Correct!
5. Any of the above are acceptable

Depending on the clinical situation, any of the above are considered acceptable. He was anxious for a diagnosis and pleuroscopy with biopsy was performed. The results show granulomas and a positive acid-fast stain (Figure 4).

Figure 4. Histology of pleural fluid biopsy. Panel A: Low power view (H&E) showing a granuloma with central casseous necrosis (arrow). Panel B: Higher power view (H&E) showing a multinucleated giant cell (arrow). Panel C: High power view showing a single acid-fast organism (arrow).

Which of the following should be done next? (Click on the correct answer to proceed to the seventh and final page)

1. Begin 4 drug therapy while awaiting culture and sensitivity results
2. Begin corticosteroids to prevent a pleural fluid thickening with a reduction in vital capacity
3. Contact the CDC since most cases of tuberculosis in India are multi-drug resistant
4. 1 and 3
5. All of the above
   

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