1. The answer is C
2. The answer is B
3. Yes, breast feeding is encouraged as the breast milk needs to be emptied in order to help clear the infection. There is little to no risk to the infant and they do not require antibiotic prophylaxis in the face of mastitis.
4. The answer is D
- Acyclovir may be given at 36 weeks in a patient with a history of herpes in an effort to decrease the viral load but at the time of delivery it is to late for this to be helpful
- There is no role here for tocolytics
- A vaginal delivery is contraindicated in this setting.
- C-section is the proper course of treatment.
5. The answer is B
- If there is no other history there is no reason for the infant to be in the NICU
- Antiretroviral therapy x 6 weeks is the current recommendation
- See answer for B
- Antibiotics are of no use against the HIV virus
——————————————————————————————————————————————
If you are preparing for the PANRE/PANCE check back for weekly updates. Physician assistant review questions which are typically posted a few days after the weeks main article goes up. Bookmark this site or add it to your feed reader and never miss an update. You can also subscribe to our news letter by clicking here! Spend a few minutes a week with us and lower your anxiety.
