Assessing Risk Quiz

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Risk assessment quiz for HIV testing clinicians.

Are you currently training (or retraining) as a test counsellor at a POC testing site in Ontario?	You must specify a text.
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Question 1 of 10

1. Question
Which of the following might result in an HIV infection?
- a) A male client masturbates another man whose status he doesn’t know
- b) A female client has receptive vaginal sex with her HIV-positive husband who is undetectable and who the client sees taking his medications regularly
- c) A client injects an opioid laced with fentanyl using a new disposable needle
- d) a) and b)
- e) b) and c)
- f) b) and c)
- g) None of the above
Correct

That’s right! The answer is (g) none of the above.

Incorrect

Sorry! The correct answer is (g) none of the above.
Question 2 of 10

2. Question
Which of the following should be considered a high-risk exposure to HIV prompting an HIV test?
- a) A transgender client has condomless sex (anal, receptive) with a long-term partner, who is HIV positive and undetectable and who the client sees taking their medications regularly
- b) A client injects drugs with a group of drug-using companions sharing the cooker and filter; everyone uses their own needle
- c) A male Indigenous client is regularly taking PrEP, and has condomless sex (anal, insertive and receptive) with another man he doesn’t know
- d) a) and c)
- e) b) and c)
- f) None of the above
Correct

That’s right! The answer is (b) a client injects drugs with a group of drug-using companions sharing the cooker and filter; everyone uses their own needle.

Incorrect

Sorry! The correct answer is (b) a client injects drugs with a group of drug-using companions sharing the cooker and filter; everyone uses their own needle.
Question 3 of 10

3. Question
Which of the following should be considered to have had a high-risk exposure that should prompt an HIV test?
- a) An ACB man admires the muscles of a guy he meets at the gym, and uses the guy’s needle to inject the steroids the guy is using
- b) An Indigenous woman is penetrated vaginally using her own clean sex toy; her partner is HIV-positive and detectable
- c) An African woman and her family came to Canada as refugees after the woman was raped. Both she and her husband tested negative for HIV upon entry to Canada and test for HIV every six months. They are in a monogamous relationship and have unprotected vaginal sex.
- d) A gay man goes on vacation for a week and forgets to take his PrEP prescription. He is not sexually active while he is there. The day he gets back to Ontario he takes a PrEP pill and goes to the bath-house where he has oral sex with several men he doesn’t know.
- e) a) and c)
- f) a) and d
- g) c) and d)
Correct

That’s right! The answer is (a) an ACB man admires the muscles of a guy he meets at the gym, and uses the guy’s needle to inject the steroids the guy is using.

Incorrect

Sorry! The correct answer is (a) an ACB man admires the muscles of a guy he meets at the gym, and uses the guy’s needle to inject the steroids the guy is using.
Question 4 of 10

4. Question
Which of the following activities have the highest risk of HIV transmission when one’s partner is HIV positive and detectable?
- a) Receptive anal sex
- b) Injecting drugs with a shared needle
- c) Insertive anal sex
- d) Receptive vaginal sex
- e) Insertive vaginal sex
Correct

That’s right! The answer is (a) receptive anal sex.

Incorrect

Sorry! The correct answer was (a) receptive anal sex.
Question 5 of 10

5. Question
A client had a recent high-risk exposure. How often should you recommend that they test?
- a) At 3 weeks, 6 weeks and 3 months
- b) At 3 months only
- c) Immediately after exposure
- d) As soon as possible
Correct

That’s right! The answer is (a) at 3 weeks, 6 weeks and 3 months.

Incorrect

Sorry! The answer is (a) at 3 weeks, 6 weeks and 3 months.
Question 6 of 10

6. Question
You are seeing a client three weeks after a high-risk exposure for a rapid POC test. You should:
- a) Recommend they go to emergency to be prescribed PrEP
- b) Recommend they also have a standard HIV test (sent to the laboratory)
- c) Recommend they only have a standard HIV test (sent to the laboratory)
- d) Tell them it is too soon to know
Correct

That’s right! The correct answer is b) recommend they also have a standard HIV test (sent to the laboratory).

Incorrect

Sorry! The correct answer is b) recommend they also have a standard HIV test (sent to the laboratory).
Question 7 of 10

7. Question
A client from a priority population is testing annually and comes to you for express testing. You should:
- a) Review how the HIV virus is transmitted
- b) Explain the test and how it is possible that they will get their results immediately
- c) Confirm that they have thought about how they will react (who they will talk to) if thee test is reactive
- d) Obtain consent
- e) b) and d)
- f) c) and d)
Correct

That’s right! The correct answer is (f) c) and d).

Incorrect

Sorry! The correct answer is (f) c) and d).
Question 8 of 10

8. Question
You have seen a client multiple times for an HIV test; they are low risk and negative. You should:
- a) Tell them to stop coming back, they are negative
- b) Acknowledge their feelings and, if possible, recommend a counsellor to help deal with their anxiety
- c) Send their specimen for further specialized testing at the laboratory to re-assure them
- d) Continue to provide testing, whenever they request it despite their growing anxiety
- e) None of the above
Correct

That’s right! You should (b) acknowledge their feelings and, if possible, recommend a counsellor to help deal with their anxiety.

Incorrect

Sorry! The correct answer is (b) acknowledge their feelings and, if possible, recommend a counsellor to help deal with their anxiety.
Question 9 of 10

9. Question
What does it mean for a person who is HIV-positive to be undetectable?
- a) The amount of HIV virus is their blood is so low it cannot be detected with viral load testing
- b) The virus is able to do less harm to the body and immune system
- c) The person cannot transmit the HIV virus to another person through sexual activity
- d) The person’s risk of transmitting HIV to another person when sharing drug use equipment is reduced
- e) All of the above
Correct

That’s right! The answer is (e) all of the above.

Incorrect

Sorry! The answer is (e) all of the above.
Question 10 of 10

10. Question
Which of the following conditions must be true for an HIV exposure to be considered high-risk?
- a) A client’s sexual or drug use partners are HIV-positive (or may be HIV positive), and may have detectable levels of HIV
- b) Your client has many sexual partners
- c) Your client and their partner(s) were involved in practices that exchanged blood, semen, rectal fluid, vaginal fluid or breast milk
- d) There may have been gaps in the prevention strategies a client used for protection from HIV infection
- e) a), b), c) and d)
- f) a), c) and d)
- g) b), c) and d)
Correct

That’s right! The correct answer is f) a), c) and d).

Incorrect

Sorry! The correct answer is f) a), c) and d).

Assessing Risk Quiz

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