A 38-year old gay man who is known to be infected with the HIV virus presents with a week of fever and tachypnea.Chest X-ray reveals bilateral alveolar infiltrates.Arterial blood gas determination reveals a PaO2 of 55 mmHg on room air.A bronchoalveolar lavage is positive for methenamine silver staining material.Which of the following statement is correct concerning the current clinical situation:

Question

TuteeHUB · Accepted Answer

NA

TuteeHUB · Answer

Transbronchial biopsy should be carried out to confirm the diagnosis

TuteeHUB · Answer

Pentamidine therapy by the aerosolized route would be appropriate if the patient has a known allergy to sulfa drugs

TuteeHUB · Answer

Trimethoprim-sulfamethoxazole and pentamidine should be administered in combination

TuteeHUB · Answer

Trimethoprim-sulfamethoxazole alone should be administered

1.	A 38-year old gay man who is known to be infected with the HIV virus presents with a week of fever and tachypnea.Chest X-ray reveals bilateral alveolar infiltrates.Arterial blood gas determination reveals a PaO2 of 55 mmHg on room air.A bronchoalveolar lavage is positive for methenamine silver staining material.Which of the following statement is correct concerning the current clinical situation:
A.	Transbronchial biopsy should be carried out to confirm the diagnosis
B.	Pentamidine therapy by the aerosolized route would be appropriate if the patient has a known allergy to sulfa drugs
C.	Trimethoprim-sulfamethoxazole and pentamidine should be administered in combination
D.	Trimethoprim-sulfamethoxazole alone should be administered
Answer» E.

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