Correct!
2. Bronchoscopy with bronchoalveolar lavage and transbronchial biopsy

The value of bronchoscopy was debated. It was argued that she was elderly and frail and might not tolerate the bronchoscopy well. On the other hand, she is an immunocompromised host on corticosteroids and not likely to be in a much better condition to proceed than she was at this time. The decision was made to proceed with the bronchoscopy and she tolerated the procedure well. All the studies of the bronchoalveolar lavage fluid were negative except the cytomegalovirus (CMV) PCR which was positive.

What should be done next? (Click on the correct answer to proceed to the sixth and final page)

1. Begin foscarnet
2. Begin ganciclovir
3. Examine the bronchoalveolar lavage fluid cells and transbronchial biopsy
4. 1 and 3
5. All of the above

Home/Pulmonary