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Pyc2605 exam preparation HIV and Aids

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Pyc2605 exam preparation HIV and Aids
tool use to SCREEN for HIV - answers ELISA- enzyme linked immunosorbent assay

tool use to diagnose HIV - answers Western blot

steps to the HIV life cycle - answers 1. binding- blocked by entry inh (i.e. enfuvirtide,
selzentry)
2. reverse transcription- blocked by NRTIs and NNRTIs
3. integration- block by integrate inh (i.e. raltegravir)
4. transcription
5. translation
6. viral assembly and maturation- blocked by protease inh

name the protease inh - answers all go through the liver& all w/ food except indinavir &
fosamprenavir

-indinavir (crixivan)
-lopinavir + ritonavir (kaletra)
-nelfinavir (viracept)
-ritonavir (norvir)
-saquinavir (invirase)
-tipranavir (aptivus)
-fosamprenavir (lexiva)
-atazanavir (reyataz)
-darunavir (prezista)

class SE of protease inh - answers -weight gain
-lipodystrophy
-hyperglycemia
-hyperlipidemia
-GI SE (i.e. flatulence, N/V/D)

indinavir - answers crixivan (protease inh)

special note about indinavir (crixivan) - answers -take on an empty stomach "an
individual"
-cause kidney stone "crick crick CRIXIVAN"
-keep in same bottle

lopinavir & ritonavir - answers kaletra (protease inh)

special note about lopinavir & ritonavir (kaletra) - answers -store tabs in RT, soln in
fridge
-ritonavir inc lopinavir's conc

, -has EtOH in it

nelfinavir - answers viracept (protease inh)

special note about nelfinavir (viracept) - answers -very bad diarrhea

ritonavir - answers norvir (protease inh)

special note about ritonavir (norvir) - answers -tabs & soln in RT, caps in fridge
-has EtOH in it
-causes paresthesias

saquinavir - answers invirase (protease inh)
"IN SAQramento"

special note about saquinavir (invirase) - answers -has lactulose in it
-DDI w/ ritonavir: cardiac
-DDI w/ rifampin: hepatotoxicity

tipranavir - answers aptivus (protease inh)

special note about tipranavir (aptivus) - answers -bleeding risk
-sulfa allergy
-has EtOH in it
-take w/ high fat meal "so fat, TIP over"

fosamprenavir - answers lexiva (protease inh)
"LEXus is a FOSSil"

special note about fosamprenavir (lexiva) - answers -bleeding risk
-sulfa allergy
-avoid PPI & H2RA to prevent tx failure
-tk soln on an empty stomach

atazanavir - answers reyataz (protease inh)
"AT RAYnold's" :)
where i wish i was at..
i miss you booboogeez

special note about atazanavir (reyataz) - answers -bleeding risk "bleeding love"
-AV block "raynold makes my heart skip a beat"
-only PI that does not inc lipids
-do not combine w/ Viread and Cipro (inc viread levels)

darunavir - answers prezista (protease inh)
"DAR was the PREZident"

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