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Community-Acquired Pneumonia — RACP Adult Medicine MCQ

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EasyRespiratoryCommunity-Acquired PneumoniaRACP Adult Medicine

A 70-year-old woman with COPD presents with progressive dyspnoea over 3 days. She is febrile (38.5°C) with right basal crackles and dullness to percussion. CXR shows right lower lobe consolidation with an air bronchogram. What is the most likely diagnosis?

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Correct answer: B — Community-acquired pneumonia

Fever, productive cough, focal crackles, dullness to percussion, and CXR consolidation with air bronchograms is the classic presentation of community-acquired pneumonia. In COPD patients, the most common organisms include S. pneumoniae and H. influenzae. eTG recommends amoxicillin plus doxycycline for moderate-severity CAP.

Reference: eTG Antibiotic – 2025 – Community-Acquired Pneumonia