A 35-year-old man is admitted to the hospital and has been confirmed to have pneumococcal pneumonia. What test would it be wise to order at this time?
a. Bronchial biopsy
b. CBC and electrolytes
c. HIV
d. Sputum culture and sensitivity
ANS: C
Because pneumococcal and H. influenzae pneumonia occur with higher frequency in patients with HIV than they do in the average population, an HIV test is recommended for patients with community-acquired pneumonia who are between the ages of 15 and 54 years. HIV testing is also recommended for other individuals who engage in behaviors that put them at risk for HIV.
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