MKSAP: 30-year-old woman with HIV infection
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 30-year-old woman is evaluated in follow-up after being recently diagnosed with HIV infection. She is asymptomatic. Medical history is unremarkable, and she takes no medications; she has not yet started antiretroviral therapy. She received all scheduled childhood immunizations.
On physical examination, vital signs are normal. She has shotty cervical lymphadenopathy, but the examination is otherwise unremarkable.
Laboratory studies:
Absolute CD4 cell count
461/µL
HIV viral load
44,874 copies/mL
Hepatitis A IgG antibody
Negative
Hepatitis B surface antibody
Positive
Hepatitis B surface antigen
Negative
Hepatitis C antibody
Negative
Which of the following immunizations should this patient receive today?
A. Hepatitis A vaccine
B. Hepatitis B vaccine
C. Human papillomavirus vaccine
D. Pneumococcal conjugate vaccine
E. Pneumococcal polysaccharide vaccine
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Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Infectious Disease Source Type: blogs
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