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
A 33-year-old HIV-positive male is seen in clinic for follow-up care. When asked if he has been adhering to his HIV medications, the patient exclaims that he has been depressed, thus causing him to not take his medication for six months. His CD4+ count is now 33 cells/mm3. What medication(s) should he take in addition to his anti-retroviral therapy?
AAzithromycin and fluconazole
BAzithromycin, dapsone, and fluconazole
CDapsone
DFluconazole
EAzithromycin and trimethoprim-sulfamethoxazole
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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