
Continuous Class Test Surgery and Microbiology 19 Dec 2024
Quiz by Abhijit
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A 34-year-old woman presents to the clinic after recently being diagnosed with human immunodeficiency virus (HIV) following a routine screening test.
She reports feeling well and denies fever, weight loss, night sweats, or gastrointestinal issues. She had genital herpes in past. She has had multiple sexual partners in the past, with inconsistent condom use. She has no history of intravenous substance use.Â
Temperature is 37°C (98.6°F), pulse is 80/min, respiratory rate is 18/min, blood pressure is 132/84 mmHg, and oxygen saturation is 99% on room air. Physical examination is unremarkable.Â
Laboratory results are reviewed and confirm the diagnosis of HIV infection with antibodies to HIV-1 detected on an HIV-1/HIV-2 antibody differentiation immunoassay. CD4 count is 500 cells/µL. Viral load is pending. Hepatitis B and C and pregnancy testing is negative.Â
What is the best next step in management?
A 28-year-old woman presents to the primary care clinic for a routine check-up. She reports feeling well and has no concerns. The patient is sexually active with one partner and uses condoms regularly. She does not have fever, fatigue, weight loss, night sweats, vaginal discharge, or gastrointestinal issues.
Her past medical history is unremarkable, and she has no known chronic illnesses. For the last three months, the patient has been using intravenous opiates. Vitals are within normal limits. There is no pharyngeal erythema, oral lesions or cervical lymphadenopathy.
 Cardiopulmonary examination is within normal limits. No rashes are seen on the skin.Â
Which of the following is the best next step in management?
A patient presents to a local clinic complaining of unilateral weakness on the right side and diplopia. He has a history of AIDS, with a recent CD4+ T cell count of 52 cells/microL. MRI of the head shows multifocal white matter lesions. Â Cerebrospinal fluid PCR is positive for a non-enveloped, double-stranded DNA virus.
Which of the following is the most likely cause of this patient’s presentation?
