II: Retroviruses Flashcards

1
Q

Do retroviruses contain an envelope? What is the capsid symmetry?

A

Yes; Icosahedral

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2
Q

How is HIV diagnosed?

A

ELISA and confirmatory Western Blot

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3
Q

How is viral load determined in HIV infection?

A

Quantitative RT-PCR

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4
Q

In AIDS-associated cancers, ______ cancers are increasing in incidence which _____ cancers are decreasing in incidence

A

AIDS-non-defining; AIDS-defining

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5
Q

Mutation in which receptor is protective against HIV infection?

A

CCR5

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6
Q

Name the 4 types of Adult T-Cell Leukemia/Lymphoma (ATL). Which is most common?

A

Acute, Chronic, Lymphomatous, Smoldering; Acute

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7
Q

Name the receptors used by HIV for entry into T cells.

A

CD4R, CXCR4 or CCR5

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8
Q

Name three AIDS-defining cancers.

A

Kaposi Sarcoma, Non-Hodgkin Lymphoma, Cervical Cancer

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9
Q

Name two diseases associated with HTLV.

A

Adult T-Cell Leukemia/Lymphoma (ATL), HTLV-1 Associated Myelopathy (HAM)

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10
Q

What aspect of management makes co-treatment of HIV and AIDS-related cancers challenging?

A

P450 metabolism interactions

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11
Q

What is appropriate treatment for Candida infection (oral thrush)?

A

Fluconazole

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12
Q

What is appropriate treatment for pneumocystis pneumonia?

A

TMP-SMX

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13
Q

What is the DNA structure of retroviruses?

A

2 copies of ssRNA (linear)

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14
Q

What is the suspected pathogen in the context of chorioretinitis in an immunocompromised patient?

A

CMV

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15
Q

When is the highest risk of HIV transmission?

A

During primary infection

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16
Q

Which type of ATL? Few abnormal circulating cells, similar presentation to acute type

A

Lymphomatous

17
Q

Which type of ATL? Less of a leukemic phase; median survival 2 years, may progress to acute type

A

Chronic

18
Q

Which type of ATL? Median survival >5 years with few abnormal cells peripherally

A

Smoldering

19
Q

Which type of ATL? Shortest median survival, susceptibility to opportunistic infections

A

Acute

20
Q

Which viral gene encodes reverse transcriptase and integrase?

A

Pol

21
Q

Which viral gene encodes the matrix, capsid, and protease?

A

Gag