HIV

Question 1

HIV

Answer 1

retrovirus that destroy CD4 cells

Question 2

risk factors

Answer 2

unprotected anal, vaginal or oral sex
vertical transmission
common in the gay community
infected blood or bodily fluids

Question 3

what are the typical stages for HIV

Answer 3

seroconversion - symptomatic
asymptomatic stage
AIDS - immunocompromised

Question 4

seroconversion signs

Answer 4

sore throat
lymphadenopathy 
malaise 
oral ulcers
unwell

Question 5

investigations

Answer 5

combination test of HIV antibody and p24antigen

Question 6

when can tests be repeated

Answer 6

to confirm an initial positive test in 12 weeks

double check a negative test 12 weeks after

Question 7

how do you monitor disease

Answer 7

CD4 count

Question 8

management and when do you start

Answer 8

antiretroviral therapy

give at the time of diagnosis

Question 9

at what CD4 count do symptoms start to appear

Answer 9

<200

Question 10

complications

Answer 10

pneumocystis jiroveci pneumonia
diarrhoea 
kapsoi's sarcoma - purple papules on skin, mucosa 
lymphoma 
oesophageal candidas
neuro complications

Question 11

what should be done if the CD4 count is <200

Answer 11

prophylaxis of pneumocystis jiroveci pneumonia

co-trimoxazole

Question 12

when should a follow up test be done in asymptomatic patients

Answer 12

4 weeks

Question 13

what neuro complications can occur

Answer 13

EBV

John Cunningham

Question 14

what is a common cause of diarrhoea in HIV

Answer 14

cryptospondum

Question 15

can you give live vaccines

Answer 15

nada