HIV

Question 1

Acute phase HIV is what?

Answer 1

Like mono but higher fevers and mucosal ulcers

last a few weeks

Question 2

Cryptosporidium tx?

Answer 2

Nitazoxonide (AIDs defining illness, it is from things that happened at NIGHT)

Question 3

Wasting syndrom is what?

Answer 3

Losing body weight with HIV and CD4 low

Tx witth emgesterol and testosterone if both are low

ANTIRETROVIRAL therapy is best

Question 4

Cocciodiomycocis in HVIV

Answer 4

Cough, fever, disseminated disease

Bilateral infiltrates on CXR with positive antibodies

Tx: fluconazole or ampho

Question 5

AIDS dementia? Tx

Answer 5

Low CD4 with ataxia, intellectual decline

ANTIRETROVIRAL THERAPY IS TX

Question 6

CAndida esophagitis is AIDS defining illness. Dx? Tx?

Answer 6

Very painful swallowing

Oral or IV fuc
Nystatin
Ampho

Question 7

HIstoplasmosis tx?

Answer 7

Amphotericin B or fluconazol

Question 8

What is concern about history of toxoplasmosis in low CD4?

Answer 8

Reactivation of it. Need prophylaxis

Pyramethine, leucovorin

Question 9

HIV with focal neurologic symptoms think what?

Answer 9

Toxoplamsosis or LYMPHOMA!!!

Question 10

What is progressive multifocal leukoencephalopathy?

Answer 10

PCR test on CSF does it

VIRAL DISEASE BUT NO GOOD TREATMENT

Question 11

Cryptococcus stain?

Answer 11

India ink. Antigen studies usually used

Ampho and fluconazole

Question 12

Cytomegalovirus concern in HIV?

Answer 12

RAPID VISUAL LOSS

Can cause esophagitis with painful ulcers!!!

Foscarnet or ganciclovir

Question 13

Mycobacterium avid complex? MAC? Tx?

Answer 13

MACROLIDES for MAC

It is from blood cultures

Question 14

HIV screening?

Answer 14

ELISA for HIV antibodies

Question 15

Specific test for HIV?

Answer 15

western blot

Question 16

Side effects of NRTIs?

Answer 16

Lipodystrophy

LACTIC ACIDOSIS CAN BE DEADLY

Question 17

Abacavir bad side effect?

Answer 17

HYPERSENSITIVITY (can be deadly)

Question 18

Zidovudine side effect?

Answer 18

Bone marrow suppression is always asked

Question 19

Which are the NNRTIs? Major side effect?

Answer 19

They are the vir in the middle.. Inhibit reverse transcriptase

Rash is side effect

Question 20

Efavirenz side effect?

Answer 20

NNRTI so RASH and

TERATOGENIC AND NEUROPSYCH SYMPTOMS

Question 21

Protease inhibitors end in what?

Answer 21

NAVIR. Boosted with ritonavir

Block activation of virus

Question 22

Atazanavir side effect?

Answer 22

HYPERBILIRUBINemia

Question 23

Side effect of protease inhibitors

Answer 23

Navir cause METABOLIC issues and GI side effects

Question 24

HAART basics?

Answer 24

2 NRTIs and one of the others

Question 25

Screening for HIV in infant?

Answer 25

They will all be positive form mom's antibodies So the screening is for viral load

Question 26

Prophylaxis in HIV? KNOW THIS!

Answer 26

CD4 less than 200 PCP TMPSMX Toxoplasmosis TMPSMX MAC Macrolide