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Which of the following is dangerous to people with HIV infection?
Immunisation against hepatitis A and B
Primary prophylaxis with isoniazid
Continue working
Drinking excess alcohol
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Education about HIV:
Should not be encouraged as it increases the risk of teenage sex
Should not be offered at schools
Helps people with HIV infection understand their illness
Is too difficult and therefore is not effective
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What is safer sex?
Only having sex with two or three partners a year
Only having anal and not vaginal intercourse
Using oral contraceptives to prevent pregnancy
Always using a condom
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People who are HIV-positive should:
Have a balanced diet
Not eat meat
Smoke as this helps to prevent chest infections
Avoid fruit
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People with HIV infection:
Rarely respond to antiretroviral treatment
Should avoid regular exercise as this increases weight loss
Can be cured by herbal medicines
Benefit from a healthy lifestyle
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Should HIV-positive patients bring their partners to the HIV clinic?
Yes as they should be screened and counselled
Only if they are ill
Only if they are married
No as the clinic is already overcrowded
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Can the community play an active role in managing people with HIV infection?
It is very important to involve the community.
Only HIV-positive people should be involved.
Only HIV-negative people should be involved.
Only health professionals should help to manage HIV-infected people.
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What is an HIV support group?
A group of nurses who care for HIV patients
A group of politicians who argue for more antiretroviral drugs
A group of HIV patients who support each other
A group of community members who collect money for their local HIV clinic
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What are volunteer health workers?
Untrained community members who are currently unemployed
Doctors and nurses who work overtime
Schoolteachers to provide life skills classes
Trained community members
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What is counselling?
Telling patients what to do
Helping patients make the best decisions for themselves
Simply educating patients
Lecturing patients who do not take their medication
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Who should be a counsellor?
Only a doctor
Only a social worker
Only a specially trained nurse
Anyone who has been trained in HIV counselling
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What is active listening?
Trying to understand what patients are saying and feeling
Providing counselling by telephone
Talking rather than allowing patients to speak
Providing education by TV and radio
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What is a common error made when counselling?
Spending too much time listening
Repeating important information
Being judgemental
Allowing the person to ask questions
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What is the best way to monitor the immune system?
Stage the severity of clinical HIV infection.
Measure the haemoglobin concentration.
Measure the CD4 count.
Measure the viral load.
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How often should the CD4 count be measured in well people with HIV infection?
Every week
Every month
Every three months
Every six months
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What is palliative care?
Care of patients with an incurable disease
Care of dying patients
Care of patients who cannot afford private healthcare
Care of patients without using drugs
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Terminal care is best provided:
In hospital
At a local clinic
In a hospice
At home
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What is an important principle of pain care?
Always use intravenous medication for severe pain.
Use oral medication whenever possible.
Paracetamol (Panado) has no role in pain management.
Start pain care with morphine.
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Moderate pain is often best managed with:
Ibuprofen (Brufen) alone
Codeine phosphate
Morphine
Antidepressants
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Common side effects of morphine include:
Anaemia
Jaundice
Constipation
Mouth ulcers
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