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21 Cards in this Set

  • Front
  • Back

Classification of HIV?

SS RNA +

What gene encodes the capsid protein for HIV?

gag

What is the capsid protein for HIV?

p24

What gene encodes proteins of the viral envelope?

env

What does Gp120 do?

Binds host cell in order for HIV to infect it

What is the 2 receptors necessary for Gp120 binding?

CD4 surface receptors on T cells



CXCR4 or CXCR5

What is Gp41's role?

Viral fusion & entry into host cell

Which host cell types express CCR5 receptors?

Macrophages, dendritic cells

Which host cell types Express CXCR4 receptors?

CD4+ T cells

Once the viral RNA undergoes reverse transcription to DNA, which enzyme helps integrate it into host DNA?

Integrase

What tests do we use for diagnosis of HIV?

ELISA test first (high sensitivity)


Western blot (high specificity)

Which pulmonary infection do we most commonly (and exclusively) see in AIDS patients?

Pneumocystis jirovecii - a fungal infection

How do we visualize pneumocystis jirovecii?

Silver stain

How do we treat pneumocystis pneumonia?

TMP-SMX

HIV infections & their relative CD4 levels

PCP (CD4 < 200)



Histoplasma (CD 4 < 150)



Mycobacterium avium complex (CD < 50)

What is a common cause of meningitis we see in AIDS patients?

Croptococcal meningitis

What 2 neurologic problems in AIDS patients look very similar on MRI?

Toxoplasmosis -- multiple ring-enhancing lesions



Primary CNS lymphoma -- Solitary ring enhancing lesion

What is the cause of PML in AIDS patients?

JC Virus infection

Common causes of retinitis in AIDs patients?

CMV, candida

What infections of the mouth do we commonly see in AIDS patients?

Oral thrush -- candida


Esophageal candidiasis -- candida (very painful)



Oral hairy leukoplakia -- EBV (won't scrape off like thrush)

Which malignancies do we often associate w/ HIV? And what do these malignancies all have in common?

Viral origin!



Kaposi sarcoma (HHV-8)


NHL (primary CNS lymphoma -- EBV association)


Cervical/anal carcinoma (HPV 16, 18)