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:
             .
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 are no significant ART interactions with
antibiotics typically prescribed by dentists .
24
dental management
Special precautions :
Anxiety:
This patient population has a higher risk of dental phobia.
Bleeding
Excessive bleeding may occur in patients with untreated
or
poorly
controlled
disease
as
a
result
of
thrombocytopenia. Order CBC. Platelet counts <50,000
may require transfusion.
25
dental management
Special precautions :
Breathing
Ensure that patient does not have a pulmonary infection.
Delay
treatment
until
pulmonary
infections
are
resolved .
Cardiovascular
HIV-infected
patients
are
at
a
higher
risk
for
cardiovascular disease. Confirm cardiovascular status.
Some ARVs, such as Protease Inhibitors, can increase
risk for arrhythmias by extending QT prolongation .
26
Drugs:
dental management
In
addition
to
the
previously
mentioned
drug
interactions:
Systemic
and
injected
corticosteroid
levels
(i.e.,
prednisolone, prednisone, dexamethasone, and
triamcinolone (injected)) levels are increased by ARVs
treatment
Everolimus, sirolimus, cyclosporine, or tacrolimus levels
may be increased by boosted ARVs, or reduced by EFV
(efavirenz .
27
dental management
Follow-up
Routine and periodic follow-up evaluation is advised
for HIV-infected patients.
Request recent bloodwork and inspect for oral lesions
to monitor for disease progression or ART failure .
Patients in stage 2 or 3 may require more frequent
follow-up and additional bloodwork investigations .
28
dental management
Occupational Exposure to HIV
The risk of H

            Quiz: