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Chapter 26. Human Immunodeficiency Virus Medication Therapy Management Data Set

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Which of the following absolute CD4 cell counts is consistent with a diagnosis of AIDS?

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a. < 350 cells/mm3

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b. < 250 cells/mm3

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c. < 200 cells/mm3

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d. < 100 cells/mm3

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Which of the following is commonly associated with virologic failure?

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a. High baseline CD4 count

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b. Low baseline viral load

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c. Missed clinic appointments

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d. Excellent adherence

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How would you explain the definition of virologic suppression using living room language?

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a. A confirmed HIV RNA level below the limit of assay detection

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b. A temporary, detectable increase in the amount of HIV in your blood (viral load)

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c. When the amount of HIV virus in your blood goes from undetectable to over 200 copies/mL

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d. When the amount of HIV virus in your blood is no longer detectable using currently available blood tests

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JS is a 39-year-old male with HIV. He has been on antiretroviral therapy for 6 months and you are contacting him for a scheduled MTM session over the phone. He tells you that he takes Reyataz 300 mg: 1 capsule every morning; Norvir 100 mg: 1 tablet every morning; Truvada: 1 tablet every morning; and Bactrim DS: 1 tablet every morning. He states that he has also been taking over-the-counter omeprazole 20 mg twice daily for heartburn for the past 2 weeks. His friend told him it worked well for his heartburn. His most recent viral load was < 20 copies/mL (baseline 5,200 copies/mL) and CD4 count was 198 cells/mm3 (baseline 123 cells/mm3).

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Which of the following MRPs have you identified with JS?

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a. Unnecessary medication

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b. Nonadherence

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c. Contraindicated drug or dose

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d. Dosage too low

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JS is a 39-year-old male with HIV. He has been on antiretroviral therapy for 6 months and you are contacting him for a scheduled MTM session over the phone. He tells you that he takes Reyataz 300 mg: 1 capsule every morning; Norvir 100 mg: 1 tablet every morning; Truvada: 1 tablet every morning; and Bactrim DS: 1 tablet every morning. He states that he has also been taking over-the-counter omeprazole 20 mg twice daily for ...

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