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1.A 34-year-old man with a history of HIV infection presents to his primary care physician because of a 4-day history of purulent yellowgreen sputum, shortness of breath, and chest pain that is worse with inspiration. His temperature is 38.8°C (101.8°F), blood pressure is 116/78 mm Hg, respiratory rate is 22/min, and heart rate is 88/min. Physical examination reveals decreased breath sounds and dullness to percussion in the right lower lobe. X-ray of the chest and blood cultures are obtained, and results are pending. Which of the following is most likely most likely causing the patients underlying condition A) respiratory syncytial virus B) haemophilus influenzae C) streptococcus pneumoniae D) pneumocystis jiroveci E) group B streptococcus |
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Answer» tion:1.A 34-year-old man with a history of HIVinfectionpresents to his primary care physician becauseof a 4-day history of purulent yellowgreensputum, shortness of breath, and chestpain that is worse with INSPIRATION. Histemperatureis 38.8°C (101.8°F), blood pressure is116/78 mm Hg, respiratory rate is 22/min, andheart rate is 88/min. PHYSICAL examinationrevealsdecreased breath sounds and dullness topercussion in the right lower lobe. X-ray of thechest and blood cultures are obtained, andresultsare pending. Which of the following ismost likely most likely causing the patients underlying CONDITION A) respiratory syncytial virus B) haemophilus influenzae C) streptococcus pneumoniae D) pneumocystis jiroveci E) group B streptococcus |
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