Diagnosis and management of HIV II Flashcards
to minimize risk of transmitting HIV from mom to baby, which of the following should occur?
A. begin mom on HIV treatment
B. give baby post-exposure prophylaxis
C. do not breast feed
D. all of the above
D. all of the above
when specifically does perinatal HIV transmission occur?
during birthing process, in the vaginal canal
what type of treatment shows the best results for number of babies infected perinatally with HIV? what should the viral load be for the mother?
combination therapy - 3 drugs given to mother
mother’s viral load under 1000
which of the following statements about secondary syphilis is true?
A. mostly a problem in women
B. spares the eye
C. rarely involves oral mucosa
D. occurs at any CD4 count
D. occurs at any CD4 count
what is the treatment for pneumocystic pneumonia?
TMP-SMX (empirically)
what % of people with new HIV diagnosis also have AIDS?
1/3
late HIV diagnosis equates with what amount of life-loss?
10-30 years
what is the most common AIDS-defining illness?
pneumocystic pneumonia
primary prophylaxis is employed for what infections?
- pneumocystis
- toxoplasma
- MAC
secondary prophylaxis is used for what infections?
- pneumocystis
- toxoplasma
- MAC
- CMV
- cryptococcus
- histoplasma
what constitutes combined antiretroviral therapy?
3 active drugs
what are the goals for the cART treatment strategy?
avert HIV associated disease
- suppress HIV replication (undetectable viral load)
- improve immune system health (restore CD4+ T cell numbers)
prevent transmission
what is required for abacavir use?
must be genetically tested for hypersensitivity
what is IRIS?
immune reconstitution inflammatory syndrome - atypical inflammatory disorders associated with immune recovery
what are the side effects of efavirenz?
teratogenic - neural tube defects
