HIV

Question 1

What medication is used for pre exposure prophylaxis for HIV

Answer 1

Tenofovir disoproxil fumarate- Emtricitabine

Question 2

How do you provide post exposure prophylaxis for HIV?

Answer 2

Tenofovir- Emtricitabine- raltegravir for 4 weeks

check HIV immediately, at 6 weeks, 12 weeks and 6 months

Question 3

When should you dc PJP prophylaxis?

Answer 3

When CD4 Count is > 200 and Viral Load has been undetectable for 3 months

Question 4

What is the most common cause of a pneumothorax in a AIDs patient?

Answer 4

PJP

Question 5

What is the treatment for PJP? How long do you treat

Answer 5

Treat for 3 weeks with:
Oral Bactrim for mild to mod PNA
IV Bactrim for mod to severe
IV steroids within 72 hours for patients with PaO2 <70 and A-a gradient > 35
IV Pentamide or IV Clindamycin plus oral Primiquine for patients with a sulfa allergy