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Management of HIV, HBV, HCV, Human Bites, and Sexual Assaults in Prison Populations

Purpose and Overview

1. Which of the following will prevent many exposure incidents?

A. Regular hand washing

B. Appropriate use of protective gear such as gloves and face shields

C. Strategic use of needle-less devices

D. All of the above

Steps in Postexposure Management

2. If HIV postexposure prophylaxis (PEP) is indicated, it is ideal to administer it within _____ of the exposure incident.

A. 2 hours

B. 12 hours

C. 24 hours

D. 72 hours

3. The source case’s identity should be recorded on the exposed person’s medical record / worksheet for future reference if a problem should arise.

A. True

B. False

4. All of the following are general instructions for treating the exposure site, except for:

A. The injured skin or wound should be emergently cleaned with soap and running water for two minutes.

B. Mild bleeding should be allowed to continue freely for 30 seconds.

C. The wound should be aspirated and bleeding should be forced, by incision if necessary.

D. Exposed eyes should be flushed with water or saline for at least two minutes.

5. Clinical evaluation must include the possibility that _____ may have been exposed to a bloodborne pathogen.

A. The person bitten

B. The person who inflicted the bite

C. Both (A) and (B)

D. None of the above

6. The risk for infection with other types of organisms significantly exceeds the risk of exposure to bloodborne pathogens.

A. True

B. False

7. If the source case is HIV infected, all of the following should be obtained about the source case, except for:

A. The most recent HIV viral load CD4+ T-cell count.

B. Resistance testing at the time of exposure.

C. History of antiretroviral therapy.

D. Clinical status.

8. Needles or other sharp instruments should not be tested for HIV.

A. True

B. False

9. Pregnancy does not preclude the use of optimal PEP regimens, and PEP should not be withheld on the basis of pregnancy.

A. True

B. False

10. Incompletely HBV vaccinated persons should have:

A. The vaccine series restarted.

B. Minimum dosing intervals heeded.

C. Both (A) and (B).

D. None of the above.

11. Follow-up should be stopped if the anti-HCV is negative at 4 months postexposure.

A. True

B. False

12. Unprotected sex should be avoided by individuals with exposures to which of the following bloodborne pathogens?

A. HIV exposure

B. HBV exposure

C. HCV exposure

D. All of the above

Appendix 4: “Sexual Assault and STDs,” CDC 2010 Treatment Guidelines for Adults and Adolescents

13. Which of the following is the most frequently diagnosed infection among women who have been sexually assaulted?

A. Trichomoniasis

B. Gonorrhea

C. Chlamydial infection

D. All of the above

14. During an initial examination, a serum sample for immediate evaluation should be obtained for all of the following tests, except for:

A. HIV infection

B. Hepatitis B

C. Hepatitis C

D. Syphilis

15. Which of the following impact the medical recommendation for PEP and affect the assault survivor’s acceptance of that recommendation?

A. Any exposure characteristics that might increase the risk of HIV transmission.

B. The time elapsed after the event.

C. The potential benefits and risks associated with the PEP.

D. All of the above.

16. When an assailant’s HIV status is unknown, which of the following is a factor that should be considered in determining whether an increased risk for HIV transmission exists?

A. Whether ejaculation occurred on mucous membranes.

B. Whether multiple assailants were involved.

C. Whether mucosal lesions are present in the assailant or survivor.

D. All of the above.

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