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Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

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12 Posts

SA
Forum Elite

Topics: 21
Posts: 193

01/28/05 - 01:23 AM

A 39 year male come to your office with his ELIZA report which is showing positive for HIV. On history he told you that he use to take iv drugs but now stop it for last one years. He is living with her girl friend for last 5 year and she is the only sexual partner. He has broken with one before and that is all the sexual contact he had.
On examination you did not find any thing abnormal except rale at the base of right lung.
What will you do next?
1. Call her gf about her positive test
2. Start HAART
3. Screen for T- cell
4. Western blot
5. Viral load
6. Chest Radiograph
7. PPD test

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Veer-Zaara
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Topics: 16
Posts: 268

01/28/05 - 03:39 AM

4.western blot

Ahab
Forum Elite

Topics: 9
Posts: 228

01/28/05 - 07:16 AM

6. chest Radiograph

lucky
Forum Guru

Topics: 23
Posts: 505

01/28/05 - 08:14 AM

western blot ?

sanz
Forum Elite

Topics: 14
Posts: 154

01/28/05 - 08:32 AM

western blot

ELM
Forum Guru

Topics: 28
Posts: 936

01/28/05 - 08:45 AM

ELISA is screening test of choice, sense of 99.9%, the confirmatory test of CHOISE is W Blot the specificity of 99.9%! No q about this q!

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ELM

SA
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Topics: 21
Posts: 193

01/28/05 - 09:13 AM

Every one get it right so I think it was very easy :oops: :?:

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Ahab
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Topics: 9
Posts: 228

01/28/05 - 02:52 PM

But is your primary concern the HIV status or the determination of the cause of rales?

SA
Forum Elite

Topics: 21
Posts: 193

01/28/05 - 03:33 PM

You know most important thing is to get the dianosis of aids and related complication so first cofirm diagnosis of aids

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Veer-Zaara
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Topics: 16
Posts: 268

01/28/05 - 11:16 PM

#10

No,SA it was not an easy Q.In fact this Q may help me avoid making mistakes on the real exam.I would say its a good basic testing knowledge.

SA
Forum Elite

Topics: 21
Posts: 193

01/29/05 - 01:32 AM

#11

Thanks Veer I also try to test the very basic thing but I really not sure that in actual exam what will be the level of difficulty?
Any one had the experice can share that!
So veer what you think should keep on making question and posting here?

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Veer-Zaara
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Topics: 16
Posts: 268

01/29/05 - 02:04 AM

#12

Yes.....I look forward to your questions!
I've done a few USMLE CD questions.....questions are basic and don't get into complicated stuff.I'm have no idea whats the level of difficulty in the actual exam though??

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