Session 8 Lecture 1 Flashcards

1
Q

What three conditions are commonly associated with HIV?

A

Oral candidiasis, PCP and Kaposi’s syndrome

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2
Q

How much HIV is present in the UK?

A

1.9/1000

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3
Q

What does HIV stand for?

A

Human immunodeficiency virus

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4
Q

What is HIV?

A

Retrovirus

Infects cells with CD4 surface receptor

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5
Q

How does HIV affect the body?

A

Replicates inside the cell, Destroys the cell. Causes inflammation and spreads to/infects more cells.

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6
Q

How does HIV get inside the cells?

A

The antigens on the HIV bind to the CD4 receptors hence gaining entry into the cell

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7
Q

How is HIV transmitted?

A

Contact of infected bodily fluids with mucosal tissue/blood/broken skin. Eg sexual contact, transfusion, contaminated needles and perinatal transmission.

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8
Q

When does AIDS develop?

A

Happens when the CD4 count is below 200

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9
Q

When you first get infected with HIV, what first happens to the viral load?

A

The viral load increases exponentially

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10
Q

Define seroconversion

A

The period of time during which HIV antibodies develop and become detectable. It generally takes place within weeks of initial infection.

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11
Q

What factors affect HIV transmission?

A

Type of exposure, Viral load in the blood, Condom use and breaks in skin or mucosa.

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12
Q

What is the average life expectancy of a person who is HIV+?

A

77 years old

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13
Q

How can you help ensure you live as long as possible whilst being HIV+?

A

Early detection, treatment, adherence and healthy living.

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14
Q

What diagnostics test can be done for HIV?

A

Blood serology, PCR or ‘rapid tests’

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15
Q

What are the aims of HIV treatment?

A
  • Get an undetectable viral load
  • Reconstitute CD4 count/immune system
  • Reduce general inflammation
  • Reduce risk of transmission
  • Good quality of life
  • Normalise lifespan
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16
Q

What strategies would you use to treat and reduce the prevalence of HIV?

A

Anti-retro viral drugs (ARV’s) and possible vaccine?

17
Q

When should you start treatment for HIV?

A

ASAP - regardless of CD4 count

18
Q

Which ARVs do you give to a patient?

A

Always give three. Give 2 nucleoside reverse transcriptase inhibitors and then another type.

19
Q

Why do we give three ARVs?

A

Harder to develop resistance

20
Q

What strategies would you use to treat and reduce the prevalence of HIV?

A

Increase condom usage, prevention of mother to child transmission, ARV treatment as prevention, medical circumcision, post/pre exposure prophylaxis