True/False Knowledge Questions

1. In areas where the incidence of INH-resistant TB is >5%, HIV-infected patients should be given INH and rifampin for chemoprophylaxis of a positive PPD.(F)

2. MAC prophylaxis should be given to all HIV-infected persons whose CD4 count is <100.(F)

3. HIV-infected women require Pap smears more frequently than the general population. (T)

4. An HIV viral load that doubles from 2,000 to 4,000 copies is indicative of a significant rise and antiretroviral therapy should be changed. (F)

5. If a person's HIV viral load drops from 500,000 to 40,000 copies over 4 weeks of therapy and remains at that level for the next 4 months, their antiretrovial regimen should be changed.(T)

6. AZT is contraindicated in patients who have thrombocytopenia.(F)

7. If the HIV viral load rises from 2,000 to 40,000 copies on a 3-drug antiretrovial regimen, a fourth drug should be added.(F)

8. Three determinations are necessary to establish an adequate baseline for viral loads.(F)

9. Pneumococcal vaccine is recommended for HIV-infected adults.(T)

10. Haemophilus influenza vaccine is recommended for HIV-infected adults.(F)(dropped)

11. A patient whose HIV viral load became undetectable on AZT, 3TC, and Ritonavir has been forgetting to take their evening doses over the past 3 months since returning to work. Their HIV viral load is now 30,000 copies. This patient is likely to have an “undetectable” viral load after resuming these medications as prescribed. (F)

12. Oral Ganciclovir is as effective as intravenous Ganciclovir in preventing relapses of CMV retinitis. (F)