Infectious Disease Flashcards
1
Q
DIAGNOSIS- STIFF NECK PHOTOPHOBIA, MENINGISMUS
A
MENINGITIS
2
Q
DIAGNOSIS- CONFUSION
A
ENCEPHALITIS
3
Q
DIAGNOSIS- FOCAL NEUROLOGICAL FINDINGS
A
ABSCESS
4
Q
DIAGNOSIS- PROBABLE MENINGITIS AGNENTS IN ORDER
A
S. PNEUMONIA-60, MINIGIOCCOCUS-15, GBS-14, HIB-7, LISTERIA-2, OTHER
5
Q
DIAGNOSIS- AIDS WITH 100 CD4 CELLS/MIC.L
A
CRYPTOCOCCUS
6
Q
DIAGNOSIS-CAMPER/HIKER, TARGET RASH, JOINT PAIN, FACIAL PALSY
A
LYME DISEASE
7
Q
DIAGNOSIS-CAMPER/HIKER, RASH FROM ARMS/LEGS TO TRUNK
A
RICKETTSIA
8
Q
DIAGNOSIS-PULMONARY TB
A
TB
9
Q
DIAGNOSIS-SPONTANOUS
A
VIRAL
10
Q
DIAGNOSIS-ADOLESCENT, PETECHIAL RASH
A
NEISSERIA
11
Q
- INITIAL TEST- MENINGITIS
* ACC. TEST- MENINGITIS
A
- LUMBAR PUNCTURE
* LUMBAR PUNCTURE
12
Q
DIAGNOSIS- LP (CELLCT.-1000S, NEUTROPHILES, PRO.-ELEVATED, GLU.-DECR., ST/CLT- 50-70%ST/CULTURE90%)
DIAGNOSIS- LP (CELLCT.-10-100S, LYMPHO., PRO.-ELE. MAYBE, GLU.-DECR. MAYBE, ST/CLT-NEGATIVE)
DIAGNOSIS- LP (CELLCT.-10-100S, LYMPHO., PRO.-ELE. ALOT, GLU.-DECR. MAYBE, ST/CLT-NEGATIVE)
DIAGNOSIS- LP (CELLCT.-10-100S, LYMPHO., PRO.-ELE. MAYBE, GLU.-DECR. MAYBE, ST/CLT-NEGATIVE)
A
BACTERIAL MENINGITIS
CRYPTOCOCCUS, LYME, RICKETTSIA
TB
VIRAL
13
Q
INITIAL TEST- MENINGITIS WITH PAPILLEDEMA, SEIZURES, FOCAL CNS PRB., CONFUSION
INITIAL STEP- MENINGITIS WITH CONTRAINDICATED LP
INITIAL STEP- POST ANTIBIOTECS, LP AND CULTURE MAYBE FALSELY NEGATIVE
A
CT
ANTIBIOTICS
BACTERIAL ANTIGEN DETECTION (LAT)
14
Q
ACC. TEST- MENINGITIS LP-TB
ACC. TEST- MENINGITIS LP-LYME AND RICKETTSIA
ACC. TEST- MENINGITIS LP-CRYPTOCOCCUS
ACC. TEST- MENINGITIS LP-VIRUS
A
ACID FAST CULTURE ON 3 HIGH VOLUMES
SPECIFIC SEROLOGIC TESTING, ELISA, WESTERN BLOT, PCR
CRYPTOCOCCAL ANTIGEN, INDIA INK ONLY 60-70% SENSITIVE
EXCLUSION
15
Q
INITIAL TREAT- MENINGITIS CELL COUNT WITH NEUTROPHILES?
INITIAL TREAT- MENINGITIS, ELDERLY, NEONATES, STEROID USE, AIDS, IMM.COM. ALC., PREGNANT?
INITIAL TREAT- MENINGITIS NEISSERIA +
A
CEFTRIAXONE, VANCOMYCIN, STEROIDS
AMPICILLIN, CEFTRIAXONE, VANCOMYCIN, STEROIDS
RESPIRATORY ISOLATION, RIFAMPIN, CIPROFLOXACIN OR CEFTRIAXONE
16
Q
P. ASS.- CN 8 DIF. OR DEAFNESS
A
BACTERIAL MENINGITIS
17
Q
FEVER AND CONFUSION + NECK STIFFNESS
- DIAGNOSIS-
- ACC. TEST- HERPES ENCEPHALITIS
- INITIAL TREAT- HERPES ENCEPHALITIS
A
- HSV ENCEPHALITIS
- PCR OF CSF
- ACYCLOVIR, FOSCARNET
TIP-BEST MAN- RENAL TOXIC ACYCLOVIR FOR ENCEPHALITIS?=REDUCE DOSE
18
Q
REDNESS, IMMOBILITY, BULGING AND DCR. LIGHT REFLEX OF TYMPANIC MEMBRANE
*SEN. PHYSICAL FINDING IMMOBILITY OF TYMAPNIC MEMBRANE
DIAGNOSIS-
ACC. TEST-
INITIAL TREAT-
A
OTITIS MEDIA
TYMPANOCENTISIS
AMOXIACILLIN
19
Q
FACIAL PIAN, DISCOLORED NASAL DISCHARGE, BAD TASTE AND FEVER
- DIAGNAOSIS-
- ACC. TEST-
- BEST MAN-
A
- SINUSITIS
- SINUS BIOPSY OR ASPIRATE
- SINUSITIS PHYSICAL SYMPTOMES=AMOXIACILLIN OR DOXY,TMP-SMX + NASAL DECONGESTIANT
TIP-BIOPSY SINUSITIS WHEN…=RECURS, NO RESPONSE TO THERAPY
20
Q
PAIN SWALLOWING, LYMPH N. IN NECK, EXUDATE IN PHARYNX, FEVER, NO COUGH AND HOARSNESS
DIAGNOSIS-
INITIAL TEST-
INITIAL TREAT-
A
BACTERIAL PHARYNGITIS 90% GAS
RAPID STREP TEST
AMOXICILLIN
21
Q
DIAGNOSIS- PHARYNGITIS VESICLES OR ULCERS
A
HSV OR HERPANGINA
22
Q
DIAGNOSIS- PHARYNGITIS EXUDATES
A
DIPHTHERIA OR VINCENT ANGINA OR EBV
23
Q
*5 TYPES OF NON BACTERIAL PHARYNGITIS
A
HSV, HERPANGINA, DIPHTHERIA, VINCENT ANGINA OR EBV
24
Q
ARTHRALGIAS/MYALGIAS, COUGH , FEVER, HEADACHE AND SORE THROAT, GI/DIARRHEA
- DIAGNOSIS-
- BEST MAN-
- INITIAL TREAT-
A
- INFLUENZA
- WITHIN 48HRS FLU SYMPTOMES=NASOPHARYNGEAL SWAB
- WITHIN 48HRS FLU SYMPTOMES=OSELTAMIVIR, ZANAMIVIR
AFTER 48HRS FLU SYMPTOMES= TX SYMPTOMS
25
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, POULTRY
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, ASSOCIATED WITH GBS
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, HUS
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, HUS ASSOCIATED
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, SHELLFISH AND CRUISE SHIPS
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, SHELLFISH, LIVER PROBLEMS, SKIN LESIONS
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, IRON AFFINITY, HEMOCHROMATOSIS, BLOOD TRANSFUSION
DIAGNOSIS- DIARRHEA BLOOD AND WBCS IN STOOL, ANTIBIOTICS
SALMONELLA
CAMPYLOBACTER
E COLI
SHIGELLA
VIBRIO PARAHAEMOLYTICUS
VIBRIO VULNIFICUS
YERSINIA
C. DIFF.
26
INITIAL TEST- DIARRHEA BLOOD AND WBCS IN STOOL
*TIP- BLOOD AND WBCS IN STOOL GREATER SENSITIVITY AND SPESIFISITY
ACC TEST- DIARRHEA BLOOD AND WBCS IN STOOL
STOOL LACTOFERRIN OR FECAL LEUKOCYTES
LACTOFERRIN
STOOL CULTURE
27
DIAGNOSIS- DIARRHEA NO BLOOD AND WBCS IN STOOL
DIAGNOSIS- DIARRHEA NO BLOOD AND WBCS IN STOOL, CAMPING/HIKING AND UNFILTERED FRESH WATER
DIAGNOSIS- DIARRHEA NO BLOOD AND WBCS IN STOOL, AIDS LESS THAN 100 CD4 CELLS, ACID FAST
DIAGNOSIS- DIARRHEA NO BLOOD AND WBCS IN STOOL, VOMITING 24-48HR SYMPTOMS, RICE, STEWS, VANILLA
DIAGNOSIS- DIARRHEA NO BLOOD AND WBCS IN STOOL, VOMITING 24-48HR SYMPTOMS, PATATO SALAD, COLD MEAT
DIAGNOSIS- VOMIT, MOST RAPID ONSET, WHEEZING, FLUSHING, RASH, ATE BIG FISH
DIAGNOSIS-VOMIT MOST RAPID ONSET, WHEEZING, FLUSHING, RASH, ATE REEF FISH AND/OR SEA WEEDS
VIRUS
GIARDIA
CRYPTOSPORIDA
B. CEREUS
S. AERUS
SCOMBROID (LARGE FISH DECAY HISTADINE
ACCUMULATION)
CIGUETERIA
28
INITIAL TREAT- MILD DIARRHEA
INITIAL TREAT- SEVERE DIARRHEA
INITIAL TREAT- DIARRHEA GIARDIA
INITIAL TREAT- DIARRHEA CRYPTOSPORIDIOSIS
INITIAL TREAT- DIARRHEA VIRAL
INITIAL TREAT- DIARRHEA B. CEREUS, S. AEURUS
ORAL FLUID REPLACEMENT
IV FLUID, ANTIBIOTIC
METRONIDAZOLE, TINIDAZOLE
HIV TX AND NITAZOXANIDE
FLUID
FLUID
29
DIAGNOSIS- HYPOTENSION, TACHYCARDIA, FEVER, ABDOMINAL PAIN, BLOODY DIARRHEA, METABOLIC ACIDOSIS
SEVERE DIARRHEA
30
DIAGNOSIS- JAUNDICE, FEVER, WEIGHT LOSS AND FATIGUE, DARK URINE, HEPATOSPLEENOMEGALY, NAUSA, VOM
DIAGNOSIS- RARE ACUTE HEPATITIS
DIAGNOSIS- MOST CASES OF HEPATITIS
DIAGNOSIS- SILENT HEPATITIS
DIAGNOSIS- FOOD AND WATER HEP
DIAGNOSIS- HEPATITIS + INCREASED PT
HEPATITIS
HEP C
HEP A AND E
HEP C
HEP A AND E
FULMINANT HEPATIC FAILURE
31
INITIAL TEST- HEPATITIS
INITIAL TEST- HEPATITIS SPECIFIC A,D,E
INITIAL TEST- HEPATITIS SPECIFIC C
INITIAL TEST- HEPATITIS SPECIFIC B
TIP- APLASTIC ANEMIA
DIRECT BILIRUBIN, ALT, AST, ALKALINE PHOSPHATASE
IGM, IGG ANTIBODY
PCR RNA LEVEL
SEROLOGIC PATTERN
ACUTE HEPATITIS
32
DIAGNOSIS- SEROLOGIC PATTERN, S-ANT +, E-ANT +, C-ANTIBODY +IGM OR IGG, S-ANTIBODY -
DIAGNOSIS- SEROLOGIC PATTERN, S-ANT -, E-ANT -, C-ANTIBODY +IGG, S-ANTIBODY +
DIAGNOSIS- SEROLOGIC PATTERN, S-ANT -, E-ANT -, C-ANTIBODY -, S-ANTIBODY +
DIAGNOSIS- SEROLOGIC PATTERN, S-ANT -, E-ANT -, C-ANTIBODY +IGM OR IGG, S-ANTIBODY -
ACUTE OR CHRONIC INFECTION HEP B
RESOLVED INFECTION
VACCINATION
WINDOW
33
TIP- HEP B AMOUNT OF ACTIVE VIRAL REPLICATION
TIP- HEP B NO LONGER TRANSMITTING
TIP- HEP B E-ANTIBODY
TIP- E ANTIGEN LEVEL(OR DNA POLYMERASE) INDICATES WHAT IN CHRONIC HEP B
E ANTIGEN
NO SURFACE ANTIGEN
SOON TO BE RESOLVED
NEED FOR TREATMENT AND VERTICAL
TRANSMISSION IF PREGNANT (DNA POL)
34
INITIAL TREAT- ACUTE HEPATITIS
INITIAL TREAT- CHRONIC HEP B
INITIAL TREAT- CHRONIC HEP C
A & E=SPT. RESOLV., B- NO TREAT 10% GO CHRONIC; C-INF= RIBAVIRIN & BOCEPREVIR OR TALA
ANY ONE- ENTECAVIR, ADEFOVIR, AMIVUDINE, TELBIVUDINE,INF OR TENOFOVIR
C-INF, RIBAVIRIN& BOCEPREVIR OR TALAPREVIR
35
TIP- INF ADVERSE EFFECTS
TIP- RIBAVIRIN SIDE EFFECT
TIP- LIVER BIOPSY IN CHRONIC HEP B OR C LOOKS FOR?
ARTHRALGIA, MYALGIA, LEUKOPENIA AND THROMOCYTOPENIA, DEPRESSION, FLU SYMP.
ANEMIA
FIBROSIS/CIRRHOSIS
36
DIAGNOSIS- URETHRAL DISCHARGE, DYSURIA AND POLYACURIA
-VS-
DIAGNOSIS- DYSURIA AND POLYACURIA
URETHRITIS
-VS-
CYSTITIS
37
INITIAL TEST- URETHRITIS
ACC. TEST- URETHRITIS
INITIAL TREAT- URETHRITIS
URETHRAL SWAB FOR GRAM STAIN OR URINE NUCLEIC ACID AMPLIFICATION
URETHRAL CULTURE, DNA PROBE OR NUCLEIC ACID AMPLIFICATION TEST
CEFIXIME+AZITHROMYCIN OR CEFTRIAXONE+DOXYCYCLINE
38
DIAGNOSIS- CERVICAL DISCHARGE AND STRAWBERRY CERVIX
INITIAL TEST-
INITIAL TREAT-
CERVICITIS
URETHRAL SWAB FOR GRAM STAIN OR URINE NUCLEIC ACID AMPLIFICATION
CEFIXIME+AZITHROMYCIN OR CEFTRIAXONE+DOXYCYCLINE
39
DIAGNOSIS- LOWER ABD. TENDERNESS, LOWER ABD PAIN, FEVER, CERVICAL MOT. TENDERNESS, LEUKOCYTOSIS
INITIAL TEST-
INITIAL TREAT-
ACC. TEST-
PID
CERVICAL SWAB FOR CULTURE, DNA PROB, OR NUCLEIC ACID AMP.+ B-HCG
IN PATIENT-CEFOXITIN OR CEFOTETAN+DOXYCYCLINE, OUT PAT.-CEFTRIAZONE, DOXY+METRONIDAZOL
PID LAPAROSCOPY
40
DIAGNOSIS- ING. ADENOPATHY, STD PAINLESS ULCER
DIAGNOSIS- ING. ADENOPATHY, STD PAINFUL ULCER
DIAGNOSIS-ING. ADENOPATHY, LYMPH NODES TENDER AND SUPPURATING
DIAGNOSIS-ING. ADENOPATHY, VESICLES PRIOR TO ULCER AND PAINFUL
SYPHILIS
CHANCROID H. DUCREYI
LYMPHOGRANULOMA VENEREUM
HERPES SIMPLEX
41
INITIAL TEST- SYPHILIS
INITIAL TEST- CHANCROID
INITIAL TEST- LYMPHOGRANULOMA VENEREUM
INITIAL TEST- HERPES SIMPLEX
ACC. TEST- HERPES SIMPLEX
DARK-FIELD MICROSCOPY, VDRL OR RPR (75% PRIMARY), FTA OR MHA-TP (CONFIRMATORY)
STAIN AND CULTURE ON SPECIAL MEDIA
COMPLEMENT FIXATION TITERS IN BLOOD, NU.AMP
TEST ON SWAB
TZANCK PREP
VIRAL CULTURE
42
```
INITIAL TREAT- SYPHILIS
INITIAL TREAT-CHANCROID
INITIAL TREAT-LYMPHOGRANULOMA VENEREUM
INITIAL TREAT- HERPES SIMPLEX
BEST MANG.- PAINFUL GENITAL VESICLES
```
IM BENZATHINE PENICILLIN OR DOXYCYCLINE
AZITHROMYCIN SINGLE DOSE
DOXYCYCLINE
ACYCLOVIR, VALACYCLOVIR, FAMCICLOVIR OR FOSCARNET IF RESISTANT
START ACYCLOVIR ORALLY
43
DIAGNOSIS- RASH (PALMS AND SOLES), ALOPECIA AREATA, MUCOUS PATCHES, CONDYLOMATA LATA
DIAGNOSIS- MENINGOVASCULAR STROKE, TABES DORSALIS (INCONTINENCE), PARESIS, GUMMAS,AORTITIS, A.R. PUPIL
SYPHILIS 2
SYPHILIS 3
44
INITIAL TREAT- SYPHILIS 3
TIP- FALSE POS. VDRL/RPR
TIP- JARISCH-HERXHEIMER REACTION TREATMENT
TIP- DESENSITIZATION TO PENICILLIN IN?
IV PENICILLIN
INFECTION, OLDER AGE, INJECTION DRUG, AIDS, MALARIA, ANTIPHOSPHOLIPID, ENDOCARD.
IV PENICILLIN
ASPIRIN AND ANTIPYRETICS
NEUROSYPHILIS AND PREGNANT WOMEN
45
DIAGNOSIS- CONDYLOMATA ACUMINATA
INITIAL TREAT- CONDYLOMATA ACUMINATA
HPV
CRYOTHERAPY, LASER, PODOPHYLLIN, TRICHLOROACETIC ACID, IMIQUIMOD
46
DIAGNOSIS- ITCHING ON PUBIC HAIR AND AXILA
INITIAL TREAT
PEDICULOSIS
PERMETHRIN OR LINDANE
47
DIAGNOSIS- BURROW RASH BETWEEN WEB SPACES ELBOWS AND GENITALIA, NIPPLES
INITIAL TREAT-
SCABIES
PERMETHRIN OR IVERMECTIN
48
DIAGNOSIS- DYSURIA AND POLYACURIA, AND FEVER INCREASED WBC IN URINALYSIS
INITIAL TREAT-
INITIAL TEST-
ACC. TEST-
UTI
QUINOLONES/CIPRO; NITROFURANTOIN OR FOSFOMYCIN, TMP-SMX, CIFIXIME
URINALYSIS WITH 10 WBC
URINE CULTURE
49
DIAGNSOSIS- DYSURIA, SUPRAPUBIC PAIN, MILD OR NO FEVER
INITIAL TREAT-
INITIAL TEST-
ACC. TEST-
CYSTITIS
NITROFURANTOIN OR FOSFOMYCIN, TMP-SMX, CIPRO, CIFIXIME
URINALYSIS WITH 10 WBC
URINE CULTURE
50
DIAGNOSIS- DYSURIA, FLANK PAIN, HIGH FEVER
INITIAL TEST-
INITIAL TREAT-
PYELONEPHRITIS
URINALYSIS, CT OR SONOGRAM
CEFTRIAXONE, ERTAPENEM, OR AMPICILLIN AND
GENTAMICIN, CIPRO (OP)
51
DIAGNSOSIS- DYSURIA, PERINEAL PAIN, TENDER PROSTATE
INITIAL TREAT- ACUTE
INITIAL TREAT- CHRONIC
ACUTE PROSTATITIS
CEFTRIAXONE, ERTAPENEM, OR AMPICILLIN AND GENTAMICIN, CIPRO (OP)
TMP-SMX 6-8WKS
52
DIAGNOSIS- PYELONEPHRITIS + FEVER AFTER 5-7 DAYS TREATMENT+ SYMPTOMS
INITIAL TEST
INITIAL TREAT
PERINEPHRIC ABSCESS
CT OR SONOGRAM
DRAINAGE
53
DIAGNOSIS- FEVER + MURMOR (OR CHANGE OF MURMOR MORE LIKELY)
INITITAL TEST-
P.ASS.-
ENDOCARDITIS
BLOOD CULTURE + ECHOCARDIOGRAM (TRANSESOPHAGEAL VERY SENSITIVE)
DERM(NAIL HEMRG., JANEWAY[FLAT], OSLER(RAISED)) OPH(ROTH,CONJ. PETECHIAE) KIDNEY,SPLEEN& LUNG
54
TIP- ENDOCARDITIS RARE ON NORMAL HEART VALVES RISK INCREASES WITH?
DAMAGE ON HEART VALVES AND PROSTETIC VALVES OR SEVERE BACTEREMIA
55
TIP- STREP. BOVIS COMES FROM? ACCOCIATED WITH COLON DIVERTICULI AND COLON CANCER. WHAT TEST IS NEEDED?
COLONOSCOPY
56
DIAGNOSIS- OSCILLATING VEGETATION ON ECHO, FEVER>38, INJECTION DRUG OR PROSTHETIC VALVE, EMBOLIC NEUMO
INITIAL TREAT-
CULTURE NEGATIVE ENDOCARDITIS
CULTURE NEGATIVE (COXIELLA/BARTONELLA) ENDOCARDITIS=VACOMYCIN AND GENTAMICIN
57
INITIAL TREAT- VIRIDANS ENDOCARDITIS?
INITIAL TREAT- STAPH ENDOCARDITIS
INITIAL TREAT- STAPH EPI OR RESISTAN ENDOCARDITIS
INITIAL TREAT-ENTEROCOCCI ENDOCARDITIS
INITIAL TREAT- ENDOCARDITIS WITH POROSTHETIC VALVE
BEST MAN- CHF OR RUPTURED VALVE, CHOR. TENDINEAE, PROSTETIC, FUNGAL ENDOCARDITIS, ABSCESS, AV BK., EMBOLI
INITIAL TREAT- HHACEK CULTURE NEGATIVE ENDOCARDITIS
TIP- CRITERIA FOR PROPHYLAXIS ENDOCARDITIS
INITIAL TREAT- PROPHYLAXIS ENDOCARTITIS
CEFTRIAXONE FOR 4 WEEKS
OXACILIN, NAFCILLIN OR CEFAZOLIN
VANCOMYCIN
AMPICILLIN AND GENTAMICIN
RIFAMPIN AND VANCOMYCIN
SURGERY
CEFTRIAXONE
CARDIAC DEFECT+RISK OF BACTEREMIA
PENICILLIN OR CLINDAMYCIN, AXITHROMYCIN,
CLARITHROMYCIN
58
DIAGNOSIS-FEVER &RASH(5-14 DYS) AFTER BITE IF NOT TREATED: JOINT PAIN,NEURO SYM(CN. MNG. ENC.), CARDIAC(PERI,MYO, V-ARTH)
LYME DISEASE
59
INITIAL TEST- NON COMPLICATED LYME DISEASE
INITIAL TEST- NON TREATED LYME DISEASE MANIFISTATION
INITIAL TREAT- LYME DISEASE RASH+FEVER
INITIAL TREAT-LYME DISEASE JOINT, CN PALSY
INITIAL TREAT- LYME DISEASE RASH AND NON CN PALSY NEURO SYM.:MENING. ENCEPHALITIS
INITIAL TREAT- LYME DISEASE PROPHALACTIC 72HRS WHEN TICK IS SEEN OR ENDEMIC AREA
CLINICAL
SEROLOGIC IGM, IGG, ELISA, WESTERN BLOT AND PCR
DOXYCYCLINE OR AMOXICILLIN OR CEFUROXIME
DOXYCYCLINE OR AMOXICILLIN OR CEFUROXIME
IV CEFTRIAXONE
DOXYCYCLINE
60
TIP- RISK OF HIV: VAGINAL TRANSMISSION INSERTIVE
TIP- RISK OF HIV: VAGINAL RECEPTIVE
TIP- RISK OF HIV: ORAL SEX RECEPTIVE WITH EJACULATE
TIP- RISK OF HIV:NEEDLE STICK
TIP-RISK OF HIV:ANAL SEX
TIP- RISK OF HIV:MOTHER TO CHILD PERINATAL TRANSMISSION
TIP- RATE OF CD4 DROP IN HIV
```
1 OUT OF 3-10 THOUSAND
1 OUT OF 1 THOUSAND
1 OUT OF 1 THOUSAND
1 OUT OF 300
1 OUT OF 100
1 OUT OF 300
50-100 CELLS PER MICROLITER
```
61
DIAGNOSIS-HIV+ 50/MICROLITERS
PROFOUND IMMUNOSUPPRESION AIDS
62
DIAGNOSIS- THE 6 DISEASES POSSIBLE WITH HIV + 200/MICROLITER?
VZV, HSV, TUBERCULOSIS, CANDIDIASIS, BACTERIAL PNEUMONIA, KAPOSI SARCOMA
63
```
INITIAL TEST- HIV
INITIAL TEST- ELISA, HIV +
INITIAL TEST- HIV+, MOTHER OF INFANT THAT MAYBE INFECTED
INITIAL TEST- HIV+ WITH TREATMENT
INITIAL TEST- TO START HIV TREATMENT
```
ELISA
WESTERN BLOT
PCR OR VIRAL CULTURE
VIRAL LOAD (PCR-RNA LEVEL)
VIRAL RESISTANCE TESTING (GENOTYPING)
64
INITIAL TREAT- HIV BELOW 350-500/MICROLITER OR VIRAL LOAD >100,000/MICROLITER OR OPPORTUNISTIC INFECTION
3 OF 2 DIFFERENT CLASSES OF ANTIRETROVIRAL
65
TIP- BEST HIV COMBINATION
TIP- 4 NON-NUCLEOSIDE RTI's
TIP- --NAVIR
TIP- HIV-2 ENTRY INHIBITORS,INTEGRASE INHIBITOR
EMTRICITABINE, TENOFOVIR AND EFAVIRENZ (ATRIPLA)
EFAVIRENZ, ETRAVIRINE, NERIRAPINE, RILPIVIRINE
PROTEASE INHIBITORS
ENFUVIRTIDE, MARAVIROC, RALTEGRAVIR
66
INITIAL TREAT- HIV EXPOSURE PROPHYLAXIS DURATION
4 WEEKS
67
DIAGNOSIS- HIV DRUG + ANEMIA
DIAGNOSIS- HIV DRUG + PERIPHERAL NEUROPATHY AND PANCREATITIS
DIAGNOSIS- HIV DRUG + HYPERSENSITIVITY, STEVENS-JOHNSON REACTION
DIAGNOSIS-HIV DRUG+ HYPERLIPIDEMIA, HYPERGLYCEMIA
DIAGNOSIS- HIV DRUG + NEPHROLITHIASIS
DIAGNOSIS- HIV DRUG+ RENAL INSUFFICIENCY
ZIDOVUDIN
SATAVUDINE, DIDANOSINE
ABACAVIR (HLA-B5701)
PROTEASE INHIBITORS
INDINAVIR
TENOFOVIR
68
TIP- HIV DRUG TO AVOID WHEN PREGNANT
TIP- TRUE OR FALE: ALWAYS GIVE RETROVIRALS TO PREGNANT WEMON EVEN IF CD4 OVER 500
TIP- HIV MOTHER'S BABY SHOULD BE GIVEN DURING DELIVERY + 6 WEEKS AFTER
TIP- HIV MOTHER WITH VIRAL LOAD ABOVE 1000 AT THE TIME OF DELIVERY
EFAVIRENZ (NNRTI)
TRUE
ZIDOVUDINE
C-SECTION
