Question:
Antiretroviral therapy is to be given in HIV-infected patients irrespective of the presence of symptoms if the CD4 count is less than (cells/mm3)?
Antiretroviral therapy is to be given in HIV-infected patients irrespective of the presence of symptoms if the CD4 count is less than (cells/mm3)?
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It is the lower bound of the classic 200-350 CD4 band, below which ART is mandatory.
Updated On: Jun 23, 2026
- 100
- 150
- 200
- 350
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The Correct Option is C
Solution and Explanation
Step 1: Per the NACO guideline framework referenced here, the CD4 count guides when antiretroviral therapy (ART) must be started in HIV.
Step 2: ART is offered to symptomatic patients when CD4 is in the 200-350 cells/mm3 range, and considered for asymptomatic patients in the same band with close monitoring.
Step 3: The hard threshold is that patients should begin ART before the CD4 count drops below 200 cells/mm3. So irrespective of symptoms, a count falling below 200 is a clear indication to treat.
Step 4: Therefore 100 and 150 are too low as the action point, and 350 is the upper end of the consider-and-monitor band rather than the irrespective-of-symptoms cut-off. The answer is 200.
Step 2: ART is offered to symptomatic patients when CD4 is in the 200-350 cells/mm3 range, and considered for asymptomatic patients in the same band with close monitoring.
Step 3: The hard threshold is that patients should begin ART before the CD4 count drops below 200 cells/mm3. So irrespective of symptoms, a count falling below 200 is a clear indication to treat.
Step 4: Therefore 100 and 150 are too low as the action point, and 350 is the upper end of the consider-and-monitor band rather than the irrespective-of-symptoms cut-off. The answer is 200.
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