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Hsci 225:Hiv/Aids Question Paper
Hsci 225:Hiv/Aids
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2012
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2012 (DAY) EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 225
UNIT TITLE : HIV/AIDS
TIME : 3 HOURS
Instructions:
This paper has THREE Sections, A,B & C. All are compulsory.
Answer ALL Questions in the answer booklet provided.
Write your registration number on each page of the answer booklet.
SECTION A: MULTIPLE CHOICE QUESTIONS (20 MARKS)
For Question 1-3, respond with T if TRUE or an F if FALSE. A correct response earns ½ a mark. (6 Marks)
Question One
About Female Condoms;
They are made of the same material as the male condom.
They can only be lubricated with water – based lubricants.
They can be washed, dried and re-used.
They can be worn 3 hours before sexual intercourse.
Question Two
Human papiloma virus (HPV);
Is sexually transmitted.
In a patient it is manifested as warts on vagina, cervix or penis.
Young girls who are not sexually active can be vaccinated against it.
Has no relationship with cancer of the cervix.
Question Three
Antiretroviral therapy (ART);
Reduces HIV transmission.
Cures HIV/AIDS
Does not have any side effects.
Increases survival rate and improves quality of life.
For Question 4 and 5 match items in column A to items in column B. A correctly matched pair earns ½ a mark. (6 Marks)
Question Four
Column A Column B
Clinical Presentation Stage of HIV/AIDS
NB: The first one has been done for you as an example 4.(1) D
4.(i) Toxoplasmosis of the brain
Primary infection
4.(ii) Flue-like Symptoms
Assymptomatic Stage
4.(iii) Frequent bacterial infections
Symptomatic Stage
4.(iv) No Symptoms
Full blown AIDS
4.(v) Acute menengitis
4.(vi) HIV/AIDS Wasting Syndrome
4.(vii) Cryptococcal Menengitis
Question Five
Match the word in Column A with a description in Column B.
Column A (Word/Term) Column B (Description)
5.(i) Postexposure prophylaxis (PEP)
Highly Infections Virus (HIV)
5.(ii) Viral Load
Drugs that care HIV/AIDS
5.(iii) Langerhans Celler
Viral particles per milliliter of blood
5.(iv) Karposis Sarcoma
A sexually transmitted infectinn (STI)
5.(v) HIV
Drugs that stop HIV replication.
5.(vi) HAART
Taking drugs to prevent one getting HIV after exposure
Common Cancer in stage IV HIV/AIDS
Found on the underside of the foreskin, has CD4 receptors
Triple Therapy
For question 6-13 select the most appropriate answer amongst the four; A,B, C, or D. Correct answer earns a mark. (8 Marks)
Question Six
The effectiveness of antiretroviral therapy is measured by:
A rise in the red blood cell count.
A fall in viral load and an increase in CD4 count.
A rise in HIV antibody levels.
Lack of advance reaction.
Question Seven
Pneumocystis jiroveci pneumonia is caused by;
Virus.
Bacteria.
Fungi.
Protozoa.
Question Eight
The rate of HIV transmission per coital act is highest during;
Early stage of HIV infection.
Advanced stage of HIV infection.
Both early and advanced stages.
In the middle stage of the infection.
Question Nine
After HIV viral DNA enters the nucleus of the host cell it is incorporated into the host cell chromosomes through the action of the enzyme;
Protease.
Integrase.
Lipase.
Reverse transcriptase.
Question Ten
The prevalence of HIV/AIDS in Kenya is;
7.4%
7.0%
6.1%
15%
Question Eleven
A mother can transmit HIV to her foetus/child when;
Breastfeeding.
Bathing the baby with bare hands.
Cleaning the umbilical cord.
Changing the baby’s napkin due to contact with baby’s reproductive organs.
Question Twelve
The correct order of viral replication is;
Attachment, fusion, uncoating, reverse transcription, integration,
Transcription, Assembly & budding, maturation.
Attachment, uncoating, Reverse transcription, Fusion, integration, Assembly and budding, maturation.
Binding, Fusion, Uncoating, Reverse transcription, integration, Assembly and budding, maturation.
Binding, uncoating, Reverse transcription, Fusion, integration, Assembly and budding, maturation.
Question Thirteen
In a household where the couple is discordant;
The couple should not engage in sexual intercourse at all.
The couple should not share combs, utensils or towel.
The couple should have protected sexual intercourse.
The couple should not be allowed to have more children to avoid mother to child transmission of HIV.
SECTION B: SHORT ANSWER QUESTIONS (40 MARKS)
Question One
Describe FOUR (4) methods that can be used to prevent mother to child transmission of HIV. (8 Marks)
Question Two
Explain how HIV can be transmitted through blood to blood contact.
(8 Marks)
Question Three
List SIX (6) symptoms of pulmonary tuberculosis in an adult. (3 Marks)
Question Four
List FOUR (4) steps followed during voluntary counseling and testing (VCT) of HIV/AID. (2 Marks)
Question Five
State FIVE (5) consequences of irresponsible sex. (5 Marks)
Question Six
Explain why adolescence is a risky period for HIV/AIDS transmission.
(6 Marks)
Question Seven
Explain why male to female transmission of HIV/AIDS is more efficient in comparison to female to male transmission. (8 Marks)
SECTION C: LONG ANSWER QUESTIONS (40 MARKS)
Question One
Mr. Kiboko is a twenty year old second year university student. He comes from a well to do family and has a lot of money at his disposal. He was introduced to marijuana and heroin by senior students. He also takes alcohol and chews miraa (Khat). Currently he is in a homosexual relationship with a drug peddler and in addition has a string of girl friends.
From the above;
Explain why Mr. Kiboko is at risk of acquiring HIV.
(4 Marks)
Apart from HIV/AIDS transmission, state FOUR(4) other consequences of drug abuse.
(4 Marks)
As a peer counselor discuss how you would assist Mr. Kiboko.
(12 Marks)
Question Two
Discuss the impact of HIV/AIDs on;
Education sector.
(10 Marks)
Health sector
(10 Marks)
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