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Chapter 26. HIV MTM Data Set

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

a. < 350 cells/mm3

b. < 250 cells/mm3

c. < 200 cells/mm3

d. < 100 cells/mm3

Answer c.

Which of the following is commonly associated with virologic failure?

a. High baseline CD4 count

b. Low baseline viral load

c. Missed clinic appointments

d. Excellent adherence

Answer c.

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

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

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

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

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

Answer d.

A 39-year-old male with HIV 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 atazanavir 300 mg, one capsule every morning; ritonavir 100 mg: one tablet every morning; emtricitabine/tenofovir: 1 tablet every morning; and sulfamethoxazole/trimethoprim DS, one tablet every morning. He states that he has also been taking over-the-counter (OTC) omeprazole 20 mg twice daily for heartburn for the past 2 weeks. His most recent viral load was <20 copies/mL (baseline 5200 copies/mL) and his CD4 count was 198 cells/mm3 (baseline 123 cells/mm3). Which of the following MRPs have you identified with this patient?

a. Unnecessary medication

b. Nonadherence

c. Contraindicated drug or dose

d. Dosage too low

Answer c.

A 39-year-old male with HIV 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 atazanavir 300 mg, one capsule every morning; ritonavir 100 mg: one tablet every morning; emtricitabine/tenofovir: 1 tablet every morning; and sulfamethoxazole/trimethoprim DS, one tablet every morning. He states that he has also been taking over-the-counter ...

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