HIV and Aids Flashcards

1
Q

normal CD4 count? AIDS CD4 count?

A

normal >500

AIDS <200

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2
Q

natural history of HIV?

A
acute infection - seroconversion
asymptomatic
HIV related illness
AIDS defining illness
Death
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3
Q

Primary HIV / Seroconversion

A

around 30-60% patients have seroconversion which is when HIV antibodies first develop
abrupt onset 2-4w after exposure lasting 1-2w
flu like illness

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4
Q

what is the commonest late stage (AIDS) infection?

A

pneumocystis jiroveci pneumonia

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5
Q

pneumocystis jiroveci pneumonia classical history?

A

dry cough and increasing breathlessness over several weeks

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6
Q

pneumocystis jiroveci pneumonia investigations?

A

CXR

induced sputum or bronchoscopy for PCR

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7
Q

pneumocystis jiroveci pneumonia treatment? prophylaxis?

A

cotrimoxazole or pentamidine

get CD4 >200

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8
Q

anti-retroviral drug actions? (4)

A

entry inhibitors
reverse transcription inhibitors
integrase inhibitor
protease inhibitors

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