Trivia: HIV And AIDS Questions! Quiz

A heterosexual 19-year-old woman is referred to your clinic from the emergency department following an incidental diagnosis of HIV. She denies using intravenous drugs or having experienced occupational exposure to body fluids, but she does admit to having multiple sexual contacts in the past year. She is currently asymptomatic. Her examination is unremarkable except for modest cervical and inguinal lymphadenopathy. You order baseline laboratory tests, including assessment of viral load; CD4+ T cell count; hepatitis serologies; and screenings for other common sexually transmitted diseases. For this patient, when is it appropriate to perform viral genotype testing?  

A 27-year-old man with HIV presents to your clinic to establish care. He believes he acquired his infection from a blood transfusion he received in sub-Saharan Africa while serving in the Peace Corps 3 years ago. He is currently asymptomatic and has a strong social support network. His examination is unremarkable. During the clinic visit, he asks about starting medical therapy for his HIV. His CD4+ T cell count is 450/mm3, and his HIV RNA level is 20,000 copies/ml. According to current guidelines, which of the following is an indication to initiate HAART?

A 29-year-old female medical resident presents to the occupational health clinic after sustaining a needle-stick injury while attempting to obtain an arterial blood gas measurement for a patient with HIV and Pneumocystis pneumonia (PCP). She is not sure whether she punctured the patient's artery before she stuck her finger. Although she was wearing gloves, the needle punctured the skin on her left third digit. For this patient, which of the following is appropriate postexposure prophylaxis (PEP)?

A 35-year-old woman with HIV is admitted to the hospital with renal failure. On examination, the patient has modest bilateral lower-extremity edema. Urinalysis reveals proteinuria in the nephrotic range (4.5 g/day). Renal ultrasound reveals large, echogenic kidneys bilaterally. Renal biopsy is remarkable for focal and segmental glomerulosclerosis. Which of the following interventions is most likely to lead to an improvement in this patient's renal function?

When was HIV first recognized in the U.S.?