Here is the paraphrased version of question 127 from the document, with five options and an explanation:
### Question 127:
A 35-year-old male, with no known medical history, presents with a productive cough. Upon examination, there are bilateral crackles in the lungs. Blood pressure is 120/85 mmHg, and respiratory rate is 22 breaths per minute. What is the most appropriate treatment?
A) **Oral Azithromycin**
B) **Ceftriaxone and Azithromycin**
C) **Admit for IV antibiotics**
D) **Admit to ICU**
E) **Levofloxacin**
**Correct Answer: A) Oral Azithromycin**
**Explanation:**
The patient presents with symptoms suggestive of a lower respiratory tract infection, likely community-acquired pneumonia (CAP). Given that he is hemodynamically stable with mild symptoms, outpatient management with oral Azithromycin is appropriate. Hospital admission or ICU care would be considered for patients with more severe presentations or significant comorbidities. Levofloxacin is also an option but not the first-line treatment in this scenario.