HIV Therapy in Pregnancy! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-17-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Virus HIV Therapy in Pregnancy!

A 28-year-old woman with HIV disease presents for prenatal care. She was diagnosed 4 years ago with HIV disease.
At that time, she had oral and vaginal candidiasis, a CD4 count of 200, and a viral load of 30,000. She was treated with zidovudine/3TC and atazanavir and has had an increase in CD4 count to 370, and now has a nondetectable viral load.
She asks for your advice on what medications she can take during pregnancy.

What should you advise?

A. Stop 3TC and atazanavir, continue zidovudine
B. Switch to DDl1D4T/amprenavir
C. Stop anti-retrovirals, restart zidovudine at 34 weeks
D. Stop all anti-retrovirals
E. Continue with current regimen
Reply With Quote Quick reply to this message
The above post was thanked by:
usmle 99 (06-17-2012)



  #2  
Old 06-17-2012
usmle 99's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 40
Threads: 7
Thanked 13 Times in 7 Posts
Reputation: 23
Post

e. Is right awnser
Reply With Quote Quick reply to this message
  #3  
Old 06-17-2012
tyagee's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,365
Threads: 648
Thanked 588 Times in 354 Posts
Reputation: 598
Default

Quote:
Originally Posted by usmle 99 View Post
e. Is right awnser
Explanation? Her viral load isn't that high to be in treatment
Reply With Quote Quick reply to this message
 
  #4  
Old 06-17-2012
usmle 99's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 40
Threads: 7
Thanked 13 Times in 7 Posts
Reputation: 23
Post Antiretroviral indication during pregnancy.

Quote:
Originally Posted by tyagee View Post
Explanation? Her viral load isn't that high to be in treatment
It is written in MTB 2 that if the pt of HIV + and already on antiretroviral med that are effective at the time of pregnancy should continue the same med except switch efavirenz to a protease inhibitor.
if pt not on antiretroviral ,and his CD4 low and viral load high.......initiate antiretrovirals immediately.
if not on antiretrovirals,and his CD4 high and viral load low......then antiretroviral during second and third trimesters,and stop them after birth.
Reply With Quote Quick reply to this message
The above post was thanked by:
mle.com (07-09-2012), Novobiocin (06-19-2012), tarsuc (12-25-2012), tyagee (06-18-2012)



Reply

Tags
Infectious-Diseases, ObGyn-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
lung adenocarcinoma...best therapy tyagee USMLE Step 2 CK Forum 2 06-14-2012 04:40 PM
anabolic steroid therapy chienpolska USMLE Step 1 Forum 4 07-13-2011 11:11 AM
H Pylori Eradication Therapy? Breex USMLE Step 2 CK Forum 3 06-11-2011 12:23 AM
The Indications of Bicarbonate Therapy atr88 USMLE Step 2 CK Bits & Pieces 1 01-24-2011 12:06 PM
Why hypokalemia in B12 Therapy Homer88 USMLE Step 2 CK Forum 4 09-22-2010 06:56 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)