Exam (elaborations)
CMN 577 Unit 1 HIV Keynote.
CMN 577 Unit 1 HIV Keynote.
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CMN 577 Unit 1 HIV KeynoteHIV is not transmitted by: - CORRECT ANSWER-air, water, toilet seats, tears,
saliva (see note above), sweat, a casual closed mouth kiss, through insects such
as mosquitos, fleas, or ticks, handshakes or sharing dishes (see note above
regarding open wounds in mouth/bleeding gums).
What are the s/s of HIV? - CORRECT ANSWER--Newly infected asymptomatic
-mononucleosis type illness
-fever/fatigue present 2-3 weeks after infection
-takes about 4 weeks to show positive
-patient with acute retroviral syndrome is highly contagious and presents:fever
(<102 degrees), fatigue, an erythematous maculopapular rash on the face, trunk,
or palms of hands/soles of feet, headache, generalized lymphadenopathy,
pharyngitis, myalgia/arthralgia, nausea/vomiting/diarrhea, hepatosplenomegaly,
night sweats, aphthous ulcers or thrush, genital ulcers, malaise, anorexia, weight
loss, or wasting. Neurological symptoms include psychosis, Guillian Barre,
aseptic meningitis, facial palsy, peripheral neuropathy, brachial neuritis, and
cognitive impairment
According to USPSTF, all people must be screened at least ____ for HIV and
_____ if high risk. - CORRECT ANSWER-once, annually
What age does the guidelines recomend to start screening for HIV?
CDC
USPSTF
AAFP
Dr. Elkins - CORRECT ANSWER-CDC-13y
USPSTF-15y
AAFP-18-65y
Elkins-15y-65y
Who are considered high risk groups for HIV? (6) - CORRECT
ANSWER-*anyone starting treatment for TB*, all patients seeking treatment for
an STI/STD who present with a new complaint/symptoms, injection drug users
and their sex partners, persons who exchange sex for money or drugs, sex
, partners of HIV + individuals, *MSM and heterosexual persons who themselves
(or their sex partners) have had more than 1 partner since their last HIV
screening.*
Should a separate HIV screening consent form be used? - CORRECT
ANSWER-No, include in the general routine health consent form
What is the first line test for HIV? - CORRECT ANSWER-A combined
HIV-1/HIV-2 antibody and p24 antigen Immunoassay (fourth generation test) sent
to lab
Name the HIV rapid tests done in the office. (3) - CORRECT ANSWER-Uni-Gold
Recombigen, Alere Determine, and OraQuick.
Out of the HIV rapid tests, which require a blood sample and only takes 10
minutes? - CORRECT ANSWER-Uni-Gold Recombigen
The HIV rapid test Uni-Gold Recombigen requires confirmatory testing that is
sent to the lab and it has replaced the Western Blot. what is the name of this
test? - CORRECT ANSWER-rapid immune-concentrating assay such as the
Biorad Multi-spot.
If the confirmatory test of Biorad Multi-spot is indeterminate for HIV, what is the
name of the test that is done? - CORRECT ANSWER-nucleic acid amplification
assay (HIV confirmatory vial load)
Alere Determine HIV1/2 Ag/Ab combo (also known as the Determine Combo) is
an office blood test and takes 20 minutes. T/F - CORRECT ANSWER-T
What is the name of HIV test that is approved for home or office use and is a
swab? - CORRECT ANSWER-Oraquick
For the Oraquick HIV test, when is the best time to use?
A) before HIV exposure
B) 1 week after exposure
C) 3 months after expsoure - CORRECT ANSWER-C) 3 months
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