Hsci 225:Hiv/Aids Question Paper

Hsci 225:Hiv/Aids

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 225
UNIT TITLE : HIV/AIDs
TIME : 3 HOURS

Instructions:

All questions are compulsory.
Indicate your registration number on every page of the answer booklet.

Multiple Choice Questions (20 marks)

SECTION A

Choose the correct answer and indicate on the provided booklet.

Question One

In AIDs disease the word deficiency means?

A variety of signs and symptoms
Weakened immunity of the affected person
The presence of opportunistic infections
Invasion of the body with a virus.

Question Two

HIV 2 subtype

Is the most common worldwide
Is less virulent
Is associated with a higher viral load
Has a shorter period between infection and the manifestation of AIDs

Question Three

Window period refers to?

The period when antibodies are detected in the body
The period when symptoms of HIV infection can be detected
The initial period of HIV infection
The period of time between HIV status to AIDs disease.

Question Four

The goal of antiretroviral therapy is?

Treat opportunistic infections
Cure HIV infection
Prevent the entry of virus into the lymphocytes
Inhibit the replication of the virus

Question Five

The following is the most important in the assessment of the immune function of a HIV positive patient.

Antibody tests
Viral load
Antigen tests
CD4 cell

Question Six

According to WHO staging of HIV/AIDs disease, in stage II;

The viral load increases steadily
The infected person is highly infectious
The antibodies cannot be detected
The individual is symptomatic

Question Seven

The percentage of youths aged between 15-24 years who are infected with HIV represent approximately

10% of all infections
20% of all infections
30% of all infections
40% of all infections

Question Eight

During neonatal diagnosis of HIV infection

Conclusive results can be yielded after 18 months
ELISA test can be used to confirm the results
A positive rapid test is reported as a positive result
Western blot test is used to check the status

Question Nine

Primary prevention strategies in the prevention of HIV/AIDs includes all the following except?

Voluntary counseling and testing
Treatment with antiretroviral therapy
Treatment of sexually transmitted infections
Use of condoms

Question Ten

The following statement is not true about HIV

It is present only in T-helper cells
It can be transmitted through oral sex
More women are affected than men
It only infects humans

For questions 11-13 respond T(true) or F(false against each of the statements and answer on the booklet provided. Each correct response earns mark (10 marks)

Question Eleven

Indicate whether each of the following statements is True(T) or False(F)

Passive intercourse is associated with a higher risk of infection with HIV than active intercourse.
Sexual contact accounts for 70% of all HIV infections.
About one fifth of those infected with HIV are youths aged between 15-24 years.
Transmission of HIV can occur through kissing an infected person.
Antiretroviral therapy should be initiated in a HIV infected patient who develops tuberculosis infection.
HIV/AIDs was identified in Africa in 1981 amongst homosexuals.
The prevalence of HIV is higher in the rural areas
Globally HIV/AIDs is the leading killer disease.
Recently infected individuals can give a false positive result
HIV remains active for a long period outside the human body.

Question Twelve

About sexual transmission of HIV

Anal sex is low risk
Vaginal sex is low risk
Oral sex carries no risk
Receptive anal sex is high risk
Insertive vaginal sex has a lower risk compared to receptive vaginal sex.

Question Thirteen

During the primary infection with HIV

There are no signs and symptoms of infection
The viral load is low at this time
HIV is transmitted rapidly during this time
The CD4 T-lymphocyte count is low
Opportunistic infections are common at this period.

SECTION B (short answer questions (40 marks)

Question One
Differentiate HIV 1 and HIV 2. (5 marks)

Question Two
Describe the factors that influence the differences in time lapse between infection with HIV and manifestation of AIDs. (10 marks)

Question Three
State five reasons why male circumcision decreases HIV transmission. (8 marks)

Question Four
Explain how drug and substance abuse increases the chance of HIV transmission. (8 marks)

Question Five
List four opportunistic infections. (2 marks)

Question Six
Describe the impact of HIV/AIDs on the family. (5 marks)

Question Seven
State the stages of HIV/AIDs infection according to World Health Organization (WHO). (5 marks)

SECTION C (Long Answer Questions (40 marks)

Question One
Discuss how stigma and discrimination influences HIV transmission.
(20 marks)

Question Two
Describe four social factors that influence the transmission of HIV. (20 marks)

Hsci 225:Hiv/Aids Question Paper

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