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Antibiotic stewardship — ABFM Board MCQ

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HardEthics, professionalism, practice managementAntibiotic stewardshipABFM Board

A 49-year-old woman asks for antibiotics for viral bronchitis because she is traveling tomorrow. She is afebrile, oxygen saturation is 98%, lung examination is clear, and she has no COPD. Which of the following is the most appropriate next step?

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

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Correct answer: B — Explain expected course, symptomatic care, and why antibiotics are not indicated

Acute uncomplicated bronchitis is usually viral and does not benefit from antibiotics in patients without pneumonia or COPD exacerbation features. Clear explanation and symptomatic care support antimicrobial stewardship.

Reference: CDC Outpatient Antibiotic Prescribing Guidance