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Question 1

CD4 Count for Toxoplasmosis

Answer 1

< 100

Question 2

CD4 Count for MAC

Answer 2

< 50

Question 3

DOC for MAC prophylaxis

Answer 3

Azithro 1200 mg PO once weekly

Clarithro 500 mg BID

Azithro 600 mg 2xW

Question 4

INSTI BID dosing

Answer 4

Isentress = Raltegravir

Question 5

Doesn’t matter if Hep B +

Answer 5

Biktarvy

Question 6

Zidovudine AEs

Answer 6

-Lactic Acidosis
-Hepatic Steatosis
-Hematologic = gran/anemia
-Lipoatrophy

Question 7

Dolutegravir AEs

Answer 7

-Avoid divalent cations
-Limit metformin to 1g/day
-Avoid in childbearing women, neural tube effects in first 6 wks

Question 8

Atazanavir AEs

Answer 8

High BR, yellowing of eyes

Kidney stones

Question 9

Abacavir AEs

Answer 9

Lactic Acidosis
Hepatomegaly
Myopathy
Peripheral neuropathy
Pancreatitis

Question 10

Tipranavir

Answer 10

-Liver toxicity
-Intracranial bleeding
-Sulfa allergy
HIStip

Question 11

Efavirenz AEs

Answer 11

CNS
may cause false positive THC test
tube defects in first 6 wks

Question 12

Pill Burdens

Answer 12

Biktarvy = 1
Isentress + Des/Tru = 3
Symtuza = 1
Dovato = 1
Dolutegravir + Des = 2

Question 13

Tenofovir Tox

Answer 13

TDF > TAF for renal/bone tox

Question 14

3TC

Answer 14

Lamivudine

Question 15

FTC

Answer 15

Emtricitabine

Question 16

ABC

Answer 16

Abacavir

Question 17

Zidovudine

Answer 17

AZT, ZDV

Question 18

Toxoplasmosis

Answer 18

IgG + and CD4 < 100

Bactrim 1 DS PO QD

Question 19

Candidiasis

Answer 19

-Micafungin or Caspofungin x 5-7d
-Fluconazole if confirmed/prophylaxis

Question 20

Coccidioides (valley fever)

Answer 20

Fluconazole 400 mg PO QD
-Amph B for 3-6 mo if tx fails

Question 21

Aspergillosis

Answer 21

Cough with blood
-Voriconazole x 6-12 weeks, monitor trough levels