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August 2010-HIV-related surgery.

CPD questionnaires must be completed online via www.cpdjournals.org.za. After submission you can check the answers and print your certificate. Questions may be answered up to 6 months after publication of each issue.

GUIDELINES FOR SURGERY IN THE HIV PATIENT

1. The following body fluids have no risk for occupational viral transmission (choose one):

A. Saliva

B. Urine

C. Bile

D. Cerebrospinal fluid

E. None of the above.

2. True (A) or false (B)--fill in only block A or B:

A CD4 count of less than 200 cells/[mu]l is characteristic of AIDS.

3. True (A) or false (B)--fill in only block A or B:

Some AIDS patients request cosmetic surgery to remove 'tell-tale' signs.

GASTROINTESTINAL DISEASES IN HIV/AIDS

4. True (A) or false (B)--fill in only block A or B:

A CD4 count of 200 is adequate for elective surgery.

5. True (A) or false (B)--fill in only block A or B:

There is a role for endoscopy in Candida oesophagitis.

6. True (A) or false (B)--fill in only block A or B:

Endoscopic retrograde cholangiopancreatography (ERCP) is the sole management tool in cholangiopathy.

HIV-RELATED LYMPHADENOPATHY

7. All enlarged HIV lymph nodes need to be further investigated, except (choose one):

A. Those associated with systemic symptoms

B. Those with abnormal consistency

C. Shotty generalised lymph nodes

D. Fixed/matted nodes

E. Those that suddenly change in size.

8. True (A) or false (B)--fill in only block A or B:

Excised lymph nodes for histopathology should be submitted in saline.

HIV POST-EXPOSURE PROPHYLAXIS AND ANTIRETROVIRAL THERAPY FOR ADULTS AND ADOLESCENTS: A PRACTICAL GUIDE FOR SURGEONS AND GENERAL PRACTITIONERS

9. Which of the following drugs should not be used as post-exposure prophylaxis (choose one):

A. D4T

B. 3TC

C. Efavirenz

D. Nevirapine

E. AZT.

10. Nevirapine should not be used in which of the following scenarios (choose one):

A. Pregnancy

B. Females with a baseline CD4 count >250

C. Males with a baseline CD4 count <400

D. Males or females with a CD4 count <200

E. Prevention of mother-to-child transmission.

GYNAECOLOGICAL SURGERY IN THE HIV-POSITIVE PATIENT

11. Seropositive patients display more postoperative complications e.g. (choose one):

A. Delayed wound healing

B. Surgical site infections

C. Wound dehiscence

D. Longer postoperative hospital stay

E. Pneumonia.

12. The higher complication rate in HIV patients is associated with (choose one):

A. CD4 count <50 cells/[mu]l

B. CD4 count <200 cells/[mu]l

C. Viral load 10 000 cell/[mu]l

D. Pre-operative viral load <30 000 copies/ml

E. Bacterial infection at time of surgery.

13. True (A) or false (B)--fill in only block A or B:

Most gynaecology surgery in the HIV-positive women was done for infectious indications.

VASCULAR DISEASE IN HIV/AIDS

14. True (A) or false (B)--fill in only block A or B:

Aneurysms in HIV-infected individuals are found at atypical anatomical sites and tend to be multiple.

HIV-RELATED ANAL DISEASE

15. True (A) or false (B)--fill in only block A or B:

Surgical intervention in anal disease in HIV-positive patients should be avoided at all costs.

SOFT-TISSUE TUMOURS AND HIV/AIDS

16. True (A) or false (B)--fill in only block A or B:

The American Joint Committee on Cancer guidelines in the staging of soft-tissue tumours use multiple factors.

MALE GENITAL DISEASE IN HIV AND AIDS

17. True (A) or false (B)--fill in only block A or B:

Herpes simplex virus (HSV) is associated with invasive squamous carcinoma of the penis.

COMMON HEAD AND NECK PROBLEMS IN HIVPOSITIVE PATIENTS

18. True (A) or false (B)--fill in only block A or B:

Erythroplakia has a lower risk for malignancy than leukoplakia.

THE PAEDIATRIC SURGEON AND HIV

19. True (A) or false (B)--fill in only block A or B:

Lymphoma has the same incidence in HIV-infected patients as in the general population, but it has a worse prognosis.

THE IMPACT OF HIV/AIDS ON ORTHOPAEDIC SURGERY

20. True (A) or false (B)--fill in only block A or B:

Wound healing after elective surgery is delayed and there is a higher risk of infection in HIV-positive patients.
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Publication:CME: Your SA Journal of CPD
Geographic Code:6SOUT
Date:Aug 1, 2010
Words:695
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