CMN 577 HIV Practice Question
2025/2026 Graded A+
Once a patient tests positive for HIV, before any treatment is initiated, what baseline
labs should be drawn? - ✔✔HIV1, HIV2 testing, serum glucose, creatinine, lipid profile,
and UA. A tuberculin skin test or CXR to r/o presence of TB/infection, as well as
clearing the patient of any STI's including hepatitis
Who should be offered ART therapy? - ✔✔Any HIV positive patients, regardless of their
CD4 cell count (in order to treat and prevent HIV related disease as well as to reduce
the risk of transmitting HIV)
Before a treatment option can be chosen, what must take place? - ✔✔HIV staging
What is HIV staging? - ✔✔Includes pre-treatment CD4 count, HIV/RNA levels (viral
load), HIV genotypic drug resistance testing, HLA-B 5701 status, patient preferences,
and anticipated patient adherence to program. Comorbidities must also be considered
at this time, as well as the side effect panel, compliance risks, drug interactions,
convenience, and cost
What is PReP? - ✔✔Pre-exposure prophylaxis medications that may be used to reduce
the risk of HIV transmission in HIV negative patients who are considered high risk to
acquire HIV (Truvada)
What is PEP? - ✔✔Post-exposure prophylaxis that may be initiated when treatment is
sought within 72 hours of suspected exposure. Treatment is used for 4 weeks.
Before initiating PRep or PEP therapy, what test must be done? - ✔✔HIV test- must be
negative
If a pregnant woman has HIV RNA levels at >1000 copies/mL near time of delivery,
what is the recommended delivery option? - ✔✔Recommended scheduled C-section at
38 weeks gestation
Can an HIV+ mother breastfeed her newborn? - ✔✔NOT Recommended.
How often should an exposed infant of an HIV+ mother be tested for HIV? - ✔✔12-21
days, 1-2 months, 4-6 months, children 2 years and older who are high-risk may have
annual screenings
How early should PEP be initiated in the person with occupational exposure to known or
possible HIV? - ✔✔Within 2 hours of the incident or sooner, if possible.
2025/2026 Graded A+
Once a patient tests positive for HIV, before any treatment is initiated, what baseline
labs should be drawn? - ✔✔HIV1, HIV2 testing, serum glucose, creatinine, lipid profile,
and UA. A tuberculin skin test or CXR to r/o presence of TB/infection, as well as
clearing the patient of any STI's including hepatitis
Who should be offered ART therapy? - ✔✔Any HIV positive patients, regardless of their
CD4 cell count (in order to treat and prevent HIV related disease as well as to reduce
the risk of transmitting HIV)
Before a treatment option can be chosen, what must take place? - ✔✔HIV staging
What is HIV staging? - ✔✔Includes pre-treatment CD4 count, HIV/RNA levels (viral
load), HIV genotypic drug resistance testing, HLA-B 5701 status, patient preferences,
and anticipated patient adherence to program. Comorbidities must also be considered
at this time, as well as the side effect panel, compliance risks, drug interactions,
convenience, and cost
What is PReP? - ✔✔Pre-exposure prophylaxis medications that may be used to reduce
the risk of HIV transmission in HIV negative patients who are considered high risk to
acquire HIV (Truvada)
What is PEP? - ✔✔Post-exposure prophylaxis that may be initiated when treatment is
sought within 72 hours of suspected exposure. Treatment is used for 4 weeks.
Before initiating PRep or PEP therapy, what test must be done? - ✔✔HIV test- must be
negative
If a pregnant woman has HIV RNA levels at >1000 copies/mL near time of delivery,
what is the recommended delivery option? - ✔✔Recommended scheduled C-section at
38 weeks gestation
Can an HIV+ mother breastfeed her newborn? - ✔✔NOT Recommended.
How often should an exposed infant of an HIV+ mother be tested for HIV? - ✔✔12-21
days, 1-2 months, 4-6 months, children 2 years and older who are high-risk may have
annual screenings
How early should PEP be initiated in the person with occupational exposure to known or
possible HIV? - ✔✔Within 2 hours of the incident or sooner, if possible.
