A 39-year-old woman with HIV reengages in care. CD4 count is 96/mm3 and viral load is 210,000 copies/mL. She has no sulfa allergy, normal creatinine,

Question

A 39-year-old woman with HIV reengages in care. CD4 count is 96/mm3 and viral load is 210,000 copies/mL. She has no sulfa allergy, normal creatinine, and no symptoms of opportunistic infection. ART is being started. Which of the following is the most appropriate next step in management?

Accepted Answer

Start trimethoprim-sulfamethoxazole prophylaxis

Answer

Give rifampin monotherapy

Answer

Start fluconazole for Pneumocystis prevention

Answer

Use acyclovir for toxoplasmosis prevention

Answer

No prophylaxis is needed at this CD4 count

HIV opportunistic infection prophylaxis — USMLE Step 3 MCQ

A 39-year-old woman with HIV reengages in care. CD4 count is 96/mm3 and viral load is 210,000 copies/mL. She has no sulfa allergy, normal creatinine, and no symptoms of opportunistic infection. ART is being started. Which of the following is the most appropriate next step in management?