Adult HIV: Test 2: Managing people with HIV infection

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Which of the following is dangerous to people with HIV infection?

Immunisation against hepatitis A and BPrimary prophylaxis with isoniazidContinue workingDrinking excess alcohol

Education about HIV:

Should not be encouraged as it increases the risk of teenage sexShould not be offered at schoolsHelps people with HIV infection understand their illnessIs too difficult and therefore is not effective

What is safer sex?

Only having sex with two or three partners a yearOnly having anal and not vaginal intercourseUsing oral contraceptives to prevent pregnancyAlways using a condom

People who are HIV-positive should:

Have a balanced dietNot eat meatSmoke as this helps to prevent chest infectionsAvoid fruit

People with HIV infection:

Rarely respond to antiretroviral treatmentShould avoid regular exercise as this increases weight lossCan be cured by herbal medicinesBenefit from a healthy lifestyle

Should HIV-positive patients bring their partners to the HIV clinic?

Yes as they should be screened and counselledOnly if they are illOnly if they are marriedNo as the clinic is already overcrowded

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.

What is an HIV support group?

A group of nurses who care for HIV patientsA group of politicians who argue for more antiretroviral drugsA group of HIV patients who support each otherA group of community members who collect money for their local HIV clinic

What are volunteer health workers?

Untrained community members who are currently unemployedDoctors and nurses who work overtimeSchoolteachers to provide life skills classesTrained community members

What is counselling?

Telling patients what to doHelping patients make the best decisions for themselvesSimply educating patientsLecturing patients who do not take their medication

Who should be a counsellor?

Only a doctorOnly a social workerOnly a specially trained nurseAnyone who has been trained in HIV counselling

What is active listening?

Trying to understand what patients are saying and feelingProviding counselling by telephoneTalking rather than allowing patients to speakProviding education by TV and radio

What is a common error made when counselling?

Spending too much time listeningRepeating important informationBeing judgementalAllowing the person to ask questions

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.

How often should the CD4 count be measured in well people with HIV infection?

Every weekEvery monthEvery three monthsEvery six months

What is palliative care?

Care of patients with an incurable diseaseCare of dying patientsCare of patients who cannot afford private healthcareCare of patients without using drugs

Terminal care is best provided:

In hospitalAt a local clinicIn a hospiceAt home

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.

Moderate pain is often best managed with:

Ibuprofen (Brufen) aloneCodeine phosphateMorphineAntidepressants

Common side effects of morphine include:

AnaemiaJaundiceConstipationMouth ulcers
Should be Empty: