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Pneumonia — UKMLA MCQ

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HardRespiratory medicinePneumoniaUKMLAMRCGP AKTMRCP Part 1

A patient assessed in the community has a CRB65 score of 2. What disposition should be considered?

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Correct answer: EArrange hospital assessment for a CRB65 score of two

The best answer is “Arrange hospital assessment for a CRB65 score of two”. A community CRB65 score of 2 indicates increased risk and supports hospital referral, while clinical judgement, oxygen saturation, comorbidity and social support refine urgency. CURB65 uses urea and is generally calculated in hospital. Antibiotic choice should follow severity and allergy but must not distract from appropriate site-of-care assessment.

Reference: NICE NG250: Pneumonia — diagnosis and management: https://www.nice.org.uk/guidance/ng250/chapter/Recommendations