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 3''RD ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 225
UNIT TITLE : HIV/AIDS
TIME : 3 HOURS




Instructions:

For question 1- 15 select the most appropriate response and write it on the answer booklet.
A correct response earns a mark

SECTION I: MULTIPLE CHOICE QUESTIONS

Question One

AIDs is;

A group of symptoms
An opportunistic infection
The virus that cause HIV infection
Acquired immunodeficiency syndrome
Acquired immunity diseases

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

Window period is;

Period before infection by HIV
Period from the time HIV antibodies appears in the body to the time opportunistic 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 Four

During the primary infection stage of HIV;

HIV cannot be detected in the blood
The viral load is very high
There is no symptoms of HIV infection
The person cannot transmit the virus

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

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 sterilized before use by any other person
To decrease risk of tuberculosis transmission, HIV positive persons should be isolated in a bedroom

Question Seven

HIV replicates in;

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

Question Eight

For a male condom to be effective against HIV transmission

Two condoms should be used at the same time
Must be correctly and consistently used
After use, can be cleaned, dried and lubricated for re-use
It should be flavoured and spiked.

Question Nine

The geographical region most affected by HIV/AIDs is

Latin America
South Africa
Sub-Saharan Africa
South East Asia

Question Ten

What are the two main targets correctly used in anti-HIV therapy

Reverse transcriptase and protease
Reverse transcriptase and integrase
Protease and integrase
The viral glycoprotein 120 and gp41

Question Eleven

Which of the following enzymes is responsible for processing HIV proteins during the production of new viruses?

Integrase
Protease
Reverse transcriptase
DNA polymerase

Question Twelve

Which subtype of the M group of HIV-1 viruses is most common in Europe, Australia and America?

A subtype of M group of HIV -1
B subtype of M group of HIV -1
C subtype of M group of HIV -1
D subtype of M group of HIV – 1

Question Thirteen

The decision to begin antiretroviral therapy is based on:

The CD4 cell count
The plasma viral 1oad
The intensity of the patient’s clinical symptoms
All of the above

Question Fourteen

Giardiasis, an opportunistic infection in AIDs patients is a

Parasitic infection
Bacterial infection
Viral infection
Fungal infection

Question Fifteen

HIV can be transmitted by

Kissing a person who is HIV positive
Bite from a bed bug which has just sacked blood from a HIV positive patient
Hugging
None of the above

SECTION II: SHORT ANSWER QUESTIONS (40 marks)

Question One
Explain why anal sex carries a high risk of HIV transmission. (6 marks)

Question Two
State six advantages of voluntary counseling and testing of HIV to those who are already HIV positive. (6 marks)

Question Three
Describe the blood to blood transmission of HIV. (6 marks)

Question Four
Explain how you would assist a young woman who has just been raped. (6 marks)

Question Five
Explain four cultural factors that may influence HIV transmission. (6 marks)

Question Six
Describe how drug and alcohol consumption influences HIV/AIDs transmission. (6 marks)

Question Seven
Briefly explain the information which should be given to a patient who test HIV positive. (4 marks)

SECTION III: ESSAY QUESTIONS

Question One
Discuss the impact of female genital mutilation (FGM) on the individual. (20 marks)

Question Two

Discuss the impact of HIV on the following sectors

Health
Education
Agriculture
Family set up






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