Sulfonamides · Pharmacology

What is the drug of choice for the prevention and treatment of Pneumocystis jirovecii pneumonia (PCP) in immunocompromised patients?

  1. Clindamycin plus primaquine
  2. Sulfadiazine plus pyrimethamine
  3. Sulfamethoxazole-Trimethoprim
  4. Atovaquone
Show answer and explanation

Correct answer: Sulfamethoxazole-Trimethoprim

TMP-SMX is the drug of choice for Pneumocystis jirovecii pneumonia, used both for acute treatment and for long-term prophylaxis in HIV/AIDS and other immunosuppressed patients. Clindamycin plus primaquine and atovaquone are alternatives reserved for patients who cannot tolerate it.

Difficulty: Medium Question 17 of 20

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