NMS Q&A Family Medicine

Acquired Infectious Diseases in Primary Care 185(C) AIDS dementia complex(D) Multiple infarctions of the brain(E) Alzheimer disease13 In the measurement of viral loads as they apply todiagnosis and follow-up of HIV infection, each of thefollowing is correct and relevant, except for whichstatement?(A) The test is a measure of active and proliferatingHIV virus copies.(B) The measurements correlate with diseaseprogression.(C) The measurements correlate inversely withresponse to antiretroviral drug treatment.(D) The test may become positive before seroconversionof an exposed victim.(E) A test of viral load before treatment thatindicates any number of copies present is theequivalent of a positive HIV serological testconfirmed by Western blot.14 You are considering starting ART in a 30-year-oldmale patient who is positive for HIV. Which of thefollowing would warrant initiating such treatment?(A) Any patient with symptoms(B) Seropositive patient with CD4 counts rapidlydropping(C) Patients with viral load 100,000/mcL(D) Seropositive asymptomatic patient with CD4count 1000/mcL and convalescent hepatitis A(E) Seropositive patients with risk factors for heartdisease or cancer15 A 25-year-old man who is a trash collector laborer ina run-down neighborhood grasps a plastic bag and isimmediately stuck with 5 injection needles attachedto syringes. The patient has no history of hepatitis Bor other hepatitides nor is he a drug abuser nor has ahistory of HIV disease. Which of the following is therecommended course of treatment?(A) Draw baseline serologic studies for hepatitides Band C and HIV.(B) Draw baseline serologic studies for hepatitides Band C and HIV and repeat at 6 weeks, 12 weeks,and 6 months.(C) Draw baseline serologic studies for hepatitides Band C and HIV; then institute a 4-week courseof Combivir and repeat the serologic studies at6 weeks, 12 weeks, and 6 months.(D) Draw baseline serologic studies for hepatitides Band C and HIV; then institute a 4-week courseof Combivir.(E) Reassure that the risks of HIV disease andhepatitis are minimal.