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NBME 18 Answers

nbme18/Block 1/Question#39 (reveal difficulty score)
36 yo woman, recently been diagnosed with HIV ...
Continue efavirens, emtricitabine, and tenofovir with no changes ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by โˆ—pelparente(31)
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If it ain't broke don't fix it. The patient is showing improvement and there are no signs of developing drug resistance or unwanted side effects, so maintain the patient on her current therapy.

Typical antiretroviral HIV therapy regime is:

3 NRTIs OR 2 NRTIs AND 1 NNRTI OR 1 Protease inhibitor OR 1 Integrase inhibitor

In this case the patient is on 2 NRTIs (emtricitabine, tenofovir) and an NNRTI (efavirenz)

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nbmeanswersownersucks  and here comes my dumbass that read the lower CD4 count as his newer labs (instead of old) and was trying to figure out why his drug combo wasn't working.... +31
vicebm94  same here.. +
thrawn  Amused +
kcyanide101  Same here... Thought pt was loosing virologic control, so choose/guessed one of the two options regarding dropping one NRTI ๐Ÿ˜ฉ +
freemanpeng  May partly due to his CD4# hasnt become normal?(like >500) +
eimal786  how can I get these scrambled comments fixed?// +
drdoom  hi @eimal786. you can sign up for a membership here: https://nbmeanswers.com/membership +



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