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Case 1: Prophylaxis for Pneumocystis Pneumonia

You answered:

D The patient should receive Pneumocystis pneumonia prophylaxis, but first should undergo bronchoscopy to rule out active Pneumocystis pneumonia prior to receiving prophylaxis.

This answer is incorrect. This patient does have indications to receive Pneumocystis pneumonia prophylaxis, but, in this patient who does not have any active pulmonary symptoms, it is not necessary or appropriate to perform bronchoscopy to rule out Pneumocystis pneumonia prior to initiating prophylaxis.

Choose another answer:

A This patient should receive Pneumocystis pneumonia prophylaxis, but prior to initiating prophylaxis, a sputum sample should be sent to perform Pneumocystis jiroveci resistance testing.
B The patient does not need Pneumocystis pneumonia prophylaxis; he should start prophylaxis if his CD4 count decreases to less than 200 cells/mm3.
C The patient should start on Pneumocystis pneumonia prophylaxis using trimethoprim-sulfamethoxazole at a dose of one double strength tablet per day.

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