The previous question:

A 67 year old male presents with a cough productive of green sputum. He is generally unwell and feverish. On
examination his RR is 22 and there is crackles at the left lower base and dullness to percussion. He has a
temperature of 39.2. His heart rate is 100 and his blood pressure is 105/75. Bloods reveal a CRP of 250 and a urea
of 9.2 mmol/l and creatinine of 110 mmol/l. A CXR reveals left lower lobe consolidation. Which of the following in this
case is a poor prognostic feature?
Your answer was Urea of 9.2 mmol/L which is correct
Urea of 9.2 mmol/L correct answer
Systolic BP 105
CRP 250
RR 22
Consolidation on CXR
Explanation:
According to the CURB-65 score utilised in the BTS guidelines for guiding prognosis, a poor prognosis is
indicated by confusion, urea >7.0 mmol/l, RR of >30 and a BP <90 mmHg systolic or <60 mmHg diastolic.
Question category: Respiratory
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A 34 year old female who works in a pet shop presents with a few days
history of fever, chills, unproductive cough and shortness of breath. She is
also complaining of a sore throat, nose bleeds and severe headache. She is
also photophobic. On examination there is a few bibasal crackles. There is
evidence of splenomegaly. You notice a few salmon coloured, blanching,
papules on her cheeks. Which of the following is the most likely diagnosis?
Q Fever
Acute form of Extrinsic Allergic Alveolitis
Chronic form of Extrinsic Allergic Alveolitis
Legionella
Psittacosis
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