HIV/Aids Care and Counselling PYC2605 Oct/Nov Exam 2021

HIV/Aids Care and Counselling PYC2605 Oct/Nov Exam 2021 Transmission and prevention Study for exam Introduction and Sections 3.1 to 3.5. Important note on Sections 3.2 and 3.2.1 Study Section 3.2 and Section 3.2.1 up to the recommendations (p.57). Do not study these recommendations and also not the first paragraph following the recommendations. Continue to study the risk of HIV infection from blood transfusions (last paragraph on p. 57) as well as the key to safe blood supply (p. 58). Do not study the last two paragraphs of this section (between the last bullet on p.58 and Section 3.2.2) but continue to study Section 3.2.2. Important note on Section 3.2.3 Study this section, except for the examples of accidents (bullets on p. 59) and the last paragraph (the note to health care workers). Do not study Enrichment: Hepatitis B or HIV: Which is more infectious? But study the FAQs on page 61. Important note on Section 3.3 Section 3.3: Study this section except for the last paragraph on p. 62. Section 3.3.1: Study the first paragraph (do not study the bullets) and study the Enrichment: Re-infection with HIV should be avoided (p. 63). Section 3.3.2: Study the first paragraph (stop before the bullets) and study Glossary: HIV-exposed (p. 63). Section 3.3.3: Study only the first paragraph Section 3.3.3.1: Leave this section out but study the summary below as well What is exclusive breastfeeding? (p. 64) Summary: The duration of breastfeeding affects the baby’s risk for HIV infection. The best time-span to breastfeed any baby, not only babies affected by 6 HIV, is six months. It is best that mothers on ARVs for HIV-infection breastfeed their babies exclusively until they are 6 months old. The mother should then continue with breastfeeding for another 6 months while introducing complementary foods. When the baby is 12 months old, breastfeeding can be stopped but it should be a gradual process taking place over one month. The chances that babies of mothers who are HIV-infected but not on ART will get HIV-infected, are the lowest if they are exclusively breastfed. However, the mother should start ART as soon as possible. Section 3.3.3.2: Study the first two paragraphs as well as Conditions for safe replacement (formula) feeding up to the conditions for commercial infant formula milk (the bullets). Do not study these conditions, but study Why are mixed feeds bad for the baby? (p. 65) and the FAQs on p. 66. Do not study Heat-treated, expressed breastmilk but study Health for mother and baby (p. 67). Section 3.3.3.4: Do not study Do not study Enrichment: Hepatitis B or HIV: Which is more infectious? Enrichment: Methods and devices used for VMMC Enrichment: Did you know the following about microbicides? Enrichment: What is the difference between PEP and nPEP? CAPRISA 004 (second half to the end of Section 3.5.2.2) Strategies for making vaccines (second half to the end of Section 3.5.2.4) Chapter 4: HIV-associated Symptoms and Diseases Study for exam Sections 4.1 - 4.2, 4.4 - 4.6 (4.6;.4.6.1; 4.6.9; 4.6.10); Note on Section 4.2.3: Do not study the last 7 bullets in this section. Instead, study the additional symptoms included below. Additional symptoms  Fungal infections (e.g. cracks or splits on the lips and in the corner of the mouth.)  Fungal infections of the nails.  Oral ulcers that recur (two or more episodes in the last six months).  Skin infections of various kinds. Do not study Figure 4.1: Do not study but understand the figure and the note next to it. Figure 4.2: Do not study but has to understand. Section 4.2.4 Exclude the last two symptoms/bullets. Section 4.2.5 Exclude the following symptoms: Cytomegalovirus infection; CNS toxoplasmosis; Extrapulmonary cryptococcosis down to Lymphoma; Atypical disseminated leishmaniasis down to the last bullet. Enrichment: YouTube videos. Table 4.1 Section 4.3 Enrichment: Immune status in children. Section 4.4.2.1 but know the meaning of HIV-exposed (Glossary). Section 4.4.2.2 Section 4.4.2.3 after Table 4.3 Enrichment: Prevention and management of opportunistic infections. Section 4.4.3.1 Section 4.4.3.2 after the first paragraph Enrichment: A change in the measles vaccination schedule. PYC2605/101/3/2022 7 Section 4.5.4 but study the note on p. 110 Enrichment: How to do a tuberculin skin test and how to interpret the results. Enrichment: More information on TB. Section 4.5.7 Section 4.5.8 the 2nd paragraph (DOTS). Enrichment: Does DOTS really work?Table 4.4 FAQs at the end of Section 4.5 (but study the FAQ before section 4.5) Enrichment: STI management guidelines. Sections 4.6.2 to 4.6.8 (study the FAQs following Section 4.6.8) Chapter 5: HIV tests Study for exam All sections. Do not study Figure 5.1: Nice summary of chapter Enrichment: How a rapid home test is done (p. 133) Figure 5.2: Read for enrichment only Figures 5.4 to 5.6 Nice section summaries Chapter 6: Antiretroviral therapy Study for exam Sections 6.1 – 6.3, 6.5 – 6.14 Do not study Fig. 6.2: Must understand. Table 6.1 (it is, though, a nice summary of the text) Section 6.4 Table 6.2 Table 6.3 ART abbreviations and Glossary (margin p. 155) Section 6.5.3.2: Text after formula to end of Table 6.4 Section 6.5.3.3 and Table 6.5 Section 6.5.3.4 down to Table 6.6, but study Support for children to adhere to ART. Section 6.5.4 Table 6.7 (study the note next to the table) Section 6.5.5: Study only the first paragraph, the first sentence of 2nd paragraph, and the glossary. Enrichment: Additional information on ART Section 6.6 up to before Section 6.6.1 that should be studied Table 6.8 Section 6.7: Do not study the 1st paragraph; only the 2 nd paragraph. Section 6.8: The 3 rd paragraph and the note. Enrichment: Resistance testing Figure 6.3: DO Not study but use to understand resistance. Section 6.11.1: Study only the first two sentences to understand the basic principle of infant prophylaxis. Study the FAQs at the end of the section. Chapter 7: Theories of Behaviour Change Study for exam All sections. Do not study Figure 7.1: Nice summary of theories for better understanding Enrichment: Partners for Prevention. Chapter 8: Aids education Study for exam All sections. Do not study Enrichment: Icebreakers for workshops. Chapter 9: Changing Unsafe Practices Study for exam All sections Do not study Figure 9.2 Enrichment: How are condoms tested? Figure 9.4 8 Chapter 11: Aids Education in Traditional Africa Study for exam All sections Do not study Enrichment: Films that illustrate Aids in SA Chapter 12: Counselling Principles and Skills Study for exam All sections Do not study Enrichment: The duty to warn or protect third parties from harm. Figure 12.2: It is however a nice summary of the work. Enrichment: Cross-cultural vs. multicultural (read for enrichment only). Chapter 13: HIV Counselling and Testing Study for exam All sections Chapter 14: Ongoing Counselling Study for exam Chapter 14: All sections (see exceptions below). Chapter 20: Sections 20.1 and 20.2. Do not study Section 14.2.1 up to before Section 14.2.1.1 Enrichment: Progressive muscle relaxation technique Enrichment: Alison’s story Section 14.4.1 Chapter 15: Bereavement Counselling Study for exam All sections Chapter 21: Care for the Caregiver Study for exam All sections Chapter 22: Aids and the Law Study for exam Sections 22.1 to 22.2 Sections 22.7 to 22.8 Do not study Sections 22.3 to 22.6 Enrichment: Resources for children. Chapter 23: Aids in the Workplace Study for exam Chapter 23: Sections 23.1 to 23.2. The portions of Section 23.3 to 23.5 as indicated in the block. Section 23.3: Study the first paragraph and first set of bullets. Section 23.4: Study the first paragraph, the first set of bullets and the glossary. Section 23.5: Study the first paragraph, not the bullets. However, read through the bullets to gain an understanding of the type of questions to ask in order to assess the needs and strengths in the workplace. Sections 23.6 and 23.7 Section 23.8 the first paragraph up to before the bullets. Do not study Enrichment: Guidelines for managing HIV and TB in the workplace (However, do read this if you are or want to become a Wellness Practitioner). Sections 23.9 to 23.10 PYC2605/101/3/2022 9 3. Important notes on the exam After each exam we analyse the exam data to determine which items students struggled with. Based on the data analysis for the Early Completion Programme, we would like you to note the following: 1. Carefully read each question as well as all the alternatives. Make sure what is being asked, and also that your alternative of choice, indeed answers the question. 2. When you are instructed to select all the correct options, there will always be more than one correct alternative. 3. When a question has an (a) and (b) part, make sure that you agree with both the (a) and (b) parts of the alternative that you select. Many students seem to read only the first alternatives before they select their answers. 4. We test knowledge and application, therefore:  Ensure that you are familiar with the terminology used in the prescribed book.  Study the content outlined in the syllabus – reading through the content and relying on your intuition will not help to pass this module. 4. The online exam The Oct/Nov exam is a timed, online, non-venue based examination. Therefore, you will only have two hours (timed) to complete the exam, write the exam using an internet-based platform such as myExams (online), and not in an allocated examination venue but in a venue of your own choice (non-venue based) such as at home or in your office. A mock exam will be written so that you can familiarise yourself with the exam platform before you take on the actual exam. Please look out for announcements in this regard. What can I expect on the day of the exam? The exam will consist of 70 multiple-choice questions for which 2 hours will be allowed. During the exam, the lecturing team will be available to assist you either in the discussion portal or in the chat portal. We will also pre-post solutions for challenges that are typically encountered during the exam. Alternatively, you can direct enquiries to the Student Communication Service Centre via or . At this stage, we should mention that the July exam for the ECP students went very well and minimal challenges were experienced. The most notable challenge was that students thought that the auto-submission of answers after the 2 hour exam limit, was the system that kicked them off. Please remember that after 2 hours, when your time is over, the system will autosubmit your answers – nothing will be lost. You will find it difficult to navigate the screen on a cellphone. Cellphones are also more vulnerable to occurrences of dropped Internet connections. DO NOT use a cellphone. Please start immediately to make an alternative arrangement if you only have a cellphone at this stage. You will be required to be online for the full duration of the examination, or until you have submitted your answers. Make sure that alternative arrangements are in place should you be scheduled for load shedding. Also, make sure that your device is fully charged before the examination. If you experience a technical problem during the examination, you need to log out 10 and log back in to resume the assessment. If you open another browser window without a proper logout action, the Online Assessment tool will report that as a discrepancy and could refuse the resumption of the assessment. The system runs in your browser and the browser contains some aspects of the functionality of the system. If you experience problems, save, and exit the browser and then log on again. Although Unisa examination systems are set up to maintain contact with your browser for lengthy periods of time we do not have control over your browser settings and the settings on proxy servers that relay your contact to Unisa. Some of these may have short time-out intervals. Make sure you maintain a dedicated environment on the computing device you use for the examination (e.g. never open more than one browser and refrain from opening multiple browser windows; close other programmes including email) International students will have to adhere to the scheduled South African time. We require you to write at the scheduled time regardless of where in the world (and what time) you find yourself. The examination paper opens and then closes for everyone at the same time.