If an HIV-infected patient has an adverse reaction to the treatment of choice for Pneumocystis jiroveci pneumonia, what treatment should be instituted?

a. Amphotericin B
b. Pentamidine
c. Trimethoprim-sulfamethoxazole
d. Vancomycin

ANS: B
Up to 50% of HIV-infected patients will develop fever or a rash while taking TMP-SMX. Pen-tamidine is an acceptable alternative.

Health Professions

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Your medical director is holding an in-service focusing on the prehospital management of adult patients with respiratory complaints. He asks the group to explain how they can determine if the patient is breathing adequately. Which one of the following responses is most appropriate?

A) "A patient is breathing adequately if the depth of breathing is shallow, but the rate is increased above normal." B) "Checking the patient's breath sounds with a stethoscope is the best way to determine if a patient's breathing is adequate." C) "For an adult patient to be breathing adequately, the rate should be within 8 to 24 breaths per minute with a full chest rise with each breath." D) "The EMT can assume breathing is adequate if the patient has an open airway and a normal respiratory rate."

Health Professions

Which of the following statements about the National Fire Protection Association® (NFPA®) is MOST accurate?

A. It pays industry experts to create standards. B. The entire draft process is closed to public comment. C. The committee is required to incorporate public comments into the final document. D. It invites volunteers with expertise in a specific field to form a committee to develop a draft.

Health Professions