WBR0008
| 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: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |