skinyballs
Forum Junior
Topics: 14
Posts: 26
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You are taking care of a 49-year-old woman who was admitted to the hospital because of progressive numbness of the right arm and difficulty in seeing objects in the left visual field. She is known to be HIV positive, but has not consistently taken medications in the past. On examination she is healthy appearing, has a right homonymous hemianopia, and decreased sensory perception in her left upper extremity and face. Her CD4 count is 60 cells/mm3 and her MRI is consistent with a demyelinating lesion of the left parietooccipital area. CSF PCR for the JC virus is positive. The most appropriate
treatment is
A. amphotericin B
B. cranial radiation
C. highly active antiretroviral therapy (HAART)
D. intravenous acyclovir
E. intravenous ceftriaxone
Edited by new_n_lost on 08/21/07 - 07:26 PM
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| Ivonne
Find a way or make one
Topics: 57
Posts: 1,627
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C
All treatments are experimental
HAART can improve survival from 11 weeks to 46 weeks, but HAART could also worsen PML by triggering the immune reconstitution inflammatory syndrome (IRIS).
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"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand
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| skinyballs
Forum Junior
Topics: 14
Posts: 26
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Thank you
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