Welcome, everyone. My name is Divine. This is episode 561 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continuing the series on the USMLA Step 3, Free 137.

And this is going to be part eight, I believe. I'm going to be looking at question 71 to 80. I'm going to jump right into it.

So question 71 says a 29 year old woman comes to the office for canceling. She comes to the office for

canceling. She learned that she's HIV positive one month ago and she believes that she most likely

contracted the infection approximately six months ago.

Lap studies ordered in preparation for this visit show a CD4 positive T lymphocyc count of

800 per millimeter cubed and undetectable serum HIV RNA levels.

She has no symptoms of AIDS.

She has never been pregnant, but she's considering pregnancy and wants to know her risk for transmitting HIV to future children.

Which of the following is the most accurate statement. Okay.

Option A says as a subgroup newborns have the fastest rate of increase in HIV infection.

I think I'm going to go ahead and say that that's straight up wrong.

The thing is, yes, don't get me wrong.

Can a newborn get things vertically from mom?

Absolutely.

But no, it's actually, the risk is actually quite low compared to other means of transmission.

Again, obviously, you're going to give the woman like intrapartum's IDWD, but that

newborns don't have the fastest rate of increase in a HIV infection. That's, that's wrong. All right.

Intrapartum transmission accounts for less than 50% of neonatal HIV infection. Again, that's wrong.

Most cases where the child actually gets

HIV, it's through intrapartum transmission. Again, how many, think of it, how many other ways

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