OIs

Question 1

Pneumocystis jiroveci pneumonia (PCP) prophylaxis indications

Answer 1

CD4 count <14%
History of AIDS-defining illness
CD4 count between 200-250 but monitoring is not possible

Question 2

PCP recommended treatment

Answer 2

Bactrim DS PO daily

Dapsone or atovaquone

Question 3

Toxoplasma gondii encephalitis prophylaxis indications

Answer 3

toxoplasma IgG positive patients with CD4 count <100
PCP prophylaxis not active against this
if seroconversion has occurred

Question 4

toxoplasma recommended agents

Answer 4

Bactrim DS PO daily

Dapsone or atovaquone

Question 5

Mycobacterium avium complex (MAC) prophylaxis indications

Answer 5

CD4 count <50 after ruling out disseminated MAC disease based on clinical assessment

Question 6

MAC recommended agents

Answer 6

Azithromycin 1200mg weekly
Clarithromycin 500mg BID
Azith 600mg twice weekly
Rifabutin 300mg daily (after ruling out active TB infection only!!!)

Question 7

streptococcus pneumonia prophylaxis indication

Answer 7

ALL HIV-infected persons, regardless of CD4 count

Question 8

S. pneumonia recommended agent

Answer 8

pneumococcal vaccination

Question 9

Influenza virus prophylaxis indication

Answer 9

ALL HIV-infected persons during influenza season

Question 10

Influenza virus recommended agent

Answer 10

flu shot

Question 11

Four vaccines not recommended for pts with CD4 count <200

Answer 11

LAIV
Herpes Zoster
MMR
varicella