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,A heavy smoker is in the ER complaining of generalized
fatigue. He claims that he is always out of breath and has no
more energy. His only medications are bronchodilators, which
he rarely uses. Auscultation reveals enhanced resonance of
voice sounds in his left chest. What is the most likely cause of
this physical finding?
A. Asthma
B. Pneumonia
C. Emphysema
D. Pneumothorax - Answer: B. Pneumonia
A 35-year old primigravida comes to an antenatal clinic for her
first obstetric visit. Her LMP was five weeks ago. She has a
known case of HIV diagnosed 6 years ago and is adherent to
her triple drug ART regimen with an undetectable viral load.
At 35 weeks her viral load is still undetectable and she gives
birth via normal vaginal delivery at 39 weeks. At discharge
ART regimens for the mother and child are finalized. Which of
the following recommendations about breastfeeding in HIV
, positive mothers is most accurate?
A. There is no significant risk of HIV transmission via
breastfeeding in mothers under 30 years of age.
B. In resource rich settings the benefits of breastfeeding
outweigh the risk of HIV transmission
C. Maternal antibodies in breastmilk will protect the infant
from HIV infection
D. The risk of HIV transmission from breastmilk makes
breastfeeding unadvisable - Answer: D. The risk of HIV
transmission from breastmilk makes breastfeeding
unadvisable
A 43 year old IV drug user who has been on ART treatment
complains of continuous diarrhea that is watery, epigastric
pain and difficulty swallowing. His CBC shows a hemoglobin of
7.0 mg/dl, total leukocyte count of 2900cmm and a platelet
count of 70,000. A CD4+ cell count was requested and it came
out to be 90/cmm. Which of the following laboratory
investigations would best help with the further evaluation of