Women with perinatal HIV, pragmatic prescribing, pregnancy and preparations – Dr. Caroline Foster Welcome to your Women with perinatal HIV, pragmatic prescribing, pregnancy and preparations - Dr. Caroline Foster 1. The following options may improve ART adherence in young women? Click all that are correct a. Gastrostomy insertion b. Financial incentives c. Long acting ART preparations d. Peer support e. Simplification through Virtual Clinic 2. A 15 year old adolescent girl who attends the HIV clinic informs you in confidence that she is sexually active with her boyfriend. She also informs you that her parents are unaware of this. What would you do? Select one answer a. Send her for family planning advice at the local clinic b. Explore her understanding of the risks and consequences of HIV transmission, offer support for contraceptive advice, maintain her confidentiality c. Tell her that you are obliged to inform her parents about her sexual activity and her boyfriend about her HIV d. Say that you respect her confidentiality and give her a bag of condoms 3. Which of the following statements is correct regarding contraception for young women on boosted protease inhibitor based ART? Select on answer that is true a. The oral contraception pill is preferred b. The contraceptive implant is contra-indicated c. Should not receive the Depot contraceptive if ART includes tenofovir d. Should only use condoms as an additional contraception encourages unprotected sex e. Intra-uterine devices are contra-indicated 4. Pregnancy in young women with perinatal HIV. Select one that is true. a. First pregnancy typically occurs at an older age than their uninfected peers b. Rates of viral suppression at delivery are higher than their behaviourally infected peers c. CD4 counts are higher than their behaviourally infected peers d. Data supports the use of long acting ART e. The majority of infants are uninfected 5. Regarding suppressive Art and the statement U=U. Select all that are true a. Applies to anal, oral and vaginal sex b. Viral load cut off is <50 copies/ml c. Has reduced HIV incidence d. May improve ART adherence e. Should be discussed with all teenagers living with HIV Time is Up!