A pregnant woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. What would indicate that the patient needs to be retested for HIV?
1. Hemoglobin of 11 g/dL and a rapid weight gain
2. Elevated blood pressure and ankle edema
3. Shortness of breath and frequent urination
4. Unusual fatigue and recurring Candida vaginitis
Correct Answer: 4
Rationale 1: The patient would be anemic and anorexic.
Rationale 2: The patient would have a decrease in blood pressure and no ankle edema.
Rationale 3: Shortness of breath and frequent urination do not indicate a need to retest for HIV.
Rationale 4: The patient who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as Candida vaginitis.
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