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|MainCategory=Neurology
|MainCategory=Neurology
|SubCategory=Microbiology
|SubCategory=Microbiology
|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?  
|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?
|AnswerA=Isoniazid and rifampin.
|AnswerB=Penicillin G.
|AnswerC=Valacyclovir.
|AnswerD=Trimethoprim/sulfamethoxazole (Bactrim).
|AnswerE=Ketoconazole.
|RightAnswer=D
|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.
|Answer=Isoniazid and rifampin.,Penicillin G.,Valacyclovir.,Ketoconazole.
|Answer=Isoniazid and rifampin.,Penicillin G.,Valacyclovir.,Ketoconazole.
|RightAnswer=Trimethoprim/sulfamethoxazole (Bactrim).
|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.
}}
}}

Revision as of 16:55, 22 October 2012

 
Author PageAuthor::
Exam Type ExamType::
Main Category MainCategory::Neurology
Sub Category SubCategory::Microbiology
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.

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