For which of the following patients would you recommend prophylaxis against mycobacterium avium-intracellulare?
A30-year old HIV positive male with CD4 count of 20 cells/microliter and a viral load of < 50 copies/mL
B22-year old HIV positive female with CD4 count of 750 cells/microliter and a viral load of 500,000 copies/mL
C45-year old HIV positive female with CD4 count of 250 cells/microliter and a viral load of 100,000 copies/mL
D50-year old HIV positive female with CD4 count of 150 cells/microliter and a viral load of < 50 copies/mL
E36-year old HIV positive male with CD4 count of 75 cells/microliter and an undetectable viral load
A 65-year-old man presents to his primary care physician for a rash. He states that for the past several days he has felt burning and itching around his eye. Yesterday, he noticed that a rash had formed. Review of systems is notable for mild diarrhea for the past week. The patient has a past medical history of diabetes, asthma, seasonal allergies, and hypertension. He is not currently taking any medications. Physical exam is notable for a vesicular rash surrounding the orbit. Which of the following is the best next step in management?
AAcyclovir
BRemoval of gluten containing products from the diet
CTopical steroids
DTopical mupirocin
EOral steroids
A thymidine kinase-deficient varicella-zoster virus strain has been isolated at a retirement home. Many of the elderly had been infected with this strain and are experiencing shingles. Which of the following would be the best antiviral agent to treat this population?
AFamciclovir
BGanciclovir
CCidofovir
DAmantadine
EAcyclovir
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