Step I UWSA 2 question -

[Tig2575]

A 42-year-old HIV-positive male presents with reddish purple patches on his arms and trunk, with similar lesions noted on the palate. His last CD4 count, measured one month ago, was 950.

And they say it's Kaposi Sarcoma caused by HHV-8


Does the term "opportunistic disease" no longer have any meaning to the question writers for Uworld???

 

[iA-MD2013]

Good point! I was annoyed when I first saw that, but none of the other answer choices made any sense and they didn't have bartonella as a choice. But, yeah, not sure why someone with a cd4 count that high would have kaposis.

 

[KSDeacon]

i had the same issue with that question too. As i had it explained to me, KS in general is more common among the HIV population, even if their CD counts are pretty damn good. And like MD-2013 pointed out, none of the other options made any sense.

 

[Music MD]

i didnt think kaposi's sarcoma required a low cd4 count.. in any case, unless they literally mention a cat scratching the pt then im going to choose kaposis sarcoma for an aids pt with purple patches.