A female patient with HIV has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this patient?
A) This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B) The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C) The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D) The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex.
Ans: A
Feedback: HIV-positive women have a higher rate of HPV. Infections with HPV and HIV together increase the risk of malignant transformation and cervical cancer. Thus, women with HIV infection should have frequent Pap smears. Because condylomata acuminata is a virus, there's no permanent cure. Because condylomata acuminata can occur on the vulva, a condom won't protect sexual partners. HPV can be transmitted to other parts of the body, such as the mouth, oropharynx, and larynx.
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