Laboratory Diagnosis HIV Infection

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15 Terms

1

c. it contains DNA as its nucleic acid.

All of the following describe HIV except
a. it possesses an outer envelope.
b. it contains an inner core with p24 antigen.
c. it contains DNA as its nucleic acid.
d. it is a member of the retrovirus family.

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2

c. CD4 and CCR5

HIV virions bind to host T cells through which receptors?
a. CD4 and CD8
b. CD4 and the IL-2 receptor
c. CD4 and CCR5
d. CD8 and CCR2

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3

d. p24

Antibodies to which of the following viral antigens are usually the first to be detected in HIV infection?
a. gp120
b. gp160
c. gp41
d. p24

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4

a. Proviral DNA is attached to cellular DNA.

Which of the following is typical of the latent stage of HIV infection?
a. Proviral DNA is attached to cellular DNA.
b. Large numbers of viral particles are synthesized.
c. A large amount of viral RNA is synthesized.
d. Viral particles with no envelope are produced.

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5

d. all of the above.

The decrease in T-cell numbers in HIV-infected individuals is caused by
a. lysis of host T cells by replicating virus.
b. fusion of the T cells to form syncytia.
c. killing of the T cells by HIV-specific cytotoxic T cells.
d. all of the above.

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6

b. intimate sexual contact.

The most common means of HIV transmission worldwide is through
a. blood transfusions.
b. intimate sexual contact.
c. sharing of needles in intravenous drug use.
d. transplacental passage of the virus.

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7

a. nucleoside analogue reverse-transcriptase inhibitor.

The drug zidovudine is an example of a
a. nucleoside analogue reverse-transcriptase inhibitor.
b. nonnucleoside reverse-transcriptase inhibitor.
c. protease inhibitor.
d. fusion inhibitor.

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8

b. collection of the test sample before seroconversion.

False-negative test results in a laboratory test for HIV antibody may occur because of
a. heat inactivation of the serum before testing.
b. collection of the test sample before seroconversion.
c. interference by autoantibodies.
d. recent exposure to certain vaccines.

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9

c. gp41 and gp120

Which of the following combinations of bands would represent a positive Western blot for HIV antibody?
a. p24 and p55
b. p24 and p31
c. gp41 and gp120
d. p31 and p55

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10

d. HIV-1 antibodies, HIV-2 antibodies, and p24 antigen.

The fourth-generation ELISA tests for HIV detect
a. HIV-1 and HIV-2 antigens.
b. HIV-1 and HIV-2 antibodies.
c. p24 antigen.
d. HIV-1 antibodies, HIV-2 antibodies, and p24 antigen.

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11

d. HIV-1- and HIV-2-specific antigens plus antibody to p24.

The conjugate used in the fourth-generation ELISA tests for HIV consists of enzyme-labeled
a. anti-human immunoglobulin.
b. HIV-1- and HIV-2-specific antibodies.
c. HIV-1- and HIV-2-specific antigens.
d. HIV-1- and HIV-2-specific antigens plus antibody to p24.

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12

a. decreased numbers of CD4 T cells.

The characteristic laboratory finding in HIV infection is
a. decreased numbers of CD4 T cells.
b. decreased numbers of CD8 T cells.
c. decreased numbers of CD20 B cells.
d. decreased immunoglobulins.

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13

a. Rapid test for HIV-1 and HIV-2 antibodies

Which of the following tests is currently recommended by the CDC to confirm a positive screening test result for HIV infection?
a. Rapid test for HIV-1 and HIV-2 antibodies
b. Western blot
c. Molecular testing for HIV RNA
d. HIV viral culture

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14

b. ELISA for HIV antibody

Which of the following tests would give the least reliable results in a 2-month-old infant?
a. CD4 T-cell count
b. ELISA for HIV antibody
c. PCR for HIV proviral DNA
d. p24 antigen

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15

d. CD4 T-cell count and HIV RNA copy number

Which of the following measurements are routinely used to monitor patients with HIV infection who are undergoing antiretroviral therapy?
a. HIV antibody titer
b. p24 antigen levels
c. CD4 T-cell and CD8 T-cell counts
d. CD4 T-cell count and HIV RNA copy number

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