Care CEUs

Tuberculosis, HIV and HEP B

Executive Summary

1. The risk of developing tuberculosis (TB) is between 20 and 37 times greater in people living with HIV than among those who do not have HIV infection.

A. True B. False

Background and Process

2. Each of the following correctly decribes the connection between TB abd HIV EXCEPT:

A. HIV is the strongest risk factor for developing tuberculosis (TB) disease in those with latent or new Mycobacterium tuberculosis infection B. TB is responsible for more than a quarter of deaths among people living with HIV C. Relatively more men than women were detected to have TB in countries with a prevalence of HIV infection of more than 1% D. A high rate of previously undiagnosed TB is common among people living with HIV

3. Isoniazid preventive therapy (IPT) is a key public health intervention for the prevention of TB among people living with HIV and has been recommended as part of a comprehensive HIV and AIDS care strategy.

A. True B. False

Intensified Case-finding for and Prevention of Tuberculosis in Adults and Adolescents Living with HIV

4. IPT can only be offered to those living with HIV who are in the early stages of immunosuppression.

A. True B. False

Efficacy, Regimen and Duration

5. Adults and adolescents living with HIV who have an unknown or positive tuberculin skin test (TST) status and who are unlikely to have active TB should receive at least ______ months of IPT as part of a comprehensive package of HIV care.

A. Three B. Four C. Five D. Six

Pregnant Women

6. Pregnant women living with HIV are at risk for TB, which can impact maternal and perinatal outcomes, and they should have access to TB screening and receive IPT.

A. True B. False

Algorithm for TB Screening in Adults and Adolescents living with HIV in HIV-Prevalent and Resource-Constrained Settings

7. Adults and adolescents living with HIV should screen for TB if they have which of the following symptoms?

A. Current cough and fever B. Weight loss C. Night sweats D. All of the above

Tuberculin skin test (TST) and IPT

8. Multiple studies in people living with HIV demonstrate that IPT is equally effective in people with positive and negative tuberculin skin tests.

A. True B. False

Adherence and Clinical Follow Up

9. Observation data for adherence to IPT indicated that the rates of cooperation varied widely from 26 to 64%.

A. True B. False

Cost-Effectiveness of IPT

10. Although numerous studies demonstrate that IPT is not necessarily cost-effective, it is still recommended for wide use within comprehensive HIV prevention, care, and treatment services because it is a reflects good clinical practice.

A. True B. False

Intensified Tuberculosis Case-Finding and Prevention of Tuberculosis in Children Living with HIV

11. In settings where the HIV epidemic is generalized, HIV serological testing is recommended for mothers or their infants in order to establish exposure status when infant HIV exposure is unknown and when they are:

A. Less than six weeks old B. Six to ten weeks old C. Eleven to fifteen weeks old D. None of the above

12. Contact history with a known TB case should raise the clinical suspicion of tuberculosis in children living with HIV.

A. True B. False

Regimen and Duration

13. Children living with HIV who are less than 12 months of age should receive IPT under each of the following circumstances EXCEPT:

A. If they have had contact with a TB case B. If they are able to receive three consecutive months of IPT treatment C. If they are evaluated for TB using investigations D. If their evaluation shows no TB disease

Preventative Treatment for TB

14. Experts are recommending evaluation of the role of vitamin B6 alone or in combination with other substances as part of TB prevention strategies.

A. True B. False

Part Two: What I Need to Know About Hepatitis B

15. Hepatitis B is a disease characterized by inflamation of the liver which may cause organs to fail to work properly.

A. True B. False

Who Gets Hepatitis B?

16. Anyone can get Hepatitis B, but high risk groups include:

A. People who were born to a mother with Hepatitis B B. Those who live with someone who has Hep B C. People on hemodialysis D. All of the above

How Could I Get Hepatitis B?

17. Hepatitis B can be transferred through contact with an infected person's blood, semen, or bodily fluid, but it is unlikely to be contacted from using an infected person's razor or toothbrush.

A. True B. False

Symptoms of Hepatitis B

18. Which of the following are NOT possible symptoms of Hepatitis B?

A. Swollen stomach or ankles and easy bruising B. Tiredness and jaundice C. Fever and loss of appetite D. Dark-colored stools and constipation

Chronic Hepatitis B

19. Hepatitis B is considered chronic when the body can't get rid of the virus, and the population most likely to get chronic hepatitis B is the elderly.

A. True B. False

20. If chronic hepatitis B is suspected, a liver biopsy may be recommended.

A. True B. False

Treatment of Hepatitis

21. An injectable drug used to treat chronic hepatitis B is:

A. Lamivudine B. Telbivudine C. Adefovir D. Peginterferon

Hepatitis B Vaccine

22. The Hepatitis B vaccine is is not recommended for pregnant women or children under the age of sixteen.

A. True B. False

23. The hepatitis vaccine should be given in a series of three shots, and it is very unlikely that any protection from the virus will be provided unless the entire series is given.

A. True B. False

Points to Remember

24. While Hepatitis B usually has no symptoms, adults and children ages five and older may sometimes have jaundice or other indicators of the disease.

A. True B. False

Hope Through Research

25. Chronic hepatitis B is generally treated with drugs that slow or stop the virus from damaging the liver, but scientists are researching better strategies for using antiviral medicines to treat the disease.

A. True B. False


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