BOF 111

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BOF: 111

A 38 year old male who is known to have HIV and is on HAART is admitted with increasing breathlessness.

On examination you note that he is breathless at rest and is lying propped up in bed , his pulse rate is 110 beats per minute , BP 120/70 , his JVP is raised upto his ear lobe, apex displaced to the sixth left intercostal space anterior axillary line , there is a systolic murmur at the apex that radiates to the axilla. On auscultation of his lungs you hear bilateral basal crepitations. There is bilateral ankle oedema.

In this patient what is the most likely cause of the presenting problem?

a)      HIV infection

b)      Cytomegalovirus infection

c)      Toxoplasmosis

d)     Zidovudine

e)      Ritonavir

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