HIV Flashcards

1
Q

What type of virus is HIV

A

Retrovirus = genetic info is stored in RNA

(HIV has both DNA and RNA)

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2
Q

What is the name of the condition of the final stage of HIV

A

AIDS

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3
Q

Out of group M,N, O & P - which ones of these HIV groups is the most common

A

M

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4
Q

What are the similarities of HIV-1 & HIV-2

A

• gene arrangement
• mode of transmission
• intracellular replication pathway
• lead to AIDS

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5
Q

What are the prominent route of transmission?

A

• sexual intercourse
• sharing needles
• blood transfusion
• vertical transmission

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6
Q

HIV - 2 is largely confined to which country

A

West Africa

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7
Q

Which HIV progresses to AIDS quicker

A

HIV 1

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8
Q

Which HIV has lower plasma viral loads

A

HIV 2

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9
Q

Which has the increased likelihood of transmission

A

HIV 1

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10
Q

What are other routes of transmission in terms of fluid where HIV levels are too low to even pose a significant risk of transmission

A

• saliva
• urine
• breast milk
• semen
• vaginal discharge

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11
Q

There are 3 stages of HIV, describe each stage

A

Stage 1:
• flu like symptoms = muscle pain, fever, rash and swollen lymph nodes

Stage 2:
• asymptomatic / latent - can last for years

Stage 3:
• AIDS = CD4 count <200 and ppl are at risk of opportunist pathogens

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12
Q

Seroconversion

A

• Aka stage 1 HIV
• flu like symptoms
• this is where HIV antibodies are detectable

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13
Q

Non-progresses?

A

These are the people that develop AIDS slowly or never at all

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14
Q

Describe the HIV life cycle?

A

• HIV has high affinity to CD4 cells on the surface of the host cells

• virus fussed with the host cell membrane passing on its viral material

• HIV has an enzyme called reverse transcriptase - RNA is converted into DNA

• provirus is made

• the host cell now releases new particles to infect other cells via budding

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15
Q

Aim of ART

A

• restore immune system
• increase CD4 cells
• prevent further deterioration of immune system
• improve QOL
• alleviate symptoms
• REDUCE VIRAL LOAD COUNT - to undetectable

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16
Q

HAART is the main treatment - what does it include

A

2 NRTI + NNRTI or boosted PI or intergrase inhibitor

NRTI = nucleoside reverse transcriptase inhibitor

PI =protease inhibitor

17
Q

HAART side effects

A

• hypersensitivity- rash
• CNS symptoms - confusion, insomnia
• renal problems
• hyperlipidemia
• T2DM
• bone density loss

18
Q

Which drug is likely to cause renal issues and bone pain

A

TDF

So change to TAF

19
Q

Which drug is used for PrEP

How do you take it

• regular daily
• on demand

A

Truvada

Regular
• take one tablet each day for 7 day post risky exposure

On demand
• 2 tabs - 2-24 hours pre exposure
• 1 tabs - 24 hours post exposure
• 1 tab - 48 hours post exposure

20
Q

Which drugs are used for PEP and how to take them.

A

2 NRTIs = truvada - OD, for 28 days
+
1 NNRTI = isentress - BD for 28 days

21
Q

After PEP treatment what test will patients undergo

A

• HIV
• hepatitis
• syphilys

8-12 weeks after finishing PEP

22
Q

3 drugs are used for pregnant women, what are they

A

Truvada + sustiva

23
Q

Which drug causes rashes or CNS side effects

A

Efavirenz (EFV) - sustiva

24
Q

If a dose of truvada is missed beyond 12 hours, should the missed dose be taken

A

No, take next dose at normal time