HIV Flashcards

1
Q

What is human immunodeficiency virus (HIV)?

A

HIV is a virus that attacks the immune system, specifically CD4+ T cells, leading to immune deficiency.

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2
Q

What is the difference between HIV and AIDS?

A

HIV refers to the virus itself, while AIDS (acquired immunodeficiency syndrome) is the advanced stage of HIV infection characterised by severe immune deficiency and opportunistic infections.

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3
Q

What are the common modes of HIV transmission?

A

HIV is transmitted through blood, sexual fluids, and from mother to child during pregnancy, birth, or breastfeeding.

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4
Q

What are the main types of HIV?

A

The two main types are HIV-1, the most common worldwide, and HIV-2, which is less common and found primarily in West Africa.

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5
Q

What are the stages of HIV infection?

A

The stages include acute infection, clinical latency, and AIDS.

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6
Q

What are the symptoms of acute HIV infection?

A

Symptoms include fever, sore throat, lymphadenopathy, rash, and flu-like symptoms.

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7
Q

What happens during the clinical latency stage of HIV?

A

During this stage, the virus replicates at low levels, and the person may be asymptomatic.

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8
Q

What are opportunistic infections?

A

Opportunistic infections are infections that occur due to the weakened immune system in HIV/AIDS patients, such as pneumocystis pneumonia or candidiasis.

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9
Q

What are the key risk factors for acquiring HIV?

A

Risk factors include unprotected sex, sharing needles, receiving contaminated blood products, and being born to an HIV-positive mother.

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10
Q

How is HIV diagnosed?

A

HIV is diagnosed through serological testing, including antibody/antigen combination tests or HIV RNA testing for early detection.

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11
Q

What is the role of CD4 count in HIV management?

A

CD4 count measures the number of CD4+ T cells and helps assess immune function and monitor disease progression.

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12
Q

What is the role of viral load in HIV management?

A

Viral load measures the amount of HIV RNA in the blood and is used to monitor treatment efficacy.

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13
Q

What is antiretroviral therapy (ART)?

A

ART is the treatment for HIV, involving a combination of drugs to suppress viral replication and restore immune function.

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14
Q

What are the main classes of antiretroviral drugs?

A

Classes include nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs), integrase inhibitors, and entry inhibitors.

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15
Q

What are the common side effects of antiretroviral therapy?

A

Side effects include nausea, diarrhoea, fatigue, lipid abnormalities, and, in some cases, long-term toxicities like kidney or liver dysfunction.

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16
Q

How is treatment success monitored in HIV?

A

Treatment success is monitored by undetectable viral load and stable or increasing CD4 counts.

17
Q

What is pre-exposure prophylaxis (PrEP)?

A

PrEP is a medication taken by HIV-negative individuals at high risk of infection to prevent acquiring HIV.

18
Q

What is post-exposure prophylaxis (PEP)?

A

PEP is a short course of antiretroviral drugs taken within 72 hours of potential HIV exposure to reduce the risk of infection.

19
Q

What are the complications of untreated HIV?

A

Complications include opportunistic infections, AIDS-related cancers, neurological disorders, and multi-system organ damage.

20
Q

What is the significance of HIV resistance testing?

A

Resistance testing identifies mutations in the virus that confer resistance to specific antiretroviral drugs, guiding treatment choices.

21
Q

How can mother-to-child transmission of HIV be prevented?

A

Prevention includes maternal ART during pregnancy, safe delivery practices, and infant ART prophylaxis or avoidance of breastfeeding.

22
Q

What is the global prevalence of HIV?

A

HIV affects millions worldwide, with the highest prevalence in sub-Saharan Africa.

23
Q

What are the strategies for HIV prevention?

A

Strategies include safe sex practices, PrEP, PEP, needle exchange programs, and routine screening in high-risk populations.

24
Q

What are the psychosocial impacts of HIV?

A

Impacts include stigma, discrimination, mental health challenges, and barriers to healthcare access.

25
Q

What is the prognosis for individuals with HIV on effective ART?

A

With effective ART, individuals with HIV can achieve a near-normal life expectancy and a good quality of life.