3 Days Of High-grade in Medicine / Internal Medicine — 40yo Man | Respiratory / Pulmonology | SMLE Q#11802

SMLE Question #11802

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 40-year-old man with no significant past medical history presents with 3 days of high-grade fever, productive cough with yellow sputum, and pleuritic right-sided chest pain. Lung examination shows bronchial breath sounds and inspiratory crackles over the right lower lung field. Chest X-ray shows right lower lobe consolidation. His CURB-65 score is 0. What is the most appropriate initial management for this patient?

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