Chronic suppurative lung disease

Question	Answer
1. TRUE/FALSE? a) Cystic fibrosis (CF) may present initially as recurrent viral lower respiratory tract infections.	True. Cystic fibrosis may present as recurrent lower respiratory tract infections in early childhood. Always consider this possibility even if the child has had a normal newborn screen.
1. TRUE/FALSE? b) Finger clubbing is a late manifestation of cystic fibrosis.	False. Finger clubbing occurs early in cystic fibrosis. Always suspect CF in any child with chronic/recurrent cough and investigate.
1. TRUE/FALSE? c) Children with cystic fibrosis should not be given antibiotics for “mild” cough.	False. Any child with CF who develops a cough needs early antibiotics and immediate referral to their treating specialist/unit. They will need to have sputum samples collected and sent for culture, a thorough review for chest signs and appropriate antibiotics commenced on an urgent basis.
1. TRUE/FALSE? d) Children with cystic fibrosis are predisposed to infections by Staphylococcus aureus, Pseudomonas aeruginosa and Haemophilus influenzae.	True. These children are commenced on prophylactic flucloxacillin early in infancy.

Resource summary

	Created by Averil Tam over 5 years ago