Reválida Médica UBA Practice Questions - Examen General De Competencias Profesionales Para Reválida De Título Médico Extranjero (Universidad De Buenos Aires) Exam

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A 72-year-old female presents to the emergency department with a 3-day history of productive cough with rust-colored sputum, right pleuritic chest pain, and progressive dyspnea. Physical examination reveals confusion (new onset), respiratory rate of 32 breaths/min, blood pressure of 86/54 mmHg, and crackles with bronchial breath sounds over the right lower hemithorax. Laboratory testing shows blood urea nitrogen (BUN) of 28 mg/dL (urea > 7 mmol/L). According to the CURB-65 score, what is her risk stratification and appropriate setting of care?

CURB-65 score 4: Severe risk; hospital admission, preferably in an intensive care or intermediate care unit, with parenteral antibiotic therapy CURB-65 score 2: Intermediate risk; short outpatient observation or home treatment with oral levofloxacin CURB-65 score 1: Low risk; suitable for outpatient management with oral amoxicillin CURB-65 score 0: Low risk; symptomatic outpatient treatment with antitussives

Correct Answer:

CURB-65 score 4: Severe risk; hospital admission, preferably in an intensive care or intermediate care unit, with parenteral antibiotic therapy

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