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Hersh Opportunistic infections Flashcards

1
Q

Can HAART therapy increase CD4 counts back to original level?

A

no

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2
Q

stain for PCP

A

methanamine silver stain or wright giemsa

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3
Q

What should you NOT use as protection against HIV/AIDS

A

nonoxyl-9 spermicide

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4
Q

extensive, painful vesicles on face, mouth, genitals

A

HSV

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5
Q

diagnosis of JC virus

A
  • Brain biopsy is Gold standard

- PCR also available

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6
Q

virus for hairy leukoplakia

A

EBV

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7
Q

Treatment for cryptococcus neoformans

A
  • fluconazole

- if severe, amphoB

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8
Q

treatment and prophylaxis for PCP

A

TMP-SMX (Bactrim

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9
Q

Easily scraped off tongue

A

Candida Albicans

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10
Q

in HIV patient what is positive PPD

A

> or equal to 5 mm induration

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11
Q

diagnosis for HSV

A

PCR and Tzank smear

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12
Q

Symptoms of CNS lymphoma

A

much like space occupying lesions of CNS

  • focal neurological deficits
  • papilledema
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13
Q

high risk strains of HPV

A

16 and 18

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14
Q

CNS lymphoma orginates from what

A

EBV

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15
Q

flying saucer or hot shaped fungus

A

pneumoncystic jiroceci

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16
Q

CD4 for Hairy leukoplakia

A

less than 400

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17
Q

prophylaxis of Toxo

A

less than 100

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18
Q
  • retinitis - blurry vision

- Esophagitis- single deep ulceration

A

CMV

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19
Q

CD4 for cryptococcus neoformans

A

less than 100

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20
Q

Symptoms of D. Latum

A
  • B12 deficiency

- megaloblastic anemia

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21
Q

Major cause of chronic diarrhea in HIV/AIDS

What is in stool?

STain?

A

Cryptosporidium

Ova

Acid fast

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22
Q

CD4 count for Mycobacterium Avium (MAC)

A

below 50

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23
Q

esophagitis- multiple shallow ulcerations

A

HSV

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24
Q

Symptoms of HSV encephalitis

A

RAPID onset of HA, fever, neurodificits, impaired consciousness
-involves temporal lobes

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25
Links of HPV
oral and cervical cancer
26
Symptoms of HPV
anogenital lesions and can have oral manifestations
27
Prophylaxis for perinatal exposure of HIV
Ziduvodine
28
Transmission if circumcised
Decreased
29
Can you transmit the virus during clinical latency?
yes . . still virus shedding
30
what determines risk of transmission for HIV
viral load
31
tranmission with another STI
risk increased
32
What ages should people be screened at least once
13-64
33
What vaccine can give you a positive HIV test
influenza
34
Does NOT scrape off tongue and is painless
Hairy leukoplakia
35
Pharacologic approaches to wasting syndrome
- megesterol acetate - dronabinol (anti emetic - medical cannabis
36
what part of tongue for hairy leukoplakia
lateral tongue
37
Gold standard for SCREENING for HIV
ELISA for HIV antibody
38
Affects white matter but has cortical extension . .demyelination
JC virus . causes PML
39
Treatment of HSV encephalitis
IV acyclovir immediately
40
diagnosis of Toxo
- serum IgG | - Brain biopsy
41
What antigen does rapid HIV screen search for
p24
42
how do you detect D. Latum
I.d. of eggs in feces
43
Post exposure prophylaxis for HIV
Tenofovir + Emtricitabine + Raltegravir
44
Loss of 10% of body wt
wasting syndrome
45
psuedohyphae
candida albicans
46
Prognostic indicators and progress of HIV to AIDS
absolute CD4 count
47
for initial detection prior to seroconversion, also used with HAART therapy and used to detect replicating virus
Viral load
48
When do you start HAART therapy
as soon as you get the diagnosis
49
CNS lymphoma has an incredible response to what?
IV steroids
50
how do you acquire D. Latum
eating Larvae in raw or undercooked fish
51
gold standard for CONFIRMATORY test after Elisa
Western Blot
52
syphilis testing for HIV pts
RPR and VDRL everying 6 months
53
time period for viral stabilization and CD4 count
8-10 years
54
Diagnosis of HSV encephalitis
PCR from CSF
55
how to confirm Candida Albicans
KOH wet prep
56
prophylaxis for MAC
Azithromycin
57
most commonly STI
HPV
58
increased risk for syphilis with HIV?
yes .. especially men having sex with men
59
CD4 count for Toxo
less than 100
60
Ground glass
PCP
61
type of pneumonia for PCP
diffuse interstitial pneumonia and also atypical
62
CD4 to get JC virus
less than 200
63
Owl's eye inclusions
CMV

Respiratory Medicine (37 decks)

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