🏥 USMLE Exam Prep

A 42-year-old man with newly diagnosed HIV infection has a CD4+ T cell count of 75 cells/µL. He is about to start antiretroviral therapy. Which of the following opportunistic infection prophylaxes should be initiated immediately?

A Fluconazole for candidiasis
B Isoniazid for tuberculosis
C Azithromycin for Mycobacterium avium complex (MAC)
D Trimethoprim-sulfamethoxazole (TMP-SMX) for Pneumocystis jirovecii pneumonia (PJP)

✓ Correct Answer: Option D

For HIV patients with a CD4 count less than 200 cells/µL, prophylaxis against Pneumocystis jirovecii pneumonia (PJP) with TMP-SMX is indicated. His CD4 count of 75 cells/µL puts him at high risk for PJP.

Related USMLE Exam Prep Questions