Answers to Cpd Test Questions

Abstract

Based on: Nasoodi A, Lim LT, Al-Ani A, Quah S and Dinsmore WW. What you can see in your patient's eyes: review of ocular manifestations of HIV in the HAART era.

Int J STD AIDS 2008; 19: 4-11, DOI: 10.1258/ijsa.2007.005666

(1)

Which of the statements about HIV ophthalmopathy in the highly active antiretroviral therapy (HAART) era are true?:

(a) Ninety percent of HIV patients would have developed some ophthalmopathy on death.	TRUE
(b) Incidence of cytomegalovirus (CMV) retinitis in HIV patients has been reduced by 50% in the HAART era.	FALSE
(c) Keratoconjunctivitis sicca is more widespread in HIV patients in HAART era.	TRUE
(d) Retinal microangiopathy is a clinical marker of HIV patients.	TRUE
(e) Cotton wool spots do not occur in HIV retinitis.	FALSE

(2)

CMV retinitis in HIV patients:

(a) Became more rampant as a result of HAART.	FALSE
(b) Before HAART, the incidence in HIV patients was 30%.	TRUE
(c) If left untreated will definitely result in retinal detachment.	TRUE
(d) Accounts for three-quarters of infectious retinitis.	TRUE
(e) Oral ganciclovir is first line treatment.	TRUE

(3)

The following statements are true:

(a) Ganciclovir can cause severe neutropenia.	TRUE
(b) Cidofovir can lead to renal failure.	TRUE
(c) Gancicolovir intraocular implant of one eye gives protection to the fellow eye.	FALSE
(d) Intravitreal cidofovir can lead to uveitis.	TRUE
(e) Ganciclovir implant remains in the patients’ eyes and will not deplete.	FALSE

(4)

The following statements are true.

(a) HIV patients are at higher risk of developing carcinoma related to human papillomavirus.	TRUE
(b) Conjunctival intraocular neoplasia is associated with half of HIV patients.	TRUE
(c) Herpes simplex virus (HSV) keratitis is more common in HIV patients than the normal population.	TRUE
(d) HSV keratitis in HIV patients tends to be more severe than in normal population.	TRUE
(e) The incidence of herpes zoster virus ophthalmopathy is around 10% in HIV patients.	TRUE

(5)

The following statements are true:

(a) Syphilis in HIV patients receiving HAART is more prevalent.	TRUE
(b) Ocular syphilis causes about 2% of uveitis cases in HIV patients.	TRUE
(c) Syphilitic uveitis can lead to secondary glaucoma.	TRUE
(d) HIV positive patients have a higher rate of false positive and false negative VDRL results compared to immunocompetent individuals.	TRUE
(e) Syphilitic retinitis responds well to intravenous penicillin.	TRUE

(6)

The following statements are true:

(a) Chlamydial conjunctivitis is more common in HIV patients.	TRUE
(b) Gonoccocal keratitis is more severe in HIV patients.	TRUE
(c) Toxoplasmosis retinitis is more rampant in HIV patients.	TRUE
(d) Kaposi's sarcoma of the eyelids and conjunctiva is related to human herpes virus 11.	FALSE
(e) Reiter's associated uveitis is more common in HIV patients.