1. Dr Dawood
Quiz questions

2. A HIV infected patient with newly diagnosed extra-pulmonary tuberculosis and a CD4 count of 36 cells/ul:
Should start antiretroviral therapy (ART) immediately together with TB therapy
ART should be deferred for 2 weeks after commencing TB therapy
ART should be deferred for 8 weeks after commencing TB therapy
TB therapy should be deferred for 2 weeks after ART is started
TB therapy should be deferred in order to avoid possible immune reconstitution syndrome

3. In a pregnant women co-infected with HIV and TB requiring antiretroviral therapy (ART)
TB treatment is the priority
Nevirapine may be safely used in pregnancy and TB
Streptomycin should form part of the re-treatment TB regimen
Nevirapine does not have any drug – drug interactions with standard TB therapy
Cotrimoxazole is contraindicated

4. With regard to the diagnosis of tuberculosis (TB) in the HIV infected patient:
Smear negative Pulmonary TB (PTB) is common in patients with advanced immunosuppression
Lymph node aspiration is not a helpful diagnostic procedure
Mycobacterial blood cultures have a poor yield in patients with severe immune suppression and disseminated TB
Pulmonary TB in HIV infection should always be treated with a 12 month course of anti-tuberculous treatment
The standard therapy for Pulmonary TB is isoniazid, rifampicin, ethambutol and pyrazinamide for 2 months followed by isoniazid and rifampicin for 4 months The following test are used to diagnose TB