A 39-year-old woman has fever, cough, pleuritic pain, and right lower-lobe crackles. Chest x-ray shows a focal infiltrate. She is otherwise healthy,

Question

A 39-year-old woman has fever, cough, pleuritic pain, and right lower-lobe crackles. Chest x-ray shows a focal infiltrate. She is otherwise healthy, not hypoxemic, and has no recent antibiotic use. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat as an outpatient with amoxicillin

Answer

Admit to ICU for vasopressors

Answer

Withhold antibiotics until sputum culture returns

Answer

Use vancomycin and piperacillin-tazobactam

Answer

Prescribe oseltamivir alone

Community-acquired pneumonia — USMLE Step 3 MCQ

A 39-year-old woman has fever, cough, pleuritic pain, and right lower-lobe crackles. Chest x-ray shows a focal infiltrate. She is otherwise healthy, not hypoxemic, and has no recent antibiotic use. Which of the following is the most appropriate next step in management?