PANCE Exam Practice Questions: Quiz 352

A 22-year-old male, recently incarcerated and now homeless, has received one week of clarithromycin for low-grade fever and left upper-lobe pneumonia. He has not improved on antibiotics, with persistent cough productive of purulent sputum and flecks of blood. Repeat chest x-ray suggests a small cavity in the left upper lobe. Which of the following statements is correct?
- a. The patient has anaerobic infection and needs outpatient clindamycin therapy.
- b. The patient requires sputum smear and culture for acid fast bacilli.
- c. The patient requires glove and gown contact precautions.
- d. Isoniazid prophylaxis should be started if PPD is positive.

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