HIV: prevention of mother to child transmission: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dermatology · HIV: prevention of mother to child transmission

Sample item

Under the Indian programme, what is the recommended approach for a newly diagnosed HIV positive pregnant woman?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Start lifelong antiretroviral therapy irrespective of CD4 count

Lifelong triple-drug ART is started as soon as possible in all pregnant women with HIV, regardless of clinical stage or CD4 count, to reduce vertical transmission to under 2 percent. Infant prophylaxis and safe feeding counselling are also given.

Option by option

  • A. Give a single dose of nevirapine at delivery only

    Single dose nevirapine alone is outdated.

  • B. Start lifelong antiretroviral therapy irrespective of CD4 count (correct)

    Correct. Universal lifelong ART is recommended.

  • C. Delay therapy until after delivery

    Delaying therapy increases transmission.

  • D. Start therapy only if CD4 is below 200

    CD4 thresholds are no longer used.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is B, Start lifelong antiretroviral therapy irrespective of CD4 count. Lifelong triple-drug ART is started as soon as possible in all pregnant women with HIV, regardless of clinical stage or CD4 count, to reduce vertical transmission to under 2 percent.

Why is "Give a single dose of nevirapine at delivery only" not the answer?

Single dose nevirapine alone is outdated.

Why is "Delay therapy until after delivery" not the answer?

Delaying therapy increases transmission.

Why is "Start therapy only if CD4 is below 200" not the answer?

CD4 thresholds are no longer used.

What concept does this question test?

It tests HIV: prevention of mother to child transmission in Dermatology. Infant prophylaxis and safe feeding counselling are also given.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study HIV: prevention of mother to child transmission?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.