PRE/POST-TEST FOR 2022 REVISED CONSOLIDATED GUIDELINES FOR HIV PREVENTION,

CARE AND TREATMENT IN UGANDA- NATIONAL TOT TRAINING

TIME ALLOWED IS 30 MINUTES

 PARTICIPANT NAME…………………………………………. ID NUMBER………....

 DISTRCT - TICK YOUR DISTRICT IN THE TABLE BELOW PLEASE. (INSERT THE
DISTRICTS IN YOUR REGION PLEASE, AND TRACK THE PRE AND POST TEST
RESULTS PER DISTRICT TO IDENTIFY IF THERE IS NEED TO SUPPORT A
SPECIFIC DISTRICT.)
Eg MBARARA Eg YUMBE

Eg HOIMA

INSTRUCTIONS;
 PLEASE, TICK THE CORRECT ANSWERS (SOME HAVE MORE THAN ONE CORRECT
ANSWER):
 TIME ALLOWED IS 30 MINUTES- ONE MINUTE PER QUESTION

1. What is the MINIMUM age in Uganda recommended for,

 HIV TESTING;…………..
 HIV SELF TESTING,……………
 INDEX CLIENT TESTING;……………

2. The country recommends the following types of sample collection for HIVST circle correct
answer
a) Serum and Whole blood
b) Saliva and whole blood
c) Oral transudate and saliva
d) Whole blood and oral fluid
e) Serum, whole blood and saliva

4. People who are from key and vulnerable populations are at higher risk for HIV and sexually
transmitted infections (STIs) when compared to the general community because. Circle the correct
a) They may have unprotected sex
b) They may share contaminated needles to inject drugs
c) They are more likely to be exposed to violence or sexual assault
d) They often do not get effective health care because of stigma or discrimination
e) They often do not have the correct information about their own level of risk

5. To provide better services for SW, PWUD and MSM, health care services should: Circle the correct
answer
 a) Provide risk-reduction counselling
b) Provide information and advice on anal sex
c) Provide information and advice on how to inject drugs safely
d) Provide moral and religious guidance
e) Provide clean needles for injecting drug users
6. What is the recommended maximum number of Intensive adherence counselling (IAC) sessions for a
PLHIV scoring less than 95% adherence score? …………………………………………..

7. All HIV positive adolescents should receive psychosocial assessment and support as part of their
routine care. Which tool should be routinely used for each clinical visit to adequately assess
psychosocial support to adolescents? ………………………………………………………..

8. The following are true while categorizing differentiated service delivery (DSD) in Uganda:-Circle
the correct answer
A. The aim of DSD is to maintain similar clinical outcomes for all patients
B. PLHIV newly identified and or re-engaging in care when clinically well
C. PLHIV newly identified and or re-engaging in care with advanced HIV disease
D. PLHIV established on ART and or with controlled chronic illnesses / NCDs.
E. Under DSD, the health systems shifts towards “one-size-fits-all” approach
F. PLHIV with uncontrolled chronic illness / NCDs, and any Drug limiting toxicities
G. PLHIV with treatment failure.

9. Which of the following is the preferred 1st line ART regimens in Uganda: Circle correct answer?
A. TDF+3TC+DTG
B. TAF+FTC+DTG
C. TDF+3TC+EFV
D. AZT+3TC+NVP
E. D4T+ 3TC+NVP
F. TDF+3TC+NVP

10. The following statements is/ are true about DSD services in Uganda; circle correct answer

A. Patient with, NCDs, TB, High viral load, children below 10 years but above 2 years are not
eligible for community DSD.
B. A patient can be in either a group model or Individual model.
C. Patient preference for a DSD model is determined by the 5 As criteria
D. The frequency of services i.e. Every 1 month, 2 months, 3 months, 6 months or 12 months

11. The following ART regimens can be used as 2nd line regimens except:
A. AZT+3TC+LPV/r
B. AZT+3TC+ATV/r
C. TDF+3TC+ DTG
D. TAF+FTC+DTG
E. TDF+3TC+EFV

12. What is the recommended Viral load suppression cut of point in Uganda?
 …………………………………………………………………………………
13. Viral Load test in Uganda is done:
A. For all the identified HIV positive client
B. For all Children, Adolescents and Adults who have been on ART treatment for at least 6
months
C. Only where CD4 is not available
D. For pregnant and breast feeding women at every 3 months interval
E. Only when the patient is not adherent to ART treatment

14. Who is recommended for HIV Drug resistance in Uganda:

……………………………………………………………………………………..
15. All of the following are associated with drug resistance on ARV therapy EXCEPT:
a. Poor adherence to the ART regimen
b. Poor absorption of medication, with subsequent sub-optimal drug levels
c. Having an unsuppressed viral load 3 years after starting therapy
d. Acquisition of a resistant strain
e. None of the above

16. Screening for cervical cancer among WLHIV 25-49years should be done:
a) Every 2 years regardless of the method used
b) Every 3 years regardless of the method used
c) Every 3 years for VIA and 5 years if using HPV testing
d) Once in a lifetime
e) Every 1 year for VIA and 3 years if using HPV testing

17. Group support psychotherapy treats depression by, circle any that applies
a) Increasing only social support and teaching positive coping skills
b) Teaching only income generating skills
c) Increasing social support, teaching positive coping skills and income generating skills
d) Increasing only social support
18. 45 year-old with BMI of 28 is classified as the following:
a. Underweight
b. Normal weight
c. Overweight
d. Obese

19. Which of the following patients has elevated blood pressure (circle all that apply):
a. 30-year-old woman no other medical problems with blood pressure 118/70
b. 50-year-old man with diabetes with blood pressure 125/72.
c. 40-year-old man with prior cardiovascular disease and BP 135/80
d. 45-year-old woman with blood pressure 160/95

20. Which of these statements is false in regards to Prevention of Mother-to-Child Transmission

(PMTCT)
a) “Virtual elimination” of MTCT refers to reducing the rate of mother to child HIV transmission
to less than 5% in a breast-feeding population
 b) Globally, about 90% of children get infected with HIV from their mothers.
c) HIV transmission occurs during pregnancy and there is no risk during and after delivery.
d) Without any care, about 30% of babies born to HIV+ mothers will become HIV+ accounting for
about 18% of new infections.

21. High risk infant receives the following care;

a) Is given Nevirapine syrup for 12 weeks
b) Is given AZT and NVP tablet
c) Is not immunized with BCG
d) Is given Neverapine syrup for prophylaxis

22. Viral load testing for pregnant women is done,

a) At 1st ANC for those who are already on ART, and after 3 months for those newly starting ART
then every 3 months after that
b) Every year
c) At 1st ANC for those who are already on ART, and after 6 months for those newly starting ART
then every 6 months after that
d) As soon as the baby is born before they start breastfeeding

23. Indicate True or False for the statements below regarding Advanced HIV Disease (AHD)
a) Adults, adolescents and children five years or older with CD4 cell count <200cells/mm3 or with
a current WHO stage 3 or 4 event are considered to have AHD.
b) Children younger than five years of age with HIV regardless of CD4 cell count are considered as
having advanced HIV disease due to high viremia and rapid disease progression with high
mortality.
c) Adults, adolescents and children with CD4 cell count >200cells/mm3 are considered to have
AHD.
d) Children younger than 5 years who have been on ART for more than one year, are virally
suppressed and are clinically stable, are not considered to have AHD.

24. The following are components of the package for Advanced HIV Disease in an 8-year-old newly
enrolled in HIV care
a) Screening for and management of TB
b) Screening for and management of cryptococcal meningitis
c) Screening for and management of severe pneumonia and severe bacterial infections.
d) Screening for and management of severe malnutrition
e) Provision of age-appropriate Vaccinations such as HPV vaccine.
f) All the above
g) a, b, c
h) a, c, d
i) a,b,c,d only

25. Indicate True or False for the following statements

a) VISITECT is ONLY used for CD4 testing among PLHIV above 5 years
b) TB LAM is used to aid TB diagnosis in people with presumptive TB including HIV negative
people
 c) TB LAM is used to aid TB diagnosis in all children with severe malnutrition who have
presumptive TB
d) Serum CRAG and TB LAM should be performed for ALL PLHIV who have a CD4 < 200
cells/mm3
26. Which of the following is true about the AGYW comprehensive HIV Prevention service package.
(Mark all that apply)
a) The package is not evidence based
b) The interventions are delivered to specific age groups
c) The package has primary, secondary and contextual interventions.
d) According to the different age groups all AGYW should receive the secondary package.
e) all the above.

27. Which tests are conducted at baseline for monitoring drug safety in active drug safety monitoring
and management (aDSM)?
a. LFTs and RFTs
b. FBS and TSH
c. Blood Electrolytes and CBC
d. Viral Load and CD4
e. All the above

28. After how many days of non-ART REFILL/ absent from the Health facility visits do you consider a
PLHIV as a LOST TO FOLLOW UP: