A 20-year-old man with sickle cell disease develops pleuritic chest pain, fever and hypoxia. Chest X-ray shows new infiltrates. What is the first-line...

Question

A 20-year-old man with sickle cell disease develops pleuritic chest pain, fever and hypoxia. Chest X-ray shows new infiltrates. What is the first-line management step?

Accepted Answer

Broad-spectrum IV antibiotics and oxygen

Answer

High-dose corticosteroids

Answer

Exchange transfusion

Answer

Nebulised beta-agonists

Answer

Hydroxycarbamide escalation

mrcp part 1 MCQ (SBA): Acute Chest Syndrome

A 20-year-old man with sickle cell disease develops pleuritic chest pain, fever and hypoxia. Chest X-ray shows new infiltrates. What is the first-line management step?