A 72-year-old woman presents with fever, productive cough, confusion, and pleuritic chest pain. Observations: RR 32/min, BP 88/56 mmHg, urea 10 mmol/L...

Question

A 72-year-old woman presents with fever, productive cough, confusion, and pleuritic chest pain. Observations: RR 32/min, BP 88/56 mmHg, urea 10 mmol/L, age >65 years. Her CURB-65 score is 4. What is the most appropriate site of care?

Accepted Answer

Intensive care or high-dependency unit admission

Answer

Manage at home with oral antibiotics and safety-netting

Answer

Treat in a hospital ward with oral antibiotics

Answer

Treat in a hospital ward with IV antibiotics

Answer

Discharge with delayed antibiotic prescription

uk-plab-1 MCQ (SBA): Severe community-acquired pneumonia

A 72-year-old woman presents with fever, productive cough, confusion, and pleuritic chest pain. Observations: RR 32/min, BP 88/56 mmHg, urea 10 mmol/L, age >65 years. Her CURB-65 score is 4. What is the most appropriate site of care?