MCQ:- A female with (HIV) antibody test (enzyme-linked immunosorbent assay [ELISA])positive

[raidk]

A 22-year-old female (G3P0020) presents to your office for an initial obstetric visit in her third pregnancy. She reports a sure LMP date approximately 6 weeks ago, with a history of regular cycles. Her two previous pregnancies ended in spontaneous abortions. She denies any significant medical or surgical history. She denies use of alcohol, tobacco, or illicit drugs, though she does report a history of IV drug use as a teenager. She is a full-time student. She reports that twins run in her family, but she does not have any family history of diabetes, hypertension, or congenital anomalies. On review of her prenatal labs that have already been drawn, you find that her human immunodeficiency virus (HIV) antibody test (enzyme-linked immunosorbent assay [ELISA]) is positive. Her test results are otherwise normal.

1. Which of the following indicates how you counsel the patient?

A) This result is a false positive due to pregnancy, and she does not need any further testing.
B) She is infected with HIV and will need to begin treatment right away.
C) She will require an additional, confirmatory test to determine whether or not she has HIV.
D) She may have HIV, but she should wait until after she delivers her baby to have further testing.
E) Because it has been years since she participated in high-risk behaviors, she is unlikely to have HIV.

2. Which of the following is recommended to reduce the risk of perinatal transmission of HIV from mother to infant?

A) A scheduled cesarean delivery can reduce the risk of transmission if the maternal viral load is greater than 1000 copies/mL.
B) All pregnant women with HIV should receive highly active antiretroviral therapy regardless of severity of HIV infection.
C) No treatment is required; the risk of perinatal transmission of HIV is quite low.
D) All patients with HIV should be required to have a cesarean delivery.
E) Treatment of opportunistic infections such as Pneumocystis carinii pneumonia in the mother is most important in reducing the perinatal transmission of HIV.


Members may check the correct answer file posted below

[obgyn]

answer c b

[rehabab]

1)cccccccccccc
2)ddddddddd

[amani20]

bbbbbbbbb
bbbbbbbbb

[cchang0909]

Answer is C and B?