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(Solved): A27.yeardd v,oman ts admtted to the hospital for management of severe pelvic inflammatory disease, S ...



A27.yeardd v,oman ts admtted to the hospital for management of severe pelvic inflammatory disease, She has no history of sexually transmitted diseases or Other senous ilness She sexualy adve multiple make partners, and they use condoms inconsistently Her temperature IS 38 89C (101 80F), pulse is 98/min, ate 18rmtn, and blood pressure ts 12076 mm Hgr Physical examination shows small white exudative patches on the soft palate There is tenderness and guarding of the, abdomen The remainder of the examination shows no abnormalities, An HIV test is positive, Her CD4+ T-lymphocyte count is 190/mm 3 (Noma12500), her plasma HV RNA load IS 2200 copes/mL In addition to standard antibiotic therapy, which of the following is the most appropriate next step rn management? A) Eegn highly actrve antiretroviral therapy (HAART) only C B) B$n HAART and prophylans for Pneumocystisjrroveclf infection CJ C) Repeat measurement of CD4+ Taymphocyte count In 1 month 0 0) Repeat measurement of piasma HIV RNA Viral load C) E) No add'bonaj management IS Indicated at ths tme



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