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Paediatric pneumonia — MCCQE Part 1 MCQ

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EasyCoughPaediatric pneumoniaMCCQE Part 1

A 4-year-old child has fever, cough, tachypnoea and focal crackles. Oxygen saturation is 95% and the child is drinking adequately. Which of the following is the most appropriate outpatient treatment if bacterial pneumonia is suspected?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Oral amoxicillin

In an immunized child with suspected uncomplicated bacterial community-acquired pneumonia, oral amoxicillin is commonly first-line because pneumococcus remains important. Broad agents such as vancomycin are reserved for severe or resistant concerns. Follow-up and safety-netting are important if respiratory distress or hydration worsens.

Reference: Canadian Paediatric Society pneumonia guidance; AMMI Canada antimicrobial stewardship