WBR0008

Jump to navigation Jump to search
 
Author PageAuthor::
Exam Type ExamType::USMLE Step 2 CK
Main Category MainCategory::Internal medicine
Sub Category SubCategory::Infectious Disease
Prompt [[Prompt::A 23-year-old HIV-positive woman comes to the health center for a checkup. Her CD4 count has been decreasing over the last 5 months, although she remains asymptomatic. Her current exam is normal but her CD4 count is returned as 192 mm3. What prophylactic medication is appropriate at this time?]]
Answer A AnswerA::Isoniazid and rifampin.
Answer A Explanation AnswerAExp::
Answer B AnswerB::Penicillin G.
Answer B Explanation AnswerBExp::
Answer C AnswerC::Valacyclovir.
Answer C Explanation AnswerCExp::
Answer D AnswerD::Trimethoprim/sulfamethoxazole (Bactrim).
Answer D Explanation AnswerDExp::
Answer E AnswerE::Ketoconazole.
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::D
Explanation [[Explanation::Since this patient's CD4 count has dropped to less than 200 mm3, it's appropriate to provide prophylaxis against Pneumocystes carini with TMP/SMX.

Educational Objective:
References: ]]

Approved Approved::No
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::