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1. HIV this conditions is called
retroviruses because they
replicate in a backward
manner going from RNA to
DNA-- targets the CD4+ T
cell and binds through cell
fusion using reverse tran-
scriptase enzyme-- causes
major signs and symptoms
and includes multiple in-
fections despite aggressive
treatment, failure to thrive
or poor growth
2. CD4+ t lymphocyte these cells are helper cells
the normally recognizes
antigens and signal body to
develop an immune attack
3. virus fuses with CD4 cell receptor, HIV inserts its RNA what is the life cycle of HIV?
into cell using reverse transcriptase, the CD4 cell syn-
thesizes HIV virus and the viruses are assembled and
released
4. through contact with certain body fluids such as how is HIV transmitted?
blood, semen, rectal and vaginal secretions and
breast milk and amniotic fluid
5. tears, saliva, urine, emesis, sputum, feces, sweat, how is HIV not transmitted?
bugs/ mosquitos, respiratory droplets or enteric
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routes such as eating after someone or drinking after
someone
6. black male to male sexual contact what population is at most
risk for HIV?
7. the rectum has a single layer of epithelial cells versus why is anal sex more risky
vagina and mouth having multiple layers than male to female vaginal
intercourse?
8. true T/F: the patient must know
you are testing them for HIV
9. the time frame where an HIV positive patient will not what is the window period
test positive even if they are infected with the virus-- for HIV?
around 2-3 weeks-- may show a false negative
10. enzyme linked immunosorbent assay (ELISA) test or what test is recommended
4th generation HIV antibody antigen test-- the anti- for HIV testing? how does it
gen will turn positive after day 13-- the antibody will work?
turn positive around day 30 (2-6 weeks)
11. HIV viral load test (NAAT) if the 4th generation HIV
antibody antigen test turns
positive, what test is used to
follow up?
12. CD4 monitoring at 3 weeks, 3 months and 6 months how is HIV monitored?
of treatment-- goal is 800-1500 cells/mm3-- viral load
is monitored every 6 months
13. reveal the news in person, beneficial to bring a sup- how do we tell a patient that
port person if possible, draw follow up labs at first they are HIV positive?
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visit, explain treatment plan at next visit so they have
time to cope and fully understand their options
14. true T/F: a patient who takes
their HIV medications dai-
ly and obtains an unde-
tectable viral load will not
transmit the virus through
sex and live a normal lifes-
pan
15. stage 0 this stage of HIV is early
infection-- the pt has just
been exposed-- may ex-
perience flu like symptoms
such as rash, fever, mus-
cle/ joint pain, fatigue, sore
throat, headache, swollen
lymph nodes-- the disease
is highly contagious at this
point and viral load is high
16. stage 1 this stage of HIV is the
acute infection to the de-
velopment of antibodies
where the destruction of
CD4 T cells drops the t cell
count-- other immune cells
increase to attempt to kill
off virus-- may develop into
a chronic persistent phase
where the body cannot rid