Special Purpose Examination (SPEX) [spex-exam]

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The patient mentioned above had a CD4 T-cell count of 400/mL and plasma HIV RNA of 75,000 as the results of the follow-up tests. Although his girlfriend's HIV was not detected, one male sexual contact was revealed to be positive. He was advised to use latex condoms for safe sex and, if at all possible, steer clear of homosexual encounters. Following up after six months revealed a reduction in CD 4 T cells to 340/mL and an increase in viral load to 110,000. He is still symptom-free. Now, how ought he to be handled?

A nonnucleoside reverse transcriptase inhibitor (NNRTI) only A protease inhibitor (PI) only A protease inhibitor and nucleoside reverse transcriptase inhibitor (NRTI) Continued observation and repeat testing

Correct Answer:

A protease inhibitor and nucleoside reverse transcriptase inhibitor (NRTI)

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