What are some challenges associated with ART?
Many patients experience unpleasant side effects from ART.
What types of tumors have an increased incidence in AIDS patients?
B cell lymphomas and Kaposi sarcoma.
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Treatment and Prevention

What are some challenges associated with ART?

Many patients experience unpleasant side effects from ART.

p.5
Associated Conditions

What types of tumors have an increased incidence in AIDS patients?

B cell lymphomas and Kaposi sarcoma.

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Treatment and Prevention

What is a key strategy for preventing HIV transmission?

Reducing risk behaviors is a key strategy for preventing HIV transmission.

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Opportunistic Infections

What are common opportunistic infections associated with AIDS?

Herpes, Mycobacterium (Tb), candidiasis, and pneumocystis jiroveci.

p.4
Phases of Disease

What are the characteristics of the early acute phase of HIV disease?

Lasts about 2-4 weeks, includes headaches, fever, flu-like symptoms, and has a high level of virus in blood.

p.1
Secondary Immunodeficiencies

What are secondary immunodeficiencies?

Secondary immunodeficiencies are far more common than primary deficiencies and are associated with various conditions.

p.2
Human Immunodeficiency Virus (HIV)

What are the main modes of transmission for HIV?

Sexual contact, blood to blood contact, perinatally.

p.3
Mechanism of Injury

What protein binds to the CD4+ receptor on helper T cells?

Viral gp120 protein

p.2
Acquired Immunodeficiency Syndrome (AIDS)

What virus causes Acquired Immunodeficiency Syndrome (AIDS)?

Human immunodeficiency Virus (HIV)

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Progression to AIDS

How many new cases of HIV occur worldwide each year?

5 million new cases per year.

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Antiretroviral Therapy (ART)

What types of inhibitors are included in ART?

ART includes reverse transcriptase inhibitors, protease inhibitors, integrase inhibitors, chemokine receptor inhibitors, and fusion inhibitors.

p.1
Secondary Immunodeficiencies

What medical treatments can cause secondary immunodeficiencies?

Chemotherapy, radiation, or certain drugs can cause secondary immunodeficiencies.

p.5
Progression to AIDS

What is a key clinical indicator of progression to AIDS?

A rapid decline in CD4+ T cells to 200 cells/µl.

p.2
Human Immunodeficiency Virus (HIV)

What type of virus is HIV?

RNA virus (retrovirus)

p.2
Progression to AIDS

What is the annual incidence of AIDS cases in the United States?

About 31,000 cases per year.

p.4
Phases of Disease

How does the CD4+ cell count change during the chronic phase of HIV?

There is a gradual reduction of CD4+ cells in blood, decreasing from about 1000 to 200 cells/µl.

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Antiretroviral Therapy (ART)

Is ART a cure for HIV?

No, ART is not a cure; it slows the progression of the disease.

p.1
Secondary Immunodeficiencies

What chronic infection is known to be associated with secondary immunodeficiencies?

AIDS is a chronic infection associated with secondary immunodeficiencies.

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Mechanism of Injury

What does the virus do once it enters the cell?

Hijacks cellular machinery to replicate

p.1
Secondary Immunodeficiencies

How can malnutrition lead to secondary immunodeficiencies?

Malnutrition, particularly deficiencies in vitamins or zinc, can lead to secondary immunodeficiencies.

p.2
Acquired Immunodeficiency Syndrome (AIDS)

How many people are infected with HIV worldwide?

40 million infected.

p.5
Opportunistic Infections

What is the most common infection in AIDS?

Pneumocystis jiroveci.

p.1
Secondary Immunodeficiencies

What type of malignancy is associated with secondary immunodeficiencies?

Leukemia is a type of malignancy associated with secondary immunodeficiencies.

p.3
Mechanism of Injury

What is necessary for viral entry into the cell after gp120 binds to CD4+?

Chemokine-receptor activation

p.1
Secondary Immunodeficiencies

Name a metabolic disease associated with secondary immunodeficiencies.

Diabetes is a metabolic disease associated with secondary immunodeficiencies.

p.2
Acquired Immunodeficiency Syndrome (AIDS)

How many people are currently living with AIDS in the United States?

1.2 million currently living with AIDS.

p.6
Antiretroviral Therapy (ART)

What is ART in the context of HIV treatment?

ART stands for antiretroviral therapy, which involves a combination of drugs to manage HIV.

p.2
Mechanism of Injury

How does HIV affect the immune system?

It depletes the body’s T H cells (CD4+).

p.3
Mechanism of Injury

Which coreceptors are involved in the viral entry process?

CXCR4 or CCR5

p.6
Treatment and Prevention

What is the annual cost range for ART?

The annual cost for ART ranges from $7000 to $10,000.

p.4
Phases of Disease

What occurs during the chronic phase (clinical latency) of HIV disease?

Lasts months to years, may have few to no symptoms, low virus levels in blood but many antibodies, with continuous replication and T-cell destruction in lymph nodes and spleen.

p.5
Phases of Disease

What is the typical prognosis for patients with clinical AIDS?

Often fatal within 1 to 2 years.

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