Free HIV infection board review questions sample from Med-Challenger.
Med-Challenger offers HIV infection review along with everything else for diagnosing and treating all types of infectious disease with in-depth review questions with detailed explanations. More free infectious disease review questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:
This week’s case-based question:
A 27-year-old refugee from Sudan is admitted to the hospital with 4 weeks of cough with productive sputum, daily nocturnal fever and sweats, an unintentional weight loss of 10 pounds, and severe malaise. On admission, he is placed on airborne precautions.
Chest x-ray is obtained (see Figure).
Acid-fast bacteria (AFB) stain in sputum is negative, but the AFB culture is positive. An HIV test is positive and his CD4+ cell count is 25 cells/µL. His HIV viral load is pending. His liver enzymes are within normal limits.
Which of the following statements is correct regarding this patient’s treatment?
Antiretroviral therapy (ART) should be started within 2 weeks after antituberculosis treatment is started.
Antituberculosis therapy should be started 2-4 weeks after ART is begun for HIV infection.
Co-treatment of HIV and tuberculosis is recommended.
If immune reconstitution inflammatory syndrome (IRIS) develops during antiretroviral (ART) and antituberculosis therapy, treatment should be stopped.
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