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29 Cards in this Set
- Front
- Back
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what % of HIV infections is attributed to heterosexual transmission
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75%
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HIV is the leading cause of death among Americans in this age group
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25-44 y/o
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what is the worldwide infected ratio among people between 15 and 49 y/o
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1 in every 100
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what % of women are infected worldwide
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41% or about 30 million
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name some phychosocial effects of HIV infection
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Anxiety
discouragement discrimination change in social status cognitive dysfunction |
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what are some phychiatric complications of HIV
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depression
anxiety delirium mania phychosis HIV assoc. dementia |
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when do you initiate HIV therapy?
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1. In acute HIV or <6 months after seroconversion
2. Symptomatic(AIDS, thrush, unexplained fever) 3. Asymptomatic - CD4 + T cells <500/mm3; HIV RNA>10,000 |
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What is the initial drug regimen?
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2 NRTIs + protease inhibitor or
2 NRTIs +NNRTI |
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what is virologic failure?
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It's when the current therapy fails to keep the viral burden below 500 copies/ml 4-6 months after starting the therapy
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name some HIV drugs
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Indinavir
Nelfinavir Ritonavir Saquinavir AZT |
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what are some drugs you should watch out for: "RED FLAG" list
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P450 inhibitors/inducers
drugs with narrow therapeutic indices Drugs w/specific reqs for absorption Viagra and drug interactions |
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What are some conditions assoc. with HIV
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Thrush
Hairy Leukoplakia Pneumocystis carinii Anal-Penile Condylomata Multidermatomal herpes Zoster Vulvo-valginal anal warts |
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Define domestic violence
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assault in the context of an intimate relationship
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Why is DV considered a Silent Epidemic?
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because it is largely unrecognized despite its magnitude and media coverage
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what age group of women are most likely to be abused?
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19-29 y/o
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what % of professional and working women are victims of DV?
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10%
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Approx. how many children per year are exposed to violence against their mother
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3.3 million
These children are 1500 times more likely to be abused or become abusers |
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what is the economic cost of DV annually?
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more than 2 billion
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what is the #1 killer of pregnant and post partum women?
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homocide
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what are the phases of the Battering Cycle?
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Tension building phase
Violent phase Honeymoom phase |
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how do you diagnose DV?
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Diagnosis is made through a thorough history
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What are the S/Sx of DV?
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Physical Symptoms
Somatic Stress Behavioral cues Verbal |
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name some physical symptoms of DV
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Acute traumatic injury
recurrent urogenital infections from sexual assault bruises/Fx at various levels of healing IBS or chronic ab pain recurrent VDs |
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T/F DV is less prevalent among homosexuals
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False, it's the same
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What are 5 screening questions for DV?
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use the acronym PEACE
P- ever physically hurt? E- feel as if "walking on Eggshells" to avoid arguing? A- Ever suxually Abused? C- Controlling partner? E- ever been Emotionally abused? |
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How do you treat DV?
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1. Treat medical condition
2. Document findings 3. Consult expert 4. Don't rescue |
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what is Kaplan's 3 stage model
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It's the stages of sexual response:
Desire Excitement Orgasm |
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Master and Johnson sexual response cycle
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Excitement
Plateau Orgasm Resolution |
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what is TURP
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transurethral resection of the prostate
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