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+--- Thread: Inf Disease 2 - sg2008 (/showthread.php?tid=372616)
Inf Disease 2 - sg2008 - ArchivalUser - 12-26-2008
A 27 yr old male is found to be HIV positive. He is asymptomatic. His physical exam is unremarkable.
Lab tests show
CD4 count is 400/microL
VDRL negative
PPD is 6mm
Toxoplasma serology negative
Viral load 9000 copies/ml
X ray chest is negative. What is the most appropriate next step in management?
A. Reassurance and repeat testing after 2 monthss.
B. Rifampicin for 9 months.
C. Isoniazid and pyridoxine for 9 months.
D. Rifampicin, Isoniazid and Pyrazinamide and Ethambutol for 2mths followed by Isoniazid and Rifampicin for 4 mths.
E. Rifampicin, Isoniazid and Pyrazinamide for 6 months
0 - ArchivalUser - 12-26-2008
CC?
0 - ArchivalUser - 12-26-2008
CCC,
0 - ArchivalUser - 12-26-2008
CCC
0 - ArchivalUser - 12-26-2008
cccc
0 - ArchivalUser - 12-26-2008
HIV PT POSITIVE PPD IF
0 - ArchivalUser - 12-26-2008
Do u want to try tik26 ? I want to post the ans.
0 - ArchivalUser - 12-26-2008
C.
HIV +ve and PPD more than 5mm means go for INH+pyridoxine for 9 months!!!!!
0 - ArchivalUser - 12-26-2008
Yes C is the correct ans as explained by usmle2931.