A 72-year-old woman presents with fever, productive cough and pleuritic chest pain. Her chest X-ray shows right lower lobe consolidation. Her CURB-65 ...

Question

A 72-year-old woman presents with fever, productive cough and pleuritic chest pain. Her chest X-ray shows right lower lobe consolidation. Her CURB-65 score is 3. What is the most appropriate management setting and initial antibiotic strategy?

Accepted Answer

Admit to hospital and start intravenous dual therapy (e.g. Amoxicillin plus a macrolide)

Answer

Treat as low-severity pneumonia with oral Amoxicillin at home

Answer

Admit to intensive care and start broad-spectrum intravenous carbapenem

Answer

Discharge with oral Doxycycline and safety-netting

Answer

Give a single dose of oral Azithromycin and review in 1 week

uk-plab-1 MCQ (SBA): Community-acquired pneumonia – CURB-65-based management

A 72-year-old woman presents with fever, productive cough and pleuritic chest pain. Her chest X-ray shows right lower lobe consolidation. Her CURB-65 score is 3. What is the most appropriate management setting and initial antibiotic strategy?