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A 54-year-old man presents to his physician for a consultation. The patient is concerned that he may have gotten some "disease" from blood. He has read in the newspapers and seen on TV that people who get blood transfusions can get "diseases," and he received a transfusion in 1982. The patient has been a patient in this office for a few years, and his only other past medical history is hypercholesterolemia and hypertension, for which he is being treated with pravastatin and hydrochlorothiazide. Which of the following is the most appropriate screening test?
A. Hepatitis B
B. Hepatitis C
C. HIV
D. PPD skin testing
E. Rapid plasma reagin testing
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zarah can you pls give ans to some of the questions you posted already earlier thx
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C. It is generally accepted that the blood supply from 1978 to 1985 was likely to be tainted with HIV positive blood. For this reason, as well as the indolent nature of HIV infection, patients with a history of blood transfusions during these years, even if currently asymptomatic, should be screene
D.
Testing for hepatitis B (choice A) or hepatitis C (choice B) would not be incorrect, but there are no formal guidelines recommending this. The primary reason is that such diseases generally manifest in some way after a 20-year period, and the patient would not be asymptomati
C.
PPD skin testing (choice D) is reserved for health care workers, alcoholics, IV drug abusers, diabetics, and end-stage renal patients. This does not change with a history of blood transfusion.
RPR, or rapid plasma reagin testing (choice E), is used to test for syphilis. It is recommended if the patient is pregnant, has a history of sexual transmitted diseases, or is a prostitute.
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of course it has to be hep c. hiv latency tend to shorter in men and in women with no rx doesnt even last last 20yrs and still be asymptomatic. rather it is widely accepted that u most likely to get hep c from blood products than any other infection. remember, always go with the most common unless specific info is given
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it is hep. B.,
i have seen the ques. in uw.[ there explanation is that hiv is likely if it was 1987, and that if he were to have been hiv +ve, it would hav shown earlier]
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so sorry guys for the really late reply.....
the correct ans is C and oblongata's posted the explanation
