MSN 621 COMPREHENSIVE EXAMINATION
TEST 2026 FULL QUESTIONS AND CORRECT
ANSWERS
▶ HIV & Antiretroviral therapy. Answer: HAART (ART): indicated for all
patients with HIV
Use in pregnancy, non-pregnant adults
Goal=undetectable viral load
-ART reduces mother to child transmission to less than 1%
-avoid efavirenz early in pregnancy
Monitoring= CD4 count (immune status) and viral load (treatment
effectiveness)
Targets= undetectable viral load in 3-6 months and CD4 greater than 200
▶ HAART/ART. Answer: -Do not stop abruptly
-interruptions can increase viral load and resistance
-modify therapy for severe toxicity, drug interactions or pregnancy
considerations
Mother to children transmission of HIV
- therapy during pregnancy
-IV Zidovudine during labor if viral load high
-infant prophylaxis after birth
▶ EVB/infectious Mononucleosis. Answer: Diagnosis= Heterophile
antibodies (Monospot), elevated atypical lymphocytes, elevated LFTs
Complications= Splenic rupture,hepatitis, airway obstruction (tonsillar
hypertrophy)
*No contact spots for more than 3-4 weeks, until spleen is non-palpable
▶ Human Metapneumovirus. Answer: -RSV like illness
-Affects young children, immunocompromised, older adults
-Causes bronchiolitis, pneumonia
TEST 2026 FULL QUESTIONS AND CORRECT
ANSWERS
▶ HIV & Antiretroviral therapy. Answer: HAART (ART): indicated for all
patients with HIV
Use in pregnancy, non-pregnant adults
Goal=undetectable viral load
-ART reduces mother to child transmission to less than 1%
-avoid efavirenz early in pregnancy
Monitoring= CD4 count (immune status) and viral load (treatment
effectiveness)
Targets= undetectable viral load in 3-6 months and CD4 greater than 200
▶ HAART/ART. Answer: -Do not stop abruptly
-interruptions can increase viral load and resistance
-modify therapy for severe toxicity, drug interactions or pregnancy
considerations
Mother to children transmission of HIV
- therapy during pregnancy
-IV Zidovudine during labor if viral load high
-infant prophylaxis after birth
▶ EVB/infectious Mononucleosis. Answer: Diagnosis= Heterophile
antibodies (Monospot), elevated atypical lymphocytes, elevated LFTs
Complications= Splenic rupture,hepatitis, airway obstruction (tonsillar
hypertrophy)
*No contact spots for more than 3-4 weeks, until spleen is non-palpable
▶ Human Metapneumovirus. Answer: -RSV like illness
-Affects young children, immunocompromised, older adults
-Causes bronchiolitis, pneumonia
