Positive Life

Question 1

Late diagnosis of HIV

Answer 1

CD4 count <350 cells/mm3

Question 2

Offer HIV testing if prevalence is

Answer 2

> 2 per 1000

Question 3

Example of indication for HIV testing

Answer 3

Chronic unexplained diarrhoea

Question 4

PCP

Answer 4

Pneumocystis (jiroveci) pneumonia

Question 5

Test for PCP

Answer 5

Broncho-alveolar lavage (BAL)

Question 6

CD4 count for which HIV infected people are vulnerable to PCP

Answer 6

<200 cells/mm3

Question 7

Prevent PCP in HIV +ve patients

Answer 7

PCP prophylaxis:
1st line - low dose co-trimoxazole 960mg OD
2nd line - Dapsone 50mg OD
3rd line - Atovaqone 750mg BD

Question 8

If HIV +ve, who else to test

Answer 8

Sexual contacts

Children of a woman +ve for HIV

Question 9

Baby HIV testing

Answer 9

Birth, 6 and 12 weeks
- HIV DNA PCR
18 months
- HIV antibody

Question 10

Initiating HAART can result in

Answer 10

Immune reconstitution inflammatory syndrome (IRIS)

so if serious opportunistic infections, postpone HAART as IRIS can worsen outcomes