Opportunistic infections

Question 1

What is the risk if the CD4 count becomes below 200, what should be given for prophylaxis

Answer 1

PJP and PCP, Bactrim

Question 2

What is the risk if the CD4 count becomes less than 50, what should be given for prophylaxis

Answer 2

Mycobacterium avium complex, azithromycin

Question 3

T/F: MAC prophylaxis is not needed if the patient is taking ART

Answer 3

True

Question 4

What does Bactrim cover for opportunistic infections

Answer 4

Toxoplasmosis and PJP

Question 5

What is given for PCP if the patient has a sulfa allergy

Answer 5

Dapsone

Question 6

If a patient has toxoplasmosis gondii infection what is the first line that should be used

Answer 6

Pyrimethamine PLUS Leucovorin PLUS Sulfadiazine

Question 7

What alternatives can be given for CMV infection and valganciclovir response is poor

Answer 7

Cidofovir, Foscarnet

Question 8

When would prophylaxis be given for toxoplasmosis

Answer 8

CD4 count is less than 100 AND toxoplasmosis IgG is positive

Question 9

T/F: Patients can discontinue prophylaxis if there CD4 plus counts are at goal for at least 3 months

Answer 9

True

Question 10

What are three things that can cause an immunocompromised state

Answer 10

Chemotherapy treatment, chronic immunosuppression for autoimmune diseases, use of systemic corticosteroids for at least 14 days