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Pneumonia referral — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsPneumonia referralGPhC CRA

A 77-year-old with COPD presents with cough, fever, new confusion and respiratory rate 28/min. His daughter asks whether to buy cough mixture. What is the most appropriate action?

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

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Correct answer: D — Refer urgently for medical assessment for possible pneumonia

Older adults with suspected pneumonia and new confusion or tachypnoea need urgent assessment. COPD increases risk of severe infection and decompensation. Pharmacy supply of cough mixture would not address the acute risk. Antibiotic selection requires clinical assessment, severity assessment and local guidance.

Reference: NICE CKS