🏥 USMLE Exam Prep

A 45-year-old previously healthy man presents with fever, cough productive of purulent sputum, and pleuritic chest pain. A chest X-ray shows a lobar infiltrate. He has no significant comorbidities and has not been on antibiotics recently. Which of the following is the most appropriate empiric antibiotic regimen for this patient's community-acquired pneumonia?

A Amoxicillin
B Azithromycin
C Ceftriaxone and azithromycin
D Vancomycin and piperacillin-tazobactam

✓ Correct Answer: Option B

For an outpatient, previously healthy patient with community-acquired pneumonia, a macrolide (like azithromycin) or doxycycline is recommended as first-line empiric therapy. Ceftriaxone and azithromycin would be for inpatient or sicker patients.

💡 Why is B) the correct answer?

The correct answer to the question "A 45-year-old previously healthy man presents with fever, cough productive of purulent sputum, and pleuritic chest pain. A chest X-ray shows a lobar infiltrate. He has no significant comorbidities and has not been on antibiotics recently. Which of the following is the most appropriate empiric antibiotic regimen for this patient's community-acquired pneumonia?" is Option B: Azithromycin.

The other options — A) Amoxicillin, C) Ceftriaxone and azithromycin, D) Vancomycin and piperacillin-tazobactam — are incorrect for this USMLE Exam Prep question. As explained above: For an outpatient, previously healthy patient with community-acquired pneumonia, a macrolide (like azithromycin) or doxycycline is recommended as first-line empiric therapy. Ceftriaxone and azithromy…

📚 About This USMLE Exam Prep Practice Question

This 2-level USMLE Exam Prep question from the Step 2 CK – Clinical Knowledge topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free USMLE Exam Prep practice test or use flashcards for spaced repetition review.

Related USMLE Exam Prep Questions