🏥 USMLE Exam Prep

A 32-year-old male with newly diagnosed HIV presents with a CD4 count of 150 cells/µL. He has no prior opportunistic infections and is being started on antiretroviral therapy. Which prophylactic medication should be initiated immediately?

A Azithromycin
B Trimethoprim-sulfamethoxazole
C Valganciclovir
D Fluconazole

✓ Correct Answer: Option B

Trimethoprim-sulfamethoxazole (TMP-SMX) is indicated for PCP prophylaxis when the CD4 count is below 200 cells/µL and also provides coverage against Toxoplasma gondii.

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