EPIDEMIOLOGICAL FACTORS

1. Which factors influence sexual route of transmission?

2. Why are women more vulnerable than men to HIV?

3. Why anal sex have a higher risk than vaginal or oral sex?

4. Which factors influence risk of mother to child transmission?

5. What is the risk of transmission of HIV through

   1. Sexual route

   2. Mother to child transmission

   3. Blood transfusion

   4. Needle stick injury

6. What is the window period? How long is the window period?

7. When is a HIV infected person most infectious?

CLINICAL FEATURES

1. Name some common opportunistic infections.

2. Describe natural history of HIV.

LABORATORY INVESTIGATIONS

1. Which HIV tests are used under the programme?

2. What is the role of Western Blot?

3. When would you use the PCR test?

4. Which HIV testing strategy (Strategy I, II or III) is to be used in a patient with symptoms suggestive of HIV?

5. In ICTC, which HIV testing strategy is used?

6. Why should this patient be encouraged to be tested for HIV or why did you think of asking about HIV?

7. What is pre-test counselling? Which points are included in pre-test counselling?

8. Which questions will you ask the patient to assess risk of HIV?

9. What will you tell the patient regarding the HIV testing process?

10. In our hospital ICTC, for HIV testing, which method is used, ELISA or Rapid?

11. What are its advantages and disadvantages of these methods?

12. What is post-test counseling? What points are included in post-testing counselling of a HIV positive patient?

13. What points are included in post-testing counselling of a HIV negative patient?

14. Once HIV status is confirmed, which investigations are done?

15. How often are these investigations repeated?

16. What is the normal CD4 count?

MANAGEMENT

1. In whom is co-trimoxazole prophylaxis given?

2. When is ART started?

3. Which are the first line ART drugs?

4. Where are the ART centres located in Mumbai?

5. What are link ART centres?

6. How do you monitor the efficacy of ART treatment?

PREVENTION AND CONTROL

1. How will you prevent the sexual route of HIV transmission?

2. How will you prevent mother to child transmission of HIV transmission?

3. How will you prevent transmission of HIV in a health care setting?

4. If you accidentally get a needle stick injury in the ward while collecting blood from a patient whose HIV status is not known, what would you do?

5. Is prophylaxis required for a child born to an HIV positive mother, who has taken ART?

6. What would be the prophylaxis regime for a child born to a HIV positive mother, who has never taken ART?

7. Will you advise breastfeeding to a baby born to a HIV positive mother? Why?

8. Can BCG vaccine be given to the baby born to a HIV positive mother?

9. The patient’s spouse asks you for the patient’s report, what will you do?