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Reported Question / Answer
Q.) 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:
1)
Transbronchial biopsy should be carried out to confirm the diagnosis
2)
Pentamidine therapy by the aerosolized route would be appropriate if the patient has a known allergy to sulfa drugs
3)
Trimethoprim-sulfamethoxazole and pentamidine should be administered in combination
4)
Trimethoprim-sulfamethoxazole alone should be administered
5)
NULL
Answer :
4
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