprofloxacin
7. How long should antibiotics typically be prescribed for uncomplicated pneumonia?
*
2 days
5 days
10 days
14 days
8. Which clinical sign would warrant hospital admission for a chest infection?
*
RR > 30 with confusion
Mild wheeze
Green sputum
Productive cough for 7 days despite antibiotics
9. Which investigation is usually not required for uncomplicated acute bronchitis in primary care?
*
Sputum culture
Pulse oximetry
Chest X-ray
CRP
10. Which symptom is common to both viral bronchitis and pneumonia?
*
Severe chest pain
Night sweats
Productive Cough
Haemoptysis
11. In a smoker with frequent chest infections, what condition should be considered?
*
Bronchiectasis
Tuberculosis
Asthma
Lung cancer
12. Which advice should be given to a patient recovering from a chest infection?
*
Avoid all exercise
Take NSAIDs long-term
Increase hydration and avoid smoking
Only rest in bed for two weeks
13. When is it appropriate to prescribe antibiotics for acute bronchitis?
*
Always
Only if symptoms last more than 24 hours
If patient is systemically unwell or high risk
Never
14. Which factor increases the likelihood of antibiotic prescription in chest infections?
*
Patient anxiety
Green sputum
Sore throat
History of COPD
15. What feature suggests a viral rather than bacterial chest infection?
*
Rapid onset, dry cough, systemic symptoms
High fever and chest pain
Purulent sputum
Unilateral crepitations
16. What is the usual method for diagnosing chest infection in primary care?
*
Blood culture
Clinical assessment
Chest CT scan
Bronchoscopy
17.What is a potential complication of untreated pneumonia?
*
Otitis externa
Empyema
Myocardial Infarction
Urinary retention
18. How can smoking affect the course of a chest infection?
*
No impact
Improves mucus clearance
Prevents fever
Increases risk of complications
19. What is the role of CRP testing in suspected chest infection?
*
To identify exact bacteria
To assess asthma
To detect lung cancer
To guide antibiotic need
20. Which patient group may present atypically with chest infection (e.g., confusion rather than cough)?
*
Children under 5
Pregnant women
Elderly
Athletes