Respi disorders in HIV

Question 1

highest incidence of pneumonia among HIV px in

_____ months

Answer 1

1st 6 months of life

Question 2

Prophylaxis up to 3 years
reduce mortality

Answer 2

primary isoniazid

Question 3

when exposed to a close contact with TB

Answer 3

6 to 9 months secondary prophylaxis

Question 4

respi symptoms not common but with tachypnea and chronic lung infiltrates

Answer 4

NTM

Question 5

poor prognosis in NTM

Answer 5

Disseminated MaC

Question 6

tx for NTM in HIV

Answer 6

Azith:clarith
Ethambutol

if dissem
add cipro, amik, rifampin, rifabutin, clofazamine

Question 7

TB meds should be started when prior art

Answer 7

at least 2 weeks

Question 8

primary prophylaxis in NTM

Answer 8

macrolides (immunosupressed)

dc if at 2 yo, stable on art >6 months

Question 9

rsv sheds up to

Answer 9

90 days

Question 10

may give this vaccine if not immunocompromised

Answer 10

measles
varicella

Question 11

passive immunization
varicella
measles

Answer 11

measles ig within 6 days of exposure
varicella up to 96 hrs of contact

given to unvaccinated or immunosuppresed

Question 12

most common pathogen identified

Answer 12

PCP

Question 13

PCP highest incidence and peak at

Answer 13

1st yr of life
peaks at 3-6 months

Question 14

strongly predicts PCP

Answer 14

high plasma HIV RNa

Question 15

rapid decline in cd4 suggests

Answer 15

PCP

Question 16

pCP labs

Answer 16

normal wbc, igG
elevated LDH

Question 17

reticulonodulr infiltrates of PCP

Answer 17

perihilar extending peripherally

other dx
pneumatocoeles
pneumothorax
pie

Question 18

tx of pcp

Answer 18

high dose co tri for 21 days

altern pentamidine

Question 19

co tri prophy

Question 20

found in lung biopsies of LIP

Answer 20

EBV

Question 21

diffuse infiltration if lymphocytes into interstitium

Answer 21

LIP

Question 22

media age of LIP

Answer 22

2.5 to 3 yo

Question 23

level of igG suggestive of LIp

Answer 23

more than 2500 mg/dl

Question 24

generalized lymphadenopathy
hepatosplenomegaly
clubbing
parotid enlargement

Answer 24

LIP

Question 25

presumptive diagnosis of LIP

Answer 25

clinical
reticulonodular for more than 2 months without another cause

Question 26

most common tumor associated with HIV

Answer 26

Non hodgkins

then KS
Leiomyosarc
Hodgkins

Question 27

mosaic Attenuation inversely prop to fev1

Answer 27

BO

Question 28

weeks to months after art
unrecognized tb

paradoxical worsening of lymphadenopathy, clinical and radio signs

Answer 28

iris

immune reconstitution inflamm syndrome

Question 29

airway obstruction requiring trache most common

Answer 29

severe ltb