Hsci 225:Hiv/Aids Question Paper

Hsci 225:Hiv/Aids 

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2013



KENYA METHODIST UNIVERSITY

END OF 2''ND ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 225
UNIT TITLE : HIV/AIDS
TIME : 3 HOURS




Instructions:

Write your registration number on the answer booklet provided
Answer all your questions on the answer booklet.
This paper has got three sections I, II & III.

SECTION I

Multiple Choice Questions (20 marks)
For question 1-10 select the most appropriate response and write it on the answer booklet.
A correct response earns a mark.

Question One

AIDs is caused by

Blood cancer
Human T-leukemia virus
Retrovirus
Bacterium

Question Two

HIV has a protein coat and a genetic material which is:

Double stranded DNA
Single stranded RNA
Double stranded RNA
Single stranded DNA

Question Three

HIV replicates in

B cells
Cytotoxic T-cells
Helper T-cells
Lymph nodes.

Question Four

Window period is:

Period before infection by HIV
Period from the time HIV antibodies appears in the body to the time apportimistic infections start.
Period from the time of infection to the time HIV antibodies appear.
The period when the virus is dormant in the body.

Question Five

The following is not an attribute of HIV;

High mutation rate
Fragility
Dormancy in the cell
Ability to live outside the body

Question Six

The geographical region most affected by HIV/AIDs is:

Latin America
South Africa
Sub-Saharan Africa
South East Asia.

Question Seven

For a male condom to be effective against HIV transmission:

Two condoms be used at the same time
Most be correctly and consistently used
After use, can be cleaned, dried and lubricated for re-use.
Should only be used during the first sexual encounter.

Question Eight

When living with a relative who is HIV positive.

You can eat or drink from the same plate or cup.
You should not use the same toilet seat.
All the items used by the HIV positive relative should be sterlised before use by any other person.
To decrease risk of tuberculosis transmission HIV positive should be isolated in a bedroom.

Question Nine

Women are more vulnerable to HIV/AIDs as compared to men because;

They are more promiscuous
They use sex as a source of income
Poverty and political upheaval affect women most.
Unless circumcised they have high libido

Question Ten

HIV can be transmitted by;

Kissing a person who is HIV positive
Bite from a bed bug which has just sucked blood from a HIV positive patient.
Hugging
Protected sexual intercourse with a person who is HIV positive

For question 11-14, respond with T (True) or F (False) to the statement A,B,C,D & E. A correct response earns half a mark.

Question Eleven

Methods of blood to blood transmission of HIV include;

Transfusion with HIV infected blood.
Bite by a mosquito or bed bug that has just bitten a HIV positive person.
Sharing needles by intravenous drug users.
Group circumcision using the same knife
Blood brotherhood.

Question Twelve

About HIV testing;

Polymerase chain reaction is the most definitive test
Antibody test is the most accurate
Bioline is an example of an antibody test kit.
People should be tested each time they engage in unsafe sexual practice.
The first test of an antibody test is always correct.

Question Thirteen

During the primary infection stage of HIV;

HIV cannot be detected in the blood
The viral load is very high
There is no symptom of HIV infection
The person is not infectious at all.
A HIV antibody test will always be positive

Question Fourteen

HIV;

Is a bacteria
Is an RNA virus
Is a DNA virus
Causes herpes genitalia
Can survive outside a living cell for 24 hours only.

SECTION II: Short Answer Questions (40 Marks)

Question One

Define the following terms

Opportunistic infection.

(1 mark)

HIV

(1 mark)

AIDS

(1 mark)

Puberty

(1 mark)

Menarchy

(1 mark)

Question Two
Describe the blood to blood transmission of HIV. (8 marks)

Question Three
Explain why anal sex carries a high risk of HIV transmission. (8 marks)

Question Four
State five advantages of voluntary counseling and testing (VCT) for HIV/AIDs to those already infected. (5 marks)

Question Five
List six opportunistic infections. (3 marks)

Question Six

Explain four cultural factors that may influence HIV/AIDs transmission.

(8 marks)

Question Seven
State three demerits of female genital cutting (FGC). (3 marks)

SECTION III: ESSAY QUESTIONS (40 marks)

Question One

Discuss how the following social factors influence HIV transmission.

Social mobility

(10 marks)

Political upheavals/conflict

(5 marks)

Poverty

(5 marks)

Question Two

Discuss mother to child transmission of HIV under the following subheadings.

Definition.

(1 mark)

Methods of MTC (Mother to child) transmission.

(12 marks)

Methods of preventing mother to child transmission.

(7 marks)






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