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Moderate CAP Ward — RACP Adult Medicine MCQ

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EasyRespiratoryModerate CAP WardRACP Adult Medicine

A 50-year-old man presents with CAP and CURB-65 score of 2. He is haemodynamically stable. SpO₂ 93% on room air. He has no comorbidities requiring ICU. What is the most appropriate management setting?

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Correct answer: B — Ward admission with IV antibiotics

CURB-65 score 2 is moderate-risk CAP. Guidelines recommend: consider short hospital admission or closely supervised outpatient management. In practice, most patients with score 2 are admitted for IV antibiotics and monitoring. IV amoxicillin plus oral doxycycline is a common regimen for moderate CAP. Switch to oral when clinically improving, apyrexial for 24 hours, and tolerating oral intake.

Reference: eTG Antibiotic – 2025 – CAP; BTS 2024 CAP