A 43-year-old otherwise healthy man has fever, cough, and right lower-lobe infiltrate on chest radiograph. Blood pressure is 122/74 mm Hg,

Question

A 43-year-old otherwise healthy man has fever, cough, and right lower-lobe infiltrate on chest radiograph. Blood pressure is 122/74 mm Hg, respiratory rate is 18/min, oxygen saturation is 97%, and he tolerates oral intake. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat as an outpatient with appropriate oral antibiotic therapy

Answer

Treat with antiviral therapy alone

Answer

Order bronchoscopy before treatment

Answer

Admit to ICU for mechanical ventilation

Answer

Delay antibiotics until cough persists 1 month

Community-acquired pneumonia outpatient — USMLE Step 3 MCQ

A 43-year-old otherwise healthy man has fever, cough, and right lower-lobe infiltrate on chest radiograph. Blood pressure is 122/74 mm Hg, respiratory rate is 18/min, oxygen saturation is 97%, and he tolerates oral intake. Which of the following is the most appropriate next step in management?