#march2020mccqe1
A 50-year-old woman presents with sudden onset of chest pain, fever and a rigor. She had breast implants 15 years ago. Physical signs suggest consolidation and the chest X-ray is as illustrated. Oxygen saturation breathing room air is 86%, and pulse rate 102/min. BP 122/90mmHg and respiratory rate 24/min. Which one of the following is the preferred antibiotic or antibiotic combination?
(A) Benzylpenicillin intravenously
(B) Amoxycillin with clavulinic acid (Augmentin®)
(C) Cotrimoxazole and metronidazole
(D) Doxycycline
(E) Gentamicin with flucloxacillin
A 50-year-old woman presents with sudden onset of chest pain, fever and a rigor. She had breast implants 15 years ago. Physical signs suggest consolidation and the chest X-ray is as illustrated. Oxygen saturation breathing room air is 86%, and pulse rate 102/min. BP 122/90mmHg and respiratory rate 24/min. Which one of the following is the preferred antibiotic or antibiotic combination?
(A) Benzylpenicillin intravenously
(B) Amoxycillin with clavulinic acid (Augmentin®)
(C) Cotrimoxazole and metronidazole
(D) Doxycycline
(E) Gentamicin with flucloxacillin
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