Infectious Diseases 13 - HIV

Question 1

HIV course

Answer 1

RNA
HIV1
destorys CD4

seroconversion flu like illness within a few weeks

then oppo infections

Question 2

HIV transmission

Answer 2

not just kissing etc

unprotected sex
mother to child
mucous membrances, blood, wounds

Question 3

6 AIDS suggestive illnesses

Answer 3

Kaposi's sarcoma
PCP
CMV infection 
candidiasis
lymphomas
TB

Question 4

how long must you be tested to be sure you don’t have HIV

Answer 4

3 months as Ab can be negative until then

Question 5

testing HIV ask

Answer 5

must ask specific consent and document

Question 6

summarise HIV test modalities

Answer 6

Ab test
p24 antigen
HIV RNA viral load
CD4 count (500+)

Question 7

treating HIV

Answer 7

HAART

2 NRTIs + 1 more

Question 8

extra management with HIV management

Answer 8

prophlaxis for PCP if low CD4
close monitoring of cardio RFs
yearly cervical smears
regular vax (not live)

Question 9

HIV and giving birth

Answer 9

baby give ART for 4 weeks

have c section and undetectable viral load

Question 10

PEP HIV when

Answer 10

<72 hrs post exposure

test 3 months later to be sure clear