General Medicine

20 learning units • 100 chapter sections • 200 explained questions. Assess the patient, choose investigations and build a monitored management plan across adult medical specialties.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 06 / 20

Pneumonia & Pulmonary Tuberculosis

Assess respiratory infection severity, select meaningful samples and plan treatment, isolation and review.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which pneumonia finding signals urgent concern? A. Hypoxaemia with increasing work of breathingB. A mild cough with normal observations aloneC. A remote treated infectionD. A normal appetite by itself

Question 02. How should a pneumonia severity score be used? A. As a replacement for oxygen measurementB. To override shock automaticallyC. To determine the organism with certaintyD. Alongside clinical judgement and circumstances

Question 03. What guides initial antibiotic choice in pneumonia? A. Severity, local guidance, allergies and resistance contextB. One identical drug for all adults worldwideC. The radiograph colour aloneD. The number of coughs per minute alone

Question 04. What should persistent deterioration during pneumonia treatment prompt? A. Reassessment for complications and alternative diagnosesB. Automatic indefinite continuation unchangedC. Stopping all observationsD. Assuming the patient is exaggerating

Question 05. Which combination raises suspicion for pulmonary TB? A. One sneeze without systemic symptomsB. Prolonged cough, weight loss and night sweatsC. Isolated ankle sprainD. Brief positional vertigo alone

Question 06. What can rapid molecular TB testing contribute? A. A complete measure of all adherence barriersB. Detection of TB and selected resistance markersC. Proof that all contacts are uninfectedD. Replacement of every clinical assessment

Question 07. Which precaution is relevant to suspected infectious pulmonary TB? A. No precautions until treatment finishesB. Contact precautions alone for every settingC. Sharing an unventilated waiting room without assessmentD. Appropriate airborne infection control

Question 08. Does a normal chest radiograph exclude all TB? A. Yes, alwaysB. Only when a cough is presentC. No, extrapulmonary disease and some pulmonary presentations remain possibleD. Yes, if weight loss exists

Question 09. Why narrow antibiotics when appropriate after results return? A. To ignore the identified organismB. To guarantee zero adverse effectsC. To stop follow-upD. To target treatment and reduce unnecessary exposure

Question 10. What is essential for successful TB care beyond issuing a prescription? A. Programme linkage, adherence support and toxicity reviewB. Stopping drugs when the cough first improvesC. Treating with one leftover antibioticD. Omitting contact evaluation in all cases

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.