ERES Bonaerense Medicina Practice Questions - Buenos Aires Province Health Residencies Examination (Examen De Residencias Del Sistema De Salud Bonaerense - ERES Medicina) Exam

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A 70-year-old woman is brought to the emergency department with a 3-day history of productive cough with rust-colored sputum, right-sided pleuritic chest pain, and high fever (38.8°C). Physical examination reveals confusion (disoriented to time and place), respiratory rate of 34 breaths/min, blood pressure of 85/55 mmHg, and heart rate of 105 bpm. Chest radiography confirms right lower lobe consolidation. Laboratory testing reveals blood urea nitrogen (BUN) of 28 mg/dL (urea 60 mg/dL). What is her CURB-65 score and the recommended site of care?
Correct Answer:
CURB-65 score of 5; requires urgent hospital admission with consideration for intensive care unit (ICU) monitoring

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