Community-Acquired Pneumonia-Severity — USMLE Step 2 CK MCQ
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Correct answer: B — Septic shock requiring vasopressors
Major criteria for severe community-acquired pneumonia requiring ICU admission include the need for mechanical ventilation or septic shock requiring vasopressors. The other findings listed are considered minor criteria or are not sufficient on their own to indicate severe disease.
Reference: ATS/IDSA Guideline (2019): Community-Acquired Pneumonia in Adults