Module 2.5 HIV/AIDS Flashcards

1
Q

Original name of HIV

A

1981 - Discovered (GRIDS)
Gay Related Immune Deficiency Syndrome.

Virus was discovered in 1984

Renamed HIV in 1986

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2
Q

What kind of virus is HIV-1 and HIV-2

A

Retrovirus

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3
Q

Retrovirus mechanism

A

vRNA must be converted to DNA (reverse transcriptase) and transcribed back to RNA

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4
Q

HIV infects

A

CD4+ T Cells (helper), Macrophages, Dendritic Cells

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5
Q

HIV spreads through

A

Sexual Contact
Blood Exposure
in Utero/Delivery/breast milk

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6
Q

Categories of HIV by T-cell count

A

Category 1: >500 cells/ul
Category 2: 200-499 cells/ul
Category 3: <200 cells/ul

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7
Q

Clinical Categories of HIV

A

A: Asymptomatic or Persistant generalized lymphadenopathy. (PGL)
B: Symptoms of immune deficiency but not enough to be AIDS defining.
C. AIDS defining illness.

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8
Q

To be diagnosed with AIDS you must be in

A

Category 3 or C

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9
Q

Functions of CD4 T cells

A

Recognize foreign antigens
Activates antibody producing B-Cell
Influences Phagocytic Function of monocytes/macrophages
Orchestrates cell mediated immunity

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10
Q

3 phases of HIV Infection

A

Primary infection phase
Chronic asymptomatic/Latency phase
Overt AIDS phase

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11
Q

Primary infection phase of HIV

A

Mononucleosis-like illness. Very nonspecific symptoms

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12
Q

Chronic asymptomatic/Latency phase of HIV

A

No symptoms
May last around 10 years
May have lymphadenopathy (swollen LN’s)

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13
Q

Overt AIDS phase of HIV

A

CD4 T cell count under 200

Death in 2-3 years WITHOUT therapy

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14
Q

Characteristics of AIDS

A
Profound Immunosuppression
Opportunistic infections
CNS Degeneration
Wasting
Malignancies
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15
Q

Typical progressors

A

60-70% aquire AIDS in 10-11 yrs

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16
Q

Rapid Progressors

A

10-20% acquire AIDS in < 5 years

17
Q

Slow Progressors

A

5-15% do not acquire AIDS in more than 15 years

18
Q

Long Term Non-progressors

A

~1% infected for 8+ years with high CD4 counts and low viral loads.

19
Q

Most common Bacterial Opportunistic Infections in AIDS patients.

A

Bacterial Pneumonia
TB
Salmonella Bacteremia
MYCOBACTERIUM AVIUM-INTRACELLULAR COMPLEX (MAC)

20
Q

Most common Fungal Opportunistic Infections in AIDS patients

A

Candidiasis
Coccidiomycosis
Cryptococcosis
Histoplamosis

21
Q

Most common Protozoal Opportunistic Infections in AIDS patients.

A

PNEUMOCYSTIASIS
TOXOPLASMOSIS
Cryptosporidiosis
Isosporiasis

22
Q

Most common Viral Infections in AIDS patients.

A

Cytomegalovirus
Herpes
Progressive Multifocal Leukoencephalopathy (PML)

23
Q

Other diseases associated with AIDS

A

Kaposi Sarcoma
Non invasive cervical carcinoma
AIDS dementia complex (ADC)

24
Q

Factors that contribute to wasting

A

Anorexia
Endocrine Dysfunction
Malabsorption
Cytokine Dysregulation

25
Q

Characteristics of Wasting

A

Involuntary loss of 10% baseline weight
Diarrhea >2x/day
Chronic weakness
Fever

26
Q

Metabolic affects of HIV/AIDS

A
Hypercholesterolemia
Hypertriglyceridemia
Insulin Resistance
Impaired Glucose Tolerance
Lipodystrophy
27
Q

Diagnosing HIV

A

PCR (gold standard)
ELISA - high + rate
Western Blot - more specificity
OraSure swab

28
Q

Truvada

A

Pre-Exposure Prophylactic medication

29
Q

Routine follow care for HIV pt’s

A

Viral Load
CD4 cell counts
Appearance of specific opportunistic infections

30
Q

5 classes of HIV drugs

A
Reverse transcriptase inhibitor
Protease inhibitor
Fusion/entry inhibitor
Integrase inhibitor
Multidrug combination products (always used)
31
Q

Presentation of HIV in children

A

Failure to thrive
Developmental delays
CNS abnormalities

32
Q

What is a major source of mortality in children with HIV? How is it treated?

A

Pneumocystis Jiroveci pneumonia

TMP/SMX (Bactrim) at 4-6 weeks

33
Q

Why do we wait 4-6 weeks to treat infants with TMP/SMX (Bactrim)

A

liver immaturity