Pretest – Module 9

Pretest – Module 9

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Question 1 of 2

1. Question
1. A 34-year-old HIV positive man was initiated on a fixed dose combination of tenofovir, lamivudine and dolutegravir (TLD). After six months of therapy, a blood sample was collected for a routine viral load test. The test results showed that his viral load was 3500 copies/ml. Which of the following is most appropriate about the management of this patient?
- The patient has a very low viral load and should be supplied with three months’ worth of TLD to continue his HIV treatment
- The patient is failing on first line antiretroviral therapy (ART). He should be initiated on a protease inhibitor containing second line ART regimen
- The patient may be having adherence problems and needs an interprofessional team to establish and man age the causes of viral non- suppression
- The patient should be referred urgently to an HIV specialist and a blood sample should be drawn to measure blood levels of the ART drugs
Question 2 of 2

2. Question
2. The previous patient with an HIV viral load of 3500 copies/mL wishes to join a pharmacy only (pharmacy refill) group where he can collect his ART at the pharmacy window every three months without having any clinical reviews. Which of the following is most appropriate?
- In line with the WHO-recommended differentiated service delivery models, this patient qualifies for pharmacy only visits.
- This patient’s request should be put on hold until they attain a suppressed viral load for at least 24 months.
- At present, this patient should not be considered for pharmacy only (pharmacy refill) visits because he presented with a detectable viral load on ART
- Whatever the patient requests, the patient should receive

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