The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

216

A 79 years old man presents to Accident and Emergency with a 5 days history of productive cough and breathlessness. Past medical history: nil of note. Drug history: nil, NKDA Observations: temp 39.2, HR 110bpm, BP89/56, oxygen sats 91% on air and RR32/min. There are crepitations and dullness on percussion of the left lung base. A chest X ray confirms consolidation in the left lower lobe. How will you manage this patient?

Please select one of the following:

Discharge with amoxicillin 500mg TDS
Discharge with clarithromycin 500mg BD
Admit and give amoxicillin 500mg TDS with clarithromycin 500mg BD intravenously
Admit and give co-amoxiclav 625mg TDS with clarithromycin 500mg BD orally
Admit and give co-amoxiclav 625mg TDS with clarithromycin 500mg BD intravenously

Question By Dr Ley Taing Chan MBBS, BA.