WBR0709

Author	[[PageAuthor::Mohamed Moubarak, M.D. [1]]]
Exam Type	ExamType::USMLE Step 3
Main Category	MainCategory::Primary Care Office
Sub Category	SubCategory::Infectious Disease
Prompt	[[Prompt::27 years old female comes to your office complaining of low grade fever, malaise, and dry cough, recurrent itchy rash over her face and axilla, and loss of 20 pound over the past 3 weeks. She admits that she has been under a lot of stress recently, as she was working in two jobs at one time to support herself. Which of the following should be obtained in details to help reach a diagnosis?]]
Answer A	AnswerA::Family history
Answer A Explanation	[[AnswerAExp::Incorrect Family history is not important as sexual history in suspected cases of HIV infection]]
Answer B	AnswerB::Occupational history
Answer B Explanation	[[AnswerBExp::Incorrect Occupational history will not help in diagnosis of HIV]]
Answer C	AnswerC::Sexual history
Answer C Explanation	[[AnswerCExp::Correct Detailed sexual history should be obtained in all young patient complain of vague symptoms and loss of weight]]
Answer D	AnswerD::None of the above
Answer D Explanation	[[AnswerDExp::Incorrect Sexual history should be obtained in HIV suspected cases]]
Answer E	AnswerE::All of the above
Answer E Explanation	[[AnswerEExp::Incorrect In HIV suspected cases, Detailed sexual history should be obtained in all young patient complain of vague symptoms and loss of weight]]
Right Answer	RightAnswer::C
Explanation	[[Explanation::HIV infection suspicion should be high in any young patient with non specific symptoms, and unintentional l loss of weight. New onset seborrheic dermatitis is commonly seen in HIV infected patients. The patient should be screened for HIV infection risk factors, which include detailed sexually history and any IV drugs use. Educational Objective: References: ]]
Approved	Approved::No
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