A 74-year-old man with confusion, fever and productive cough is diagnosed with community-acquired pneumonia. His CURB-65 score is 3 (confusion, urea ...

Question

A 74-year-old man with confusion, fever and productive cough is diagnosed with community-acquired pneumonia. His CURB-65 score is 3 (confusion, urea >7 mmol/L, respiratory rate 32/min). According to severity assessment, what is the most appropriate site of care?

Accepted Answer

Admit to ICU or high-dependency unit for close monitoring

Answer

Discharge with oral antibiotics and close GP follow-up

Answer

Admit to a general medical ward

Answer

Treat in an outpatient infusion clinic

Answer

Observation in emergency department then discharge if improved

ca-mccqe1 MCQ (SBA): Community-acquired pneumonia severity and disposition

A 74-year-old man with confusion, fever and productive cough is diagnosed with community-acquired pneumonia. His CURB-65 score is 3 (confusion, urea >7 mmol/L, respiratory rate 32/min). According to severity assessment, what is the most appropriate site of care?