2.2 Part 2

Question 1

Profound Immunosuppression leads to

Answer 1

Opportunistic infections
Secondary neoplasms
Neurologic manifestations

Question 2

CD4 T cells stimulate

Answer 2

Other immune cells to fight infection
(Macrophages, B lymphocytes, T lymphocytes)

Question 3

HIV weakens immune system by

Answer 3

Destroying CD4 cells and hijacking them and forcing it to make copies of HIV

Question 4

HIV

Answer 4

Presence of the human immunodeficiency in a persons bloodstream

Question 5

AIDS

Answer 5

Set of symptoms and illnesses that develop as a result of advanced HIV infection that has destroyed the immune system

Question 6

AIDS criteria

Answer 6

CD4 T cell count very low (< 200)
Opportunistic infection (sarcoma, fungal infection)

Question 7

Where is HIV found

Answer 7

Blood
Semen
Vaginal/cervical secretions
Rectal secretions
Breast milk

Question 8

HIV transmission occurs by

Answer 8

Exchange of body fluids
Sexual transmission
IV drug abuse
Mother to infant
Blood transfusions
Accidental needle sticks

Question 9

Stage 1 of HIV

Answer 9

Acute HIV infection
- flu like illness within 1-6 weeks after infection

Question 10

Stage 2 HIV

Answer 10

Clinical Latency
- asymptomatic HIV infection; can last a decade or longer

Question 11

Stage 3 HIV

Answer 11

Most severe phase over time
HIV destroys so many cells the body cant fight off infections or disease
Decrease in CD4 cells

Question 12

AIDs involvement

Answer 12

Immunodeficiency with opportunistic infections and unusual malignancies
- kaposi sarcoma (25% develop)

Question 13

AIDs involvement Autoimmune

Answer 13

RA

Question 14

AIDs involvement neurological dysfunction

Answer 14

Dementia
Encephalopathy
Peripheral neuropathies

Question 15

Medical Management Prevention

Answer 15

Education
Reduction/eliminate risky behavior

Question 16

Medical Management Diagnosis

Answer 16

Nuclei Acids Tests
Antigen/Antibody Tests
Supplementary lab testing

Question 17

Medical Management Treatment Goals

Answer 17

Highly active antiretroviral therapy ASAP
Keep patient as healthy as possible
Reduce changes of HIV spread

Question 18

Medical Management Prognosis

Answer 18

Combination therapy is extending lives

Question 19

Therapist Implications
Prevention of Transmission

Answer 19

Greater risk in wound healing capacity

Question 20

If exposed evaluate

Answer 20

Source and begin post exposure prophylaxis

Question 21

Fibromyalgia Incidence

Answer 21

20-55 years

Question 22

Fibromyalgia Risk Factors

Answer 22

Prolonged anxiety, stress, trauma
Rapid steroid withdrawl, hypothyroid, viral/non viral infections, depression

Question 23

Fibromyalgia

Answer 23

Idiopathic, non inflammatory, central pain processing syndrome, characterized by chronic, diffuse musculoskeletal pain
Often associated with neuropsychological symptoms and variety of somatic complaints

Question 24

Fibromyalgia commonly associated with

Answer 24

Hypothyroid, RA, SLE, chronic fatigue syndrome

Question 25

Medical Management Diagnosis Fibromyalgia

Answer 25

Widespread pain index (WPI) + Symptom Severity Score (SSS) Symptoms for >/= 3 months No other diagnosis

Question 26

Medical Management Treatment Fibromyalgia

Answer 26

Patient Education Stress management and work simplification Medications PT