HIV Flashcards
Which of the following is false?
a) Without treatment, the rate of vertical transmission to the baby of an HIV+ mother is 15-40%
b) With treatment, the rate of vertical transmission is about 1%
c) The drug of choice during labour is zidovudine
d) HIV screening in pregnancy is mandatory
D
Which of the following is true?
a) women who engage in high risk behaviours and have unknown HIV status at the time of presentation in labour should be offered prophylactic anti-retroviral meds
b) women who test negative for HIV in the first trimester and continue to engage in high risk behaviour require no further testing until the postpartum period
c) there is no contraindication to breastfeeding for women living with HIV
d) mode of delivery depends on obstetrical indications
A
b) test in all trimesters if high risk
d) SVD ok if viral load undetectable for 4 weeks prior to delivery, otherwise recommendation is C/S
Which of the following is true?
a) In Canada, a woman does not legally need to disclose her HIV+ status to her partner, even if engaging in unprotected intercourse, provided she is on appropriate antiretrovirals and her viral load has been undetectable for 6 months
b) a mother does not have to disclose her HIV+ status to her physician as this is private information, and it is her choice whether or not to ensure treatment for her fetus/neonate
c) combined antiretroviral therapy reduces the risk of vertical but not horizontal transmission
d) teratogenic effects of ART have been demonstrated in the first and third trimesters
A is true
B -newborn has right to tx in Canadian law
D teratogenic risk only theoretical in T1, none after
