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Category: Sample questions
Question: 27

 
 
A young male returned from a holiday in Turkey with cough productive of dark brown sputum and breathlessness. He was usually fit and active and rarely needed to consult a doctor. He did not smoke or abuse alcohol usually but drank between 5-10 units of alcohol per day for a week whilst on holiday. He denied use of illicit drugs.
 
On examination there was evidence of herpes labialis. The heart rate measured 90 beats per minute. The blood pressure measured 110/70 mm Hg and the respiratory rate was 24 per minute. The right anterior chest was dull to percussion. The oxygen saturation on air was 92%.
 
Investigations were as follows:
haemoglobin 14.2 g/dL                     
white cell count 9.4  x 109/L    
platelets 190 x 109/L    
mean corpuscular volume 88 fL    
sodium 136 mmol/L    
potassium 4.0 mmol/L    
urea 5.0 mmol/L    
creatinine 78 μmol/L    
serum aspartate transaminase 22 U/L    
serum alanine aminotransferase 26 U/L    
serum albumin 36 g/L    
chest x-ray right upper lobe consolidation    

 
What is the drug of choice for treating his pneumonia?
 
A: clarithromycin
B: tetracycline
C: amoxicillin
D: ciprofloxacin
E: metronidazole
 
 
 

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