MSN 621 FINAL PAPER 2026 QUESTIONS
AND SOLUTIONS EXAMPREP GRADED A+
▶ 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
-treatment is support care only
▶ pediatric vaccinations. Answer: -Flu vaccine starts at 6 months (if Flu
season)
-Requires 2 doses for first time vaccination if under 9 because they are
vaccine-naive
-LAIV is contraindicated in asthma and immunocompromised
▶ Tuberculosis (TB). Answer: -screening is Mantoux (PPD) or IGRA
(preferred if BCG vaccinated)
-latent TB= positive test, no symptoms and normal CXR
-High Risk populations= HIV,recent immigrants,homeless, and healthcare
workers
AND SOLUTIONS EXAMPREP GRADED A+
▶ 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
-treatment is support care only
▶ pediatric vaccinations. Answer: -Flu vaccine starts at 6 months (if Flu
season)
-Requires 2 doses for first time vaccination if under 9 because they are
vaccine-naive
-LAIV is contraindicated in asthma and immunocompromised
▶ Tuberculosis (TB). Answer: -screening is Mantoux (PPD) or IGRA
(preferred if BCG vaccinated)
-latent TB= positive test, no symptoms and normal CXR
-High Risk populations= HIV,recent immigrants,homeless, and healthcare
workers
