Chapter·MicrobiologyHIV

HIV transmission and epidemiologyDownloads

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Sample Questions

1

A 2300-g (5-lb 1-oz) male newborn is delivered to a 29-year-old primigravid woman. The mother has HIV and received triple antiretroviral therapy during pregnancy. Her HIV viral load was 678 copies/mL 1 week prior to delivery. Labor was uncomplicated. Apgar scores are 7 and 8 at 1 and 5 minutes respectively. Physical examination of the newborn shows no abnormalities. Which of the following is the most appropriate next step in management of this infant?

AAdminister lamivudine and nevirapine

BAdminister zidovudine, lamivudine and nevirapine

CAdminister nevirapine

DAdminister zidovudine

EHIV antibody testing

2

A research group designed a study to investigate the epidemiology of syphilis in the United States. The investigators examined per capita income and rates of syphilis in New York City, Los Angeles, Chicago, and Houston. Data on city-wide syphilis rates was provided by each city's health agency. The investigators ultimately found that the number of new cases of syphilis was higher in low-income neighborhoods. This study is best described as which of the following?

ADouble-blind clinical trial

BProspective cohort study

CCase-control study

DCase series

EEcological study

3

A 27-year-old G2P1 woman is diagnosed with an HIV infection after undergoing routine prenatal blood work testing. Her estimated gestational age by first-trimester ultrasound is 12 weeks. Her CD4 count is 150 cells/mm^3 and her viral load is 126,000 copies/mL. She denies experiencing any symptoms of HIV infection. Which of the following is appropriate management of this patient's pregnancy?

AHAART

BBreastfeeding

CVaginal delivery

DHAART after delivery

EAvoidance of antibiotic prophylaxis

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