HIV Flashcards

(28 cards)

1
Q

Primary target of HIV?

A

Helper T cells

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2
Q

What is the viral load?

A

Measure in copies of virus per mL (copies/mL)

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3
Q

What is the goal of HIV tx/ART?

A

viral load below lab detection (< 20 copies/mL or < 2.00E+01 copies/mL)

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4
Q

T or F: HIV disproportionately affects affluent populations.

A

F

It affects marginalized ppl mostly

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5
Q

Why is HIV prevalence on the rise?

A

Less ppl are dying from HIV > more ppl living w/ AIDS alive

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6
Q

HIV is a …

a. DNA virus
b. RNA virus

A

b. RNA virus

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7
Q

HIV replicates by hijacking machinery of this cell.

A

CD4+ cells

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8
Q

What class of drugs are used to tx HIV?

A

ARVs (antiretrovirals)

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9
Q

What’re the three main drug targets of HIV viruses?

A

integrase, reverse transcriptase, and protease

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10
Q

What do each of the three main HIV enzymes do?

A

Reverse transcriptase: converts viral RNA to DNA

Integrase: allows HIV DNA to be inserted into CD4 DNA

Protease: breaks up immature proteins into protein chains that’re assembled into new virions that’re then ready to infect new cells

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11
Q

T or F: Despite having undetectable viral loads, inds are still considered infectious.

A

F

They’re no longer infectious

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12
Q

U=U meaning?

A

undetectable = untransmittable

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13
Q

How many copies/mL are considered “undetectable”?

A

< 20 c/mL

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14
Q

Normal CD4 levels in healthy inds?

A

500-1200 cells/mm^3

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15
Q

What level of CD4 is assoc w/ more advanced HIV dz?

A

< 200 cells/mm^3

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16
Q

During the course of an HIV infection, what is the name of the phase where Abs are made against the virus such that they can be detected?

A

Seroconversion

17
Q

Describe symptoms of early/acute HIV infection.

A

Flu-like, self-resolving

Fever, h/a, rash, sore throat, D, wt loss, myalgia/arthralgia

18
Q

How does AIDS develop?

A

When chronic, untx’ed HIV infection leads to CD4+ counts of < 200 cells/mm^3

19
Q

What is a person likely to develop as a result of AIDS?

A

Opportunistic infections

20
Q

T or F: AIDS is inevitable.

21
Q

Best way to avoid AIDS?

A

Early tx with ARVs

22
Q

Which specific organ system’s CD4+ cells are decimated early on during an HIV infection?

A

GI mucosal CD4+ cells

23
Q

Why is immune function permanently damaged during an HIV infection, even with suppression via ART?

A

HIV causes scarring and collagen buildup in lymph nodes (permanent structural changes)

24
Q

HIV infections are inherently _______

25
Reasons why CD4 counts would not recover despite ART
1. chronic inflam 2. lymphoid fibrosis 3. hematopoietic progenitor cell loss 4. thymic dysfn
26
How does HIV affect aging process?
It causes chronic inflammation > age faster
27
When would it be appropriate to perform an Ab test for HIV?
within 3-12 weeks post-infection
28
Why would one use antibody testing and p24 antigen testing?
differentiate b/w HIV-1 and HIV-2