HIV Jeopardy

HIV drugs

100

Which of the following is NOT an adverse effect of the ART drugs? A) neutropenia B) anemia C) hyponatremia D) upset stomach

C - hyponatremia

200

Which of the following is NOT a ART drug? A) zidovudine (AZT, ZDV, Retrovir) B) tenofovir (Viread) C) nevirapine (Viramine) D) Clotrimazole (Canesten)

D - Clotrimazole (Canesten)

300

What is the reason for using many ART drugs together at once instead of using just one type?

Combining helps decrease the viruses chance to recover (because the different drugs attack viral replication in several ways) and decrease the chance of drug resistance

400

About how long does ART therapy prolong someone's life (as opposed to not taking it)?

30-40 years

Pathophysiology

100

True or false: HIV can survive outside of the human body for up to 48 hours.

False

200

Name three ways in which HIV can be spread?

1) Intercourse 2) Blood exposure 3) Birth 4) Breastfeeding 5) Sharing needles with an infected person

300

With HIV, you see damage and destruction to what type of T helper cells?

CD4

400

How does HIV replicate? (Hint: from _____ to _____)

RNA to DNA

500

What are the stages HIV has to take before it is able to replicate itself?

a) Budding, Assembly, Integration, binding, fusion, reverse transcription

b) Binding, Fusion, Reverse transcription, integration 

c) fusion, binding, replication, assembly 

Diagnostic Tests

100

The rapid HIV-antibody test provides results in what amount of time? A) 5 min B) 20 min C) 30 min D) 1 hour

B - 20 min

200

How many EIAs (Enzyme Immunoassay) need to be taken to confirm a patient is HIV+? A) 1 B) 2 C) 3 D) 4

C - 3

300

Which type of test is necessary to confirm a positive rapid HIV test?

Western blot

400

What is the normal range for CD4 T lymphocyte cell counts? A) 300 - 500 per microliter of blood B) 800 - 1200 per microliter of blood C) 1200 - 1600 per microliter of blood D) > 1600 per microliter of blood

B - 800-1200 per microliter of blood

500

when do the asymptomatic phase usually occur?

a)5 to 10 years in untreated individual

b)10 to 15 years in treated individual

c)8 to 14 years in a untreated individual 

Nursing Care

100

Interventions such as promotion of nutrition, exercise, and stress reduction should be promoted by the nurse for patients who have HIV infection, primarily because these interventions will A) promote a feeling of well-being in the patient B) prevent transmission of the virus to others C) improve the patient’s immune function D) increase the patient’s strength and self-care ability

C - improve the patient's immune function

200

What type of precautions will a patient with HIV be on?

Standard precautions

300

Of the following, which is the most appropriate nursing interventions to help an HIV-infected patient adhere to a treatment regimen? A) “set up” a drug pillbox for the patient every week B) give the patient a videotape and a brochure to view and read at home C) tell the patient that the side effect of the drugs are bad but that they go away after a while D) assess the patient’s routines and find adherence cues that fit into the patient’s life circumstances

D - assess the patient’s routines and find adherence cues that fit into the patient’s life circumstances

400

A 25 y/o HIV/AIDS patient complains of a 2 day history of difficulty swallowing. The swallowing is associated with pain. His CD4 cell count is 350 cells. He is found to have white patches in his mouth (tongue and pharynx). The most likely cause of his problem is? A) Herpes simplex virus B) Kaposi sarcoma C) Candida albicans D) Cytomegalo virus

C - Candida albicans

Miscellaneous

100

In the United States, is it legal to breastfeed with HIV?

No

200

Opportunistic diseases in HIV infection A) are usually benign B) are generally slow to develop and progress C) occur in the presence of immunosuppression D) are curable with appropriate drug interventions

C - occur in the presence of immunosuppression

300

According to World Health Organization (2012), about how many children were living with HIV in 2012? A) 500,000-800,000 B) 1,000,000-2,000,000 C) 3,000,000-3,500,000 D) 4,000,000- 4,500,000

C - 3,000,000-3,500,000

400

Following injection with HIV A) the virus replicates mainly in B lymphocytes before spreading to CD4 T cells B) infection of monocytes may occur, but antibodies quickly destroy these cells C) the immune system is impaired predominantly by the eventual widespread destruction of CD 4 Tcells D) a long period of dormancy develops during which HIV cannot be found in the blood and there is little viral replication.

C - the immune system is impaired predominantly by the eventual widespread destruction of CD 4 Tcells