Atchley's Lectures Flashcards

1
Q

is HIV curable?

A

NO

  • no cure, but treatable
  • start ART when diagnosed (same day) if no opportunistic infection
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2
Q

Idiopathic CD4+ Lymphocytopenia (ICL)

A

low CD4+ (<300), but HIV neg

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3
Q

retroviruses carry what enzyme?

A

reverse transcriptase

  • RNA -> DNA
  • RNA dependent DNA polymerase
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4
Q

both HTLV-1 and HTLV-2 need what before transfusion?

A

blood screen

  • if +, cannot give blood
  • BLURRED presentation w/ HTLV-1
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5
Q

what virus has reverse transcriptase but is NOT a retrovirus?

A

HBV***

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6
Q

which HIV virus is unresponsive to NNRTI?

A

HIV-2

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7
Q

POL gene

A

make reverse transcriptase, protease, integrates

  • target for drugs
  • mutated POL -> resistance
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8
Q

4th generation ELISA

A
  • diagnostic test for HIV
  • p24 antigen and HIV Abs
  • if + have to do HIV-1,2 differentiation w/ immunoblot assay
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9
Q

env gene

A

makes the GP surface proteins

  • Gp160 -> mother
  • Gp 41 -> fusion and penetration
  • Gp120 -> attachment/binding
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10
Q

T troph (X4) viruses

A
  • target CXCR4 receptors (ALL T cells)
  • LATE stage
  • deplete all T cells
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11
Q

M troph (R5) viruses

A
  • target CCR5 receptors (Macs/Monocytes/15-30% T cells)
  • EARLY stage
  • hide from immune surveillance
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12
Q

which viruses are the TRANSMITTING viruses?

A

R5 viruses

-CCR5 mutations -> decreased susceptibility to HIV

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13
Q

AIDS

A

-HIV+ PLUS CD4 <200 or an AIDS defining illness

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14
Q

Kaposi Sarcoma

A
  • HHV-8

- LYMPHOCYTE infiltrate

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15
Q

Bacillary Angiomatosis

A
  • Bartonella Hens.

- NEURTROPHIL infiltrate

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16
Q

what is #1 mode of transmission of HIV?

A
  • MSM

- women usually from heterosexual contact

17
Q

do STDs have an increased risk in getting HIV?

A

yes

-2-5x increase

18
Q

HIV syndrome

A
  • fever
  • pharyngitis
  • lymphadenopathy
  • myalgia
  • skin rash
  • mono-like (CMV/EBV)
19
Q

what is most common death in AIDS patients?

A

PNEUMONIA

20
Q

HIV serology

A
  • 70% test + in 3-6 weeks

- 100% test + in 12 weeks

21
Q

what test do you use w/ neonate or HIV exposure <3 weeks ago?

A

VIRAL LOAD

-goal is undetectable (<50)

22
Q

IRIS

A
  • worsening of preexisting due to ART therapy before treating opportunistic infection
  • treat 2-3 weeks before starting ART