1. Which of the following exposures is least likely to result in transmission of the HIV virus from an HIV positive to an HIV negative individual?
A. Having sex without using barrier protection
B. Sharing a needle to inject illicit drugs
C. Sharing a tissue that the HIV-positive person used to wipe his eyes
D. Delivering a baby from an HIV-infected mother who has not taken preventive medications
2. Select the statement that is TRUE:
A. Of the 1.1 million Americans who are living with HIV, less than 5% are unaware of their status.
B. Since the peak of the epidemic, the number of new HIV infections in the US has risen from 37,600 per year to 130,000 per year
C. The number of new HIV infections continues at far too high a level, particularly in certain high-risk groups.
D. Effective treatments and good public health campaigns have made HIV infection a minor concern in the U.S. and globally.
3. When employing Universal Precautions, what should all health care providers assume?
A. All blood, body fluids, secretions, excretions (except sweat), non-intact skin and mucous membranes may contain transmissible infectious agent
B. Most blood, body fluids, secretions, excretions (except sweat), and broken skin may contain transmissible infectious agent; mucous membranes do not
C. All blood may contain transmissible infectious agent; body fluids, secretions, excretions (except sweat), broken skin, and mucous membranes do not
D. Most blood, body fluids, secretions, excretions (except sweat), broken skin, and mucous membranes does not contain transmissible infectious agent
4. A patient presents a prescription for tenofovir disoproxil fumarate plus emtricitabine in a fixed-combination tablet. The directions read, "Take 1 tablet daily for pre-exposure prophylaxis." The prescriber indicates that you should prepare a 30-day supply, and give the patient 11 refills. What should you do?
A. Fill the prescription as written
B. Ask the pharmacist to call the physician; the only FDA-approved PrEP is tenofovir disoproxil fumarate plus lamivudine
C. Ask the pharmacist to call the physician; the prescriber should only prescribe PrEP for 3 months at a time
D. Return the prescription to the patient and tell him that the PrEP cannot be filled at community pharmacies; tell him to visit an HIV clinic
5. Which of the following statements is INCORRECT?
A. HIV is a retrovirus; it must infect a cell to reproduce (or make copies of itself).
B. HIV's main target is the CD4 lymphocyte cell.
C. If the infection is untreated, it eliminates the body's immune defenses entirely.
D. Once the CD4 count falls below 700 cells/mm3, patients are diagnosed with AIDS.
6. How many drug classes are currently available to treat HIV?
A. 2
B. 1
C. 7
D. 10
7. What do the current HIV guidelines recommend for initial treatment of HIV infection?
A. An integrase inhibitor with 2 nucleoside reverse transcriptase inhibitors
B. A fusion inhibitor and 2 nucleoside reverse transcriptase inhibitors
C. 1 antiviral drug from each class of drugs approved for HIV treatment
D. No treatment until the patient's CD4 cell count falls to 300/mm3
8. A 72 year old male who has been living with HIV infection since the late 1980s visits the pharmacy. He has hypertension, diabetes, and is taking an opioid analgesic because he fell and broke his arm last week. When you meet him at the register with 11 prescriptions (4 of which are antivirals for HIV) that have been filled and are ready to go, he asks if he can pay for zinc lozenges that he needs because he is coming down with a cold. What should you do?
A. Ring him out and send him on his way
B. Tell him you need to collaborate with the pharmacist to see if the zinc interacts with his current medications
C. Tell him that using complementary and alternative medications is strictly forbidden when you have HIV infection
D. Ring him out and tell him to go online and use an HIV interactions checker when he gets home
9. Which of the following is a requirement of the Florida Omnibus AIDS Act?
A. Confirm results from a rapid test approved by the United States Food and Drug Administration with another test before informing the patient
B. Notify the county health department by phone and in the patient's presence when you disclose his or her results to him or her
C. Wait for patients to inquire about their results to notify them; so not reach out to them proactively
D. Provide the patient with an over-the-counter HIV testing kit and tell them to follow the directions for at-home use
10. A technician with whom you work tells you that he was approached by a local employer whose employees usually fill their prescriptions in your pharmacy. The employer offered her $500 to look at a list of employees, determine if they are HIV positive based on their medications, and return it to the employer. If the technician does this and is caught, what level charges could she expect in Florida?
A. None; this is legal in Florida
B. First-degree misdemeanor
C. Second-degree misdemeanor
D. Third-degree felony
Evaluation Questions
11. To what extent did the program meet objective #1?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
12. To what extent did the program meet objective #2?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
13. To what extent did the program meet objective #3?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
14. To what extent did the program meet objective #4?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
15. To what extent did the program meet objective #5?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
16. Rate the effectiveness of how well the program related to your educational needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
17. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
18. Rate the quality of the faculty:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
19. Rate the effectiveness and the overall usefulness of the material presented:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
20. Rate the appropriateness of the examination for this activity:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
21. Rate the effectiveness of how well the activity related to your practice needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
22. Rate the effectiveness of how well the activity will help you improve patient care:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
23. Will the information presented cause you to change your practice?
A. Yes
B. No
24. Are you committed to making these changes?
A. Yes
B. No
25. As a result of this activity, did you learn something new?
A. Yes
B. No
26. What is your practice setting or area of practice?
A. Community Pharmacy/Independent
B. Community Pharmacy/Chain
C. Hospital/Health Systems
D. Administrative/Pharmacy Director
E. Critical Care Pharmacy
F. Long-term Care
G. Managed Care/PBM
H. Oncology
I. Specialty Pharmacy
J. Industry/Manufacturing
27. How many years have you been in practice?
A. <5
B. 5 – 10
C. 11 – 20
D. >20