HIV/AIDS Flashcards

1
Q

what kind of virus?

A

retrovirus

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2
Q

what are the target sites for HIV?

A

CD4

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3
Q

what is CD4? where is it found?

A

a glycoprotein, found on surface of cells

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4
Q

which cell types is it found on?

A

T helper lymphocytes, dendritic macrophages, macrophages, microglial cells

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5
Q

what do helper t cells do?

A

recognise MCH2 antigen presenting cells, activate B cells (antibodies), activate cytotoxic t cells (killer T), cytokine release

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6
Q

if you have HIV infection, what happens to numbers of helper T cells?

A

reduced, you get a decreased proliferation of helper t cells

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7
Q

why do you get a reduction in antibodies?

A

HIV attacks helper T cells, which activate B cells, which produce antibodies

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8
Q

If you have HIV, you have a susceptibility to ?

A

viral infections, fungal infections, mycobacterial infections, infection induced cancers

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9
Q

what is the normal value of helper t cells?

A

500-1600

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10
Q

risk of opportunistic infection if below?

A

200

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11
Q

when do you get rapid replication of the virus

A

very early and very late stages of the infection, with a new generation every 6-12 hours

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12
Q

which cells do HIV actually infect?

A

mucosal CD4 cells

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13
Q

when is the infection established?

A

within 3 days of entry

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14
Q

2-4 weeks after the infection, what sort of symptoms would you expect?

A

fever, rash, myalgia, pharyngitis, headache. ACUTE HIV SYNDROME

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15
Q

after 3 weeks, your virus level is high and CD4 levels are down to about half

A

y

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16
Q

what happens in-between acute HIV syndrome and symptoms of AIDS?

A

asymptomatic period

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17
Q

how do you treat pneumocystis pneumonia?

A

co-trimoxazole

18
Q

what kind of cancer can you get in AIDS?

A

kaposi’s sarcoma

19
Q

what accounts for 94% of transmission?

20
Q

how else could you get it?

A

drug injectors

21
Q

how can HIV spread from mother to child?

A

in utero, at delivery, breastfeeding

22
Q

HIV virus binds to CD4 receptor and one co receptor, what are these?

A

CCR5, CXCR4

23
Q

what is the enzyme that makes double standed DNA from single?

A

reverse transcriptase

24
Q

what enzyme integrates viral DNA into the host?

25
transcription then occurs, long chains of proteins are made, immature virus pushes out of cell. buds off taking cell membrane with it
y
26
what enzyme processes proteins in newly forming virus?
proteases
27
what does the protease enzyme finish?
cutting HIV protein chains into individual proteins to make a NEW WOKRING VIRUS
28
what is an NRTI?
reverse transcriptase inhibitor
29
example of this drug?
retrovir
30
generally, protease inhibitors and NRTIs are ?
potent liver enzyme inhibitors
31
what is the definition of highly active anti retro viral therapy?
a combination of 3 drugs from at least 2 drug classes to which the virus is suceptible
32
single best co formulation?
EF LA TE - efavirenz, lamivudine, tenovir
33
what term describes a relationship where one partner is hiv positive and other is negative?
serodiscordant
34
what is sperm washing?
individual sperm separated from semen
35
what is HAART?
customised combination of medications that a physician prescribes based on viral load/strain etc
36
what can you get from this though?
HAART toxicity, GI effects, bone CVS, haematology, renal toxicity
37
another way to conceive?
timed unprotected sex with HAART
38
how do you prevent mother to child transmission during pregnancy?
HAART
39
when would you do a vaginal delivery?
when there is an undetectable load
40
when would you do a CS?
when there is a detectable viral load
41
a woman has been exposed to chlamydia infection last week, what do you do?
start treatment - starts on exposure o the infection, not proven infection
42
if you suspected there was not enough progesterone, and this was causing infertility, when would you check progesterone levels?
day 21