PANCE Exam Practice Questions: Quiz 228

A 22-year-old college student has been experiencing lowgrade fevers, worsening nonproductive cough, and fatigue for the last 7 to 8 days. Despite his symptoms he has been attending class. The patient reports no significant past medical history. Temperature 100.5F, BP 110/70, pulse 82, and respiratory rate 20 and unlabored. Lung exam is significant for rales and egophony. What is the best management option?
- A. counsel on rest and fluids and recommend an over-thecounter cough preparation
- B. initiate treatment with a macrolide antibiotic and follow-up in 48 hours
- C. obtain a sputum culture and get a complete blood count prior to any treatment
- D. place on 2 L oxygen by nasal canula and call for transport to the hospital

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