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Test 2: Managing people with HIV infection

  1. Which of the following is dangerous to people with HIV infection?
    • Immunisation against hepatitis A and B
    • Primary prophylaxis with isoniazid
    • Continue working
    • Drinking excess alcohol
  2. Education about HIV:
    • Should not be encouraged as it increases the risk of teenage sex
    • Should not be offered at schools
    • Helps people with HIV infection understand their illness
    • Is too difficult and therefore is not effective
  3. What is safer sex?
    • Only having sex with two or three partners a year
    • Only having anal and not vaginal intercourse
    • Using oral contraceptives to prevent pregnancy
    • Always using a condom
  4. People who are HIV-positive should:
    • Have a balanced diet
    • Not eat meat
    • Smoke as this helps to prevent chest infections
    • Avoid fruit
  5. People with HIV infection:
    • Rarely respond to antiretroviral treatment
    • Should avoid regular exercise as this increases weight loss
    • Can be cured by herbal medicines
    • Benefit from a healthy lifestyle
  6. Should HIV-positive patients bring their partners to the HIV clinic?
    • Yes as they should be screened and counselled
    • Only if they are ill
    • Only if they are married
    • No as the clinic is already overcrowded
  7. Can the community play an active role in managing people with HIV infection?
    • It is very important to involve the community.
    • Only HIV-positive people should be involved.
    • Only HIV-negative people should be involved.
    • Only health professionals should help to manage HIV-infected people.
  8. What is an HIV support group?
    • A group of nurses who care for HIV patients
    • A group of politicians who argue for more antiretroviral drugs
    • A group of HIV patients who support each other
    • A group of community members who collect money for their local HIV clinic
  9. What are volunteer health workers?
    • Untrained community members who are currently unemployed
    • Doctors and nurses who work overtime
    • Schoolteachers to provide life skills classes
    • Trained community members
  10. What is counselling?
    • Telling patients what to do
    • Helping patients make the best decisions for themselves
    • Simply educating patients
    • Lecturing patients who do not take their medication
  11. Who should be a counsellor?
    • Only a doctor
    • Only a social worker
    • Only a specially trained nurse
    • Anyone who has been trained in HIV counselling
  12. What is active listening?
    • Trying to understand what patients are saying and feeling
    • Providing counselling by telephone
    • Talking rather than allowing patients to speak
    • Providing education by TV and radio
  13. What is a common error made when counselling?
    • Spending too much time listening
    • Repeating important information
    • Being judgemental
    • Allowing the person to ask questions
  14. What is the best way to monitor the immune system?
    • Stage the severity of clinical HIV infection.
    • Measure the haemoglobin concentration.
    • Measure the CD4 count.
    • Measure the viral load.
  15. How often should the CD4 count be measured in well people with HIV infection?
    • Every week
    • Every month
    • Every three months
    • Every six months
  16. What is palliative care?
    • Care of patients with an incurable disease
    • Care of dying patients
    • Care of patients who cannot afford private healthcare
    • Care of patients without using drugs
  17. Terminal care is best provided:
    • In hospital
    • At a local clinic
    • In a hospice
    • At home
  18. What is an important principle of pain care?
    • Always use intravenous medication for severe pain.
    • Use oral medication whenever possible.
    • Paracetamol (Panado) has no role in pain management.
    • Start pain care with morphine.
  19. Moderate pain is often best managed with:
    • Ibuprofen (Brufen) alone
    • Codeine phosphate or tramadol
    • Morphine
    • Antidepressants
  20. Common side effects of morphine include:
    • Anaemia
    • Jaundice
    • Constipation
    • Mouth ulcers