Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            tion:
it is multifactorial (i.e., intrinsic to HIV-pathogenesis,
medication related, post inflammatory, or related to
adrenal gland dysfunction). May involve keratinized or
nonkeratinized mucosal sites. No treatment needed
but sometimes biopsy taken to exclude melanoma .
16
AIDS and HIV infection
Kaposi sarcoma (KS:
w50% of patients with KS have oral lesions, and the oral
cavity is the initial site of involvement in 20%e25% of cases.
The most common sites are the hard palate gingiva, and
tongue. KS that occurs in an HIV infected patient is
diagnostic of AIDS .
17
AIDS and HIV infection
Lymphoma:
Approximately 5% of HIV-infected patients develop
lymphomas
(all
sites).
Most
head
and
neck
lymphomas
in
HIV
patients
are
high
grade
nonHodgkin (NHL) lymphomas and are typically
related to EBV. Extra-nodal locations are common,
particularly the maxilla. NHL that occurs in an
HIVinfected patient is diagnostic of AIDS .
18
dental management
General guidelines :
Review medical history, determine whether HIV
infection exists, and discuss relevant issues with the
patient .
Identify all medications and drugs being taken or
supposed to be taken by the patient .
Examine the patient for signs and symptoms of
disease and obtain vital signs .
19
dental management
General guidelines :
Review recent laboratory test results or images required to
assess risk. Confirm patient has a primary care provider .
Obtain a medical consultation (i.e., refer to physician) if the
patient
is
poorly
controlled
or
is
undiagnosed
or
if
uncertain .
If laboratory tests indicate patient is well controlled, routine
dental
procedures
can
be
performed
without
special
precautions .
20
dental management
Special precautions :
Analgesics and drugs for neuropathic pain
NSAIDs
:
The
risk
for
renal
impairment
of
NSAIDs
is
potentially
higher
in
patients
taking
TDF
)
tenofovirdisoproxil
fumarate
(
.
This
does
not
contraindicate
use
of
NSAIDs
,
but
judicious
.
Aspirin and other NSAID use can worsen bleeding in a
patient who has thrombocytopenia. Check drug or
potential substance use interactions before prescribing.
21
Special precautions :
Analgesics and drugs for neuropathic pain
dental management
Opioid metabolism (including tramadol) may be affected
by coadministration with boosted ARVs (antiretroviral) or
EFV (efavirenz) drugs , resulting in either increased or, in
some cases ,decreased opioid levels. Meperidine(opioid)
is contraindicated in patients taking EFV because of seizure
risk .
Tricyclic antidepressants may interact with Protease
Inhibitors drugs (given to HIV patients) may increase risk
for arrhythmias .
22
dental management
Special precautions :
Analgesics and drugs for neuropathic pain
Carbamazepine or oxcarbazepine may reduce ARVs
levels and should be avoided .
Clonazepam, alprazolam, and diazepam levels will be
increased by boosted ARVs
23
dental management
Special precautions :
Antibiotics
Prophylactic
use
not
required
unless
severe
neutropenia (<500 cells/mm
3
(
is
present
.
There a

            Quiz: