Virology12 Flashcards
(49 cards)
T or F
Immunosuppresion caused by HIv has the same influence as that of organ transplant
False
Primary acute HIV syndrome is much like that of—— so we call it —–
Some of it’s symptoms are :
1-
2-
EBV
Mononucleosis like syndrome
Hepatosplenomegaly
Pruritic Rash
T orF
Signs of HIV acute syndrome are clear ,specific and we can tell that this patient has HIv from this stage
False
Most patiets enter the clinical latency without anyone knowing
T or F
In HIv we have viral latency
False
T or F
If the patient came with recurrent diarrhea and night sweats, candidisis
This raise the suspicion that he might have HIV
Truee
T or F
In acute HIV syndrome we have immunosuppresion
False
T or F
HIV acute syndrom can’t go asymptomatic
False
People who have covid and living with HIV but on HAART have (severe/normal)—– infection. They might have (longer/shorter)—— covid symptoms.
The most cases of HIV are in —— where we have ——— and——,that was the problem regarding ppl livin with HIV.
Normal Longer Africa Low vaccination Overwhelming of healthcare sys
People living with HIV are like COVID patients are prone to —– and —– on the long term
Cardiovascular disease
Diabetes
T or F
During clinical latency the patient is not infectious
Akid infetious le3en den l manta2a
Oral hairy leukoplakia as a —— is caused by —– in immunosuppresed patients or even in ——-
Constitutional symptom
EBV
Early acute HIV syndrome
——- is caused by HHV8 in immunosupp ppl, which is ——
Kaposi sarcoma
Connective tissue malignant cancer
T or F
Kaposi sarcoma is a blanching macculopapular rash
False
Non blanching
T or F
Most of kaposi sarcomas are unnoticed
True (taht usbaa ejru)
We should always examine skin and oral cavity
Pleaseeeeee shufun
Data showed we have (male/female) —— predisposition to kaposiii
Male
Male:female (17:1)
AIDS defining illness 1- 2- 3- 4-
+1-
2-
3-
1-CD4<200
2-pulmonary tuberculosis
3- recurrent pneumonia
4-invasive cervical cancer
Kaposi
Pneumocystis carini pneumonia (b america is more prevalent than TB so by3tbruwa as aids defining illness)
Esophageal candidasis
TB infection increases by —– fold in HIV patients, we can screen by—- and —–
20 fold
PPD (>5)
Chest x ray looking for tubercles and not granulomas (laanu l granuloma kter zghar) (tubercles hene majmu3t granulomas)
Coccidioides immitis aka —— caused by —— , causes —– fever but in immunosupp ppl it will cause —– or —— when the CD4 drops below—–
Mainly in ——(country)
Coccidioidomycosis Mycelium of fungu Valley Very severe pneumonia Meningitis 250 USA
Pneumocystis carini pneumoniae aka —–is a —– causes —–,—– and ——
However in immunosuppressed patients it causes ——- that appear on CT scan like —–, when the CD4 drops to ——
Prophylaxis:
Jirovecii Yeast fungus Fever-dyspnea-cough Ground glass pattern pneumonia CoViD Less than 200 Bactrim
T or F
Fungal pneumonia or recurrent bacterial pneumoni in a healthy looking patient is suspicious and i should do HIv test
True
T or F
Recurrent Bacterial pneumonia appears only when CD4 count drops below 200
False
May appear on 400-500
Main bacteria that causes recurrent pneumonia :
1-
2-
Hemophilus influenzae
Strep pneumonia
Candida albicans causes —— in immunocompetent patients while in immunosuppressed ppl it causes mainly —— and ——, when the CD4 count drops below—–
Superficial friable white lesions on mucosa only (mesh mtl l oral leukoplakia ma beruhu) Esophageal candida (can be from omeprazole) And cutaneous candida 200
Histoplasma capsulatum are —— fungus live in —– and it can be —–, feathers of the bird and GI of —-, in immunosuppresed patients it causes—– which can be confusing with —– also can cause ——- when the CD4 count drops below—–
Dimorphic Soil Airborne Bats Granulomatous pulmonary disease TB Dissemenated histoplasmosis rash 150
