C P D  Q U E S T I O N S
Journal 40

Two CPD points are awarded for the correct completion and submission of the questions below.

CPD questionnaires must be completed online via www.cpdjournals.org.za.
After submission you can check the answers and print your certificate.

Questions may be answered up to 6 months after publication of each issue.
This programme is available free of charge to members of the HIV Clinicians Society and SAMA only.

Concerning INH preventive therapy (IPT) in children:
True (A) or false (B):1. 

  Tuberculosis (TB) must be excluded before commencing 
IPT in HIV-positive children. 
True (A) or false (B):2. 

  HIV-infected infants have a twofold greater incidence of TB 
than their HIV-uninfected counterparts. 
True (A) or false (B):3. 

  Failure to thrive is a strong consideration in deciding whether 
an infant is possibly infected with TB. 
True (A) or false (B):4. 

  Infant exposure to a TB case requires 3 months of IPT. 
True (A) or false (B):5. 

  IPT should only be given to children >5 years after a TB 
exposure. 
True (A) or false (B):6. 

  Children of mothers who did not receive screening for TB 
during antenatal care may require IPT. 
True (A) or false (B):7. 

  IPT may be given to children already on ART, especially if 
they are Mantoux positive and have no TB symptoms. 
True (A) or false (B):8. 

  In a child, a Mantoux induration of >2 mm is considered 
positive in the absence of ART. 
True (A) or false (B):9. 

  In the absence of TB disease, IPT must always be 
commenced before ART. 

Concerning safer conception in HIV infected couples:
True (A) or false (B):10. 

  Pre-exposure prophylaxis involves giving antiretroviral 
therapy to HIV-uninfected individuals to reduce the risk of 
HIV acquisition. 

True (A) or false (B):11. 
  HIV transmission is independent of HIV viral load in  

the blood. 
True (A) or false (B):12. 

  In discordant couples considering conception, it is important 
to know the HIV status of both individuals. 
True (A) or false (B):13. 

  In the case of an HIV-infected male partner, sperm can be 
washed to reduce the HIV viral load before insemination into 
a negative partner. 
True (A) or false (B):14. 

  In the case of a positive female partner, vaginal insemination 
can reduce the risk of HIV transmission to a negative  
male partner. 
True (A) or false (B):15. 

  Vaginal insemination is a technical procedure that requires a 
sterile environment and specialist input. 
True (A) or false (B):16. 

  In discordant couples, ensuring that the positive partner is 
well established on ART with an undetectable viral load is an 
effective way to reduce HIV transmission. 
True (A) or false (B):17. 

  ART is only safe in the third trimester of pregnancy. 
True (A) or false (B):18. 

 Efavirenz should be avoided throughout pregnancy. 

Concerning human papillomavirus (HPV):
True (A) or false (B):19. 

  Infection with HPV may result in cancerous transformation 
in the cervical mucosa. 
True (A) or false (B):20. 

  All strains of HPV are oncogenic. 

CPD insert.indd   1 5/24/11   4:06:56 PM