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DIT Step 2 > HIV > Flashcards

HIV Flashcards

1
Q

Acute phase HIV is what?

A

Like mono but higher fevers and mucosal ulcers

last a few weeks

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2
Q

Cryptosporidium tx?

A

Nitazoxonide (AIDs defining illness, it is from things that happened at NIGHT)

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3
Q

Wasting syndrom is what?

A

Losing body weight with HIV and CD4 low

Tx witth emgesterol and testosterone if both are low

ANTIRETROVIRAL therapy is best

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4
Q

Cocciodiomycocis in HVIV

A

Cough, fever, disseminated disease

Bilateral infiltrates on CXR with positive antibodies

Tx: fluconazole or ampho

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5
Q

AIDS dementia? Tx

A

Low CD4 with ataxia, intellectual decline

ANTIRETROVIRAL THERAPY IS TX

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6
Q

CAndida esophagitis is AIDS defining illness. Dx? Tx?

A

Very painful swallowing

Oral or IV fuc
Nystatin
Ampho

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7
Q

HIstoplasmosis tx?

A

Amphotericin B or fluconazol

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8
Q

What is concern about history of toxoplasmosis in low CD4?

A

Reactivation of it. Need prophylaxis

Pyramethine, leucovorin

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9
Q

HIV with focal neurologic symptoms think what?

A

Toxoplamsosis or LYMPHOMA!!!

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10
Q

What is progressive multifocal leukoencephalopathy?

A

PCR test on CSF does it

VIRAL DISEASE BUT NO GOOD TREATMENT

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11
Q

Cryptococcus stain?

A

India ink. Antigen studies usually used

Ampho and fluconazole

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12
Q

Cytomegalovirus concern in HIV?

A

RAPID VISUAL LOSS

Can cause esophagitis with painful ulcers!!!

Foscarnet or ganciclovir

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13
Q

Mycobacterium avid complex? MAC? Tx?

A

MACROLIDES for MAC

It is from blood cultures

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14
Q

HIV screening?

A

ELISA for HIV antibodies

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15
Q

Specific test for HIV?

A

western blot

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16
Q

Side effects of NRTIs?

A

Lipodystrophy

LACTIC ACIDOSIS CAN BE DEADLY

17
Q

Abacavir bad side effect?

A

HYPERSENSITIVITY (can be deadly)

18
Q

Zidovudine side effect?

A

Bone marrow suppression is always asked

19
Q

Which are the NNRTIs? Major side effect?

A

They are the vir in the middle.. Inhibit reverse transcriptase

Rash is side effect

20
Q

Efavirenz side effect?

A

NNRTI so RASH and

TERATOGENIC AND NEUROPSYCH SYMPTOMS

21
Q

Protease inhibitors end in what?

A

NAVIR. Boosted with ritonavir

Block activation of virus

22
Q

Atazanavir side effect?

A

HYPERBILIRUBINemia

23
Q

Side effect of protease inhibitors

A

Navir cause METABOLIC issues and GI side effects

24
Q

HAART basics?

A

2 NRTIs and one of the others

25
Q

Screening for HIV in infant?

A

They will all be positive form mom’s antibodies

So the screening is for viral load

26
Q

Prophylaxis in HIV? KNOW THIS!

A

CD4 less than 200

PCP TMPSMX
Toxoplasmosis TMPSMX
MAC Macrolide

DIT Step 2 (77 decks)

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