A 72-year-old woman has fever, confusion, dysuria, blood pressure 84/48 mm Hg, lactate 4.2 mmol/L, and leukocytosis. Urinalysis suggests infection.

Question

A 72-year-old woman has fever, confusion, dysuria, blood pressure 84/48 mm Hg, lactate 4.2 mmol/L, and leukocytosis. Urinalysis suggests infection. Oxygen saturation is 96%. Which of the following is the most appropriate next step in management?

Accepted Answer

Give IV crystalloid and broad-spectrum antibiotics promptly

Answer

Administer beta blocker for hypotension

Answer

Wait for blood cultures before any treatment

Answer

Prescribe oral nitrofurantoin and discharge

Answer

Give diuretics for shock

Sepsis — USMLE Step 3 MCQ

A 72-year-old woman has fever, confusion, dysuria, blood pressure 84/48 mm Hg, lactate 4.2 mmol/L, and leukocytosis. Urinalysis suggests infection. Oxygen saturation is 96%. Which of the following is the most appropriate next step in management?