Font size
WorksheetsHIV STD HEP C
Total questions: 21
Worksheet time: 9mins
The highest risk of HIV transmission from mother to child is during:
Pregnancy
Delivery
Breastfeeding
All carry the same risk
Impact indicators for elimination of MTCT of HIV in Malaysia is:
HIV MTCT rate of less than 5%
HIV MTCT rate of less than 2 %
HIV HIV MTCT rate of less than 15%
HIV MTCT rate of less than 5%
Is the following statement true?
The opt in strategy of testing has been shown to have a better outcome on pregnancy.
TRUE
FALSE
When should a pregnant lady be started on cART for PMTCT ?
Before 24 weeks of pregnancy
Between 24 to 28 weeks of pregnancy
After 32 weeks of pregnancy
At delivery
Which statement is not true regarding HIV?
An undetectable viral load can prevent transmission of HIV to the partner
A MSM has a higher risk of contracting HIV
A typical progression of HIV without treatment is death within 5 years
Pretest counselling must be done before testing
True or false. For U=U, the treatment may be interrupted during the fasting month.
TRUE
FALSE
First line treatment for HIV should include:
2 NRTI and 1 NNRTI
2 NRTI and 2 NNRTI
1 NRTI and 1 NNRTI
2 II and 1 NRTI
When should ART be started?
When CD4 is less than 500
When vitamin training is successful
When the doctor is confident that the patient will take the medication properly
On the day the HIV diagnosis is confirmed.
Regarding Chlamydia Trachomatis: which statement is true?
Most frequently reported bacterial infections disease in the United States
Prevalance highest among teenagers
Serious complications include PID, Ectopic Pregnancy and infertility
Asymptomatic infection is common
In Malaysia, annual screening aged < 25 years of age is recommended
Regarding Syphilis: which statement is correct?
Treatment recommendation for primary syphilis is IM Benzathine Penincillin 2.4 MU in a single dose
transmitted by direct contact with a sore (chancre) during sexual activity
The first 2 stages of syphilis are the most infectious
Patient with syphilis indicating neurologic disease should be evaluated which include CSF analysis
Tertiary or late syphilis are highly infectious and destructive
Regarding syphilis in pregnancy: which statement is true?
Antenatal screening for syphilis should be done in early pregnancy
Penicillin regimen is recommended
Erythromycin should not be used due to high failure rate to cure the fetus
Doxycycline is contraindicated in pregnancy
Pregnancy may cause a false-positive VDRL
Untreated chlamydial infection has been linked to:
Preterm labour
Premature rupture of membrane
Neonatal sepsis
Low birth weight
Pre-eclampsia
Regarding gonorrhoea : which statement is true?
Possible risks include premature rupture of membrane and chorioamnionitits
Disseminated gonorrhoea may cause tubal infertility
Risk of ectopic pregnancy is increased in untreated gonorrhoea infection
>50% of infection will result in Pelvic Inflammatory Disease (PID)
Treatment regime is similar as per non-pregnant patients
In HCV infection about ….% will resolved after an acute infection and ….
% will progress to chronic HCV
10%, 90%
15%, 85%
50%, 50%
30%, 70%
Our national strategic plan for viral hepatitis B and C 2019-2023 includes all of these are true EXCEPT
To achieve 90% population living with viral hepatitis are diagnosed.
To achieve 70% reduction of new cases of viral hepatitis.
To reduce mortality due to viral hepatitis by 65% by 2030.
To ensure 90% of those ‘eligible population for treatment’ are treated by 2030.
Who should be tested for Hepatitis C
I. Exposed health care worker (eg NSI)
II. Intravenous drug users
III. People with a HCV - infected sexual partner
IV. People from high prevalence populations
V. Children of HCV-infected mothers
VI. Any who received blood or organ transplant before 1992
VII. Patients with ESRD undergoing dialysis
All except IV
All except V
All except VI
All of the above
Screening for HCV infection should be based on the detection of anti-HCV antibodies which can be done by means of using Rapid Diagnostic test (RDT) using serum, plasma, fingerstick whole blood or crevicular fluid (saliva) as matrices.
TRUE
FALSE
These are the goals of hep c treatment EXCEPT
Eradicate HCV Infection by achieving "Virologic Cure" (SVR)
Prevent Complications from HCV Infection
Slow disease progression
Increase all-cause mortality and liver-related health adverse consequences
Sustained Virological Response (SVR) is defined by undetectable HCV RNA in serum or plasma …………… after the end of therapy
4 weeks
8 weeks
12 weeks
16 weeks
HCV infected patient now can be treated in primary care EXCEPT
Age of ≥ 18 years old
Non cirrhotic and Compensated cirrhotic (CPS A) treatment naïve
Non cirrhotic and Compensated cirrhotic (CPS A) treatment naive HIV/HCV
co-infection
Those with a short life expectancy
What is DAA stands for in Hep C management?
Drug active antiviral
Dose active antiviral
Direct acting antiviral
Direct Access Arrangement
