Care of HIV patients (lecture) Flashcards Preview

Multisystem Midterm > Care of HIV patients (lecture) > Flashcards

Flashcards in Care of HIV patients (lecture) Deck (20):
1

When did screening of donated blood for HIV begin?

1985

2

When did screening of donated blood for HIV begin?

1985

3

HIV can be spread via what four bodily fluids?

Semen, cervicovaginal fluid, Breast milk, CSF

4

What will be the cell types that are most abnormal in an acutely infected HIV patient?

Lymphocytes will be increased more than the others (viral infections in general) and Platelets will be very low (40,000)

5

Patient shows up with pneumonia. First line treatment is ______ and _____ for CAP. If there is no response, infection from _________ ________ (organism) is highly likely and increases suspicion of what underlying infection?

Azithromycin and Ceftriaxone
Pneumocystis jirovecii (yeast-like fungus) is an AIDS defining illness

6

What are the screening and diagnostic tests for HIV?

ELISA is screening (high sensitivity)
Western Blot is diagnostic (high specificity)

7

What condition is most likely to give a false positive for HIV ELISA?

Pregnancy

8

What two tests are used for detecting primary HIV infection? Which is more specific?

p24 antigen is more specific
HIV RNA PCR is more sensitive

9

What three malignancies are most strongly a/w HIV?

Lymphoma, cervical carcinoma, Karposi's sarcoma
All of these are a/w oncogenic viruses

10

Prophylaxis for PCP, Toxo, and MAC is indicated at what CD4 levels?

11

Post-needle stick ART therapy should begin within what time frame?

2 hr time limit

12

HIV can be spread via what four bodily fluids?

Semen, cervicovaginal fluid, Breast milk, CSF

13

What will be the cell types that are most abnormal in an acutely infected HIV patient?

Lymphocytes will be increased more than the others (viral infections in general) and Platelets will be very low (40,000)

14

Patient shows up with pneumonia. First line treatment is ______ and _____ for CAP. If there is no response, infection from _________ ________ (organism) is highly likely and increases suspicion of what underlying infection?

Azithromycin and Ceftriaxone
Pneumocystis jirovecii (yeast-like fungus) is an AIDS defining illness

15

What are the screening and diagnostic tests for HIV?

ELISA is screening (high sensitivity)
Western Blot is diagnostic (high specificity)

16

What condition is most likely to give a false positive for HIV ELISA?

Pregnancy

17

What two tests are used for detecting primary HIV infection? Which is more specific?

p24 antigen is more specific
HIV RNA PCR is more sensitive

18

What three malignancies are most strongly a/w HIV?

Lymphoma, cervical carcinoma, Karposi's sarcoma
All of these are a/w oncogenic viruses

19

Prophylaxis for PCP, Toxo, and MAC is indicated at what CD4 levels?

20

Post-needle stick ART therapy should begin within what time frame?

2 hr time limit