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ID Exam Four > Opportunistic Infections > Flashcards

Opportunistic Infections Flashcards

1
Q

PCP Prophylaxis CD4 count

A

Less than 200

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2
Q

PCP Prophylaxis Drugs

A

Bactrim QD
Or
Dapsone

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3
Q

When would you stop PCP prophylaxis?

A

CD4 greater than 200 for 3 months

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4
Q

PCP Treatment

A

Bactrim High dose x 21 days + 21d corticosteroids in pt with PaO2 <70

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5
Q

Mucocutaneous Candidiasis Presentation

A

Oropharngeal: white plaques
Esophageal: burning, difficulty swallowing

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6
Q

Mucocutaneous Candidiasis Prophylaxis

A

Primary NOT recommended

Secondary if high frequency or very severe

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7
Q

Mucocutaneous Candidiasis Oropharyngeal Treatment

A

Fluconazole PO QD

Posaconazole

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8
Q

Mucocutaneous Candidiasis Esophageal Treatment

A

Fluconazole PO/IV QD

Itraconazole solution PO QD

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9
Q

Toxoplasma gondii encephalitis CD4 Count

A

Less than 100

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10
Q

Toxoplasma gondii encephalitis Primary Prophylaxis

A

Bactrim QD

Discontinue when CD4 greater than 200

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11
Q

CMV Cause and CD4

A

Viral can cause blindness

CD4 less than 50

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12
Q

CMV Prophylaxis

A

NOT recommended

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13
Q

CMV Treatment

A

Ganciclovir or Valganciclovir

OR Foscarnet, Cidofovir

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14
Q

CMV Treat until

A

CD4 greater than 100 for 3 months

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15
Q

Mycobacterium Avium Complex Disease Primary Prophylaxis

A

CD4 less than 50
Azithromycin Qwk
Clarithromycin BID

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16
Q

Mycobacterium Avium Complex Disease Treatment/Prophylaxis discontinue when?

A

CD4 greater than 100 for 3 months

17
Q

Mycobacterium Avium Complex Disease Treatment

A

Clarith/Azithro + Ethambutol + Rifabutin for at least 12 months

18
Q

All Patients should receive what immunizations?

A

Hep B
Flue
Pneumococcus

19
Q

Patients with high risk of disease should receive what immunizations?

A

Hep A
HPV
Meningococcal
Chickenpox

20
Q

HIV Wasting Syndrome

A

Loss of appetite

greater than 10% wt loss + symptoms

21
Q

HIV Wasting Syndrome Treatment

A

Megesterol or Dronabinol (appetite stim)

Testosterone or steroids (anabolic)

22
Q

ART should not be initiated with what?

A

Cryptococcal meningitis

ID Exam Four (11 decks)

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