Rosh Emergency Medicine Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which antibiotic is often first-line for treating community-acquired pneumonia?

Amoxicillin

Ciprofloxacin

Azithromycin

Azithromycin is often considered a first-line treatment option for community-acquired pneumonia due to its effectiveness against common pathogens that cause this condition, particularly atypical bacteria, such as Mycoplasma pneumoniae and Chlamydophila pneumoniae. It is a macrolide antibiotic that not only provides broad-spectrum coverage but also comes with a favorable dosing schedule and tolerability profile.

In outpatient settings, azithromycin is frequently recommended, especially for those patients who have no significant comorbidities or who do not require hospitalization. Its efficacy in treating various strains and its ability to penetrate lung tissues make it a preferred choice, particularly in younger patients without complex health issues.

Other antibiotics listed may be effective in certain situations; however, azithromycin’s specific activity against atypical pneumonia pathogens and its preferred status in guideline recommendations for community-acquired pneumonia contribute to its designation as a first-line agent.

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Doxycycline

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