Streptococcus Pneumonia :Clinical Manifestations , Diagnosis and treatment
| A | Salmonellosis | |
| B |
E. coli |
|
| C |
Streptococcus |
|
| D |
All |
Milk borne diseases are-
| A |
Salmonellosis |
|
| B |
E. coli |
|
| C |
Streptococcus |
|
| D |
All |
Ans. is All
Uveitis is caused by
| A |
T.B. |
|
| B |
Staphylococcus |
|
| C |
Streptococcus |
|
| D |
a and c |
A i.e. TB; B i.e. Staphylococcus; C i.e. Streptococcus
Common organisms causing sinusitis:
| A |
Pseudomonas |
|
| B |
Moraxella catarrhalis |
|
| C |
Streptococcus pneumoniae |
|
| D |
Staphylococcus epidermidis |
The most common pathogens isolated from maxillary sinuscultures in patients with acute bacterial rhinosinusitis include Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.
The most common causative organism for lobar pneumonia is :
| A |
Staphylococcus aureus |
|
| B |
Streptococcus pyogenes |
|
| C |
Streptococcus pheumoniae |
|
| D |
Haemophilus influenzae |
Answer is C (Stretptococcus pneumonia):
‘Streptococcus pneumonia or pneumococcus is the most common cause of community acquired acute pneumonia –Robbins 7th/748
Lobar pneumonia refers to an acute bacterial infection that results in consolidation of a large portion of a lobe or an entire lobe. Streptococcus pneumonia produces a picture of lobar pneumonia.
| A |
H influenza |
|
| B |
Staphylococcus aureus |
|
| C |
Streptococcus pneumoniae |
|
| D |
E. Coli |
Answer is C (Streptococcus pneumoniae):
Aerobic and Anaerobic streptococci are the most common aetiological agents for subdural ernphyema.
influenzae is the most common causative organism in Children, and not in Adults.
Subdural Empyema is a collection of pus in the space between he dura and arachnoid.
In most cases a single organism is responsible, but many cultures are sterile because patients are often receiving antimicrobial therapy.
The major pathogens include
- Aerobic and anaerobic Streptococci (about 50%)
- Staph (about 12-16%)
- Aerobic gram –ye bacilli (3-10%)
- Other anaerobes (5%)
September 2005 and March 2008
| A | Staphylococcus aureus | |
| B |
Streptococcus pneumoniae |
|
| C |
H.influenza |
|
| D |
Klebsiella |
Ans. B: Streptococcus pneumoniae
Streptococcus pneumonia is the most common cause of community-acquired acute pneumonia.
Gram-negative rods (Enterobacteriaceae and Pseudomonas species) and S.aureus are the most common isolates in hospitalacquuired pneumonia; unlike community-acquired pneumonias, S.pneumoniae is not a major pathogen in hospitalacquuired pneumonia.
Haemophilus influenzae, Chlamydia pneumoniae, and Mycobacterium pneumoniae are the other common bacterial causes.
Common viral causes include respiratory syncytial virus (RSV), adenoviruses, influenza A and B viruses, metapneumovirus, and parainfluenza viruses.
September 2010
| A | Staphylococcus aureus | |
| B |
Klebsiella |
|
| C |
Streptococcus pnuemoniae |
|
| D |
Pseudomonas |
Ans. C: Streptococcus pnuemoniae
The most common organism that causes lobar pneumonia is Streptococcus pneumoniae, also called the pneumococcus. Mycobacterium tuberculosis, the tubercle bacillus, may also cause lobar pneumonia if pulmonary tuberculosis is not treated promptly
An infant with a past history of ear infection is suspected to have meningitis. Organism commonly responsible for such a presentation would be:
| A |
Haemophilus influenzae |
|
| B |
Moraxella catarrhalis |
|
| C |
Pseudomonas |
|
| D |
Streptococcus pneumoniae |
Most common organism causing acute suppurative otitis media in infants & young children are streptococcus pneumonia (30%), Haemophilus influenza (20%) and Moraxella catarrhalis (12%).
September 2009
| A |
H.Influenzae |
|
| B |
N.meningitidis |
|
| C |
Staph.aureus |
|
| D |
Streptococcus pneumoniae |
Ans. D: Streptococcus pneumoniae
N. meningitidis accounts for nearly 25% of the cases. Staph.aureus and coagulase negative staphylococci are important causes of meningitis that occurs following neurosurgical procedures.
| A |
Otits media |
|
| B |
Sore throat |
|
| C |
Meningitis |
|
| D |
Pneumonia |
Ans. is ‘a’ i.e., Otitis media
Important infections caused by streptococcus pneumoniae
The source of human infection is the respiratory tract of carriers and less often, of patients. Pneumococci occur in the throat of approximately half of the population sampled at any time.
Str. pneumoniae is the most frequent cause of pneumonia.
The commonest pneumococcal infections are otitis media and sinusitis.
Meningitis is the most serious of pneumococcal infections.
Empyema is the most common complication of pneumococcal pneumonia.

