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24 Cards in this Set

  • Front
  • Back

Types of retrovirusis according to medical importance

Lentiretrovirusis


Deltaretroviusis


Major cause of AIDS worldwide يولاد

HIV1

Mutation of env gene gp 160

Lead to production of various types of gp 120

Mediate the virus binding to host cell

gp120

Mediates the fusion of viral envelope to host cell membrane

gp 41

Pol gene

Reverse transceptase enzyme


Protease enzyme


Integrase enzyme


Mechanisms of killing of infected cd4 T cells.

1-directly by viral replication


2- by CD8 cytotoxic T lymphocytes

Provirus

HIV DNA when become integrated ti host DNA

Factors determines the length of clinical latency

1- type of virus


2- the immune response


3- administration of antiviral drugs

Examples of conditions where there is false +ve ELISA

Syphilis


Systemic lopus erythematosus

Window period

From 3-4 weeks after infection

Viral load of HIV can be detected by


RT PCR for RNA

Detection of p24 in patient serum denotes

Early infection


Or


Late infection ▶️ poor prognosis

True or false : p24 can be detected by ELISA in window phase

True

What is the most potent antiretroviral drug?

Protease inhibitor

HAART

Combination bw 2 reverse transcriptase inhibitors and 1 proteas inhibitor

Monitoring of anti-HIV therapy done by

1-viral load detection (RT PCR) تبع ال rna


2- CD4 count

Post exposure chamoprophylaxis

Start within 2 hours 2to3 antiviral to 28 days

Method of preventing vertical transmission

Ttt of infected mothers during pregnancy



Casarean section



Ttt of neunates



No breast feeding

Why some types of cancers occures in AIDs patients

Due to immune dificiency

Major clinical manifestation of AIDs patient

Wight loss


Diarrhoea


Neurological manifestations

Ttt of hiv infection

HAART


Combination bw 2 revirse trascriptase and one protease

Hiv post expusure chemoprophelaxis

Start within 2 hours 2 - 3 antiviral drugs for 28 dyas

True or false: there is viremia early stage of HIV

True