Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
             
positive. A slow but usually 
steady increase in viral load. 
Usually, a steady decline in 
CD4+ cell count; CD4+/CD8+ 
ratio begins to approach 1
Viral replication is ongoing 
and progressive.
A steady decline in CD4+ cell 
counts occurs, except in the 
fewer than 1% who are 
nonprogressors (also have 
low viral load).
Stage 2: early 
symptomatic stage
Without treatment, lasts for 1-3 
yr, any of the following: PGL, 
fungal infections, vaginal yeast 
and trichomonal infections, oral 
hairy leukoplakia, herpes zoster, 
herpes simplex, HIV retinopathy 
Constitutional symptoms: fever, 
night sweats, fatigue, diarrhea, 
weight loss, weakness
ELISA and Western blot are 
positive. HIV antigen, RNA, and 
DNA tests are positive.
Signs and symptoms increase 
as CD4+ cell count declines and 
approaches 200/µL; often 
between 200 and 300/µL. 
Viral load continues to increase
Platelet count may decrease in 
about 10% of patients.
The spectrum of disease 
changes as CD4+ cell count 
declines.
04
Status
Signs/Symptoms
Laboratory Findings
Comments
Stage 3: AIDS
Opportunistic infection(s): 
Pneumocystis
jiroveci pneumonia, 
cryptococcosis, tuberculosis, 
toxoplasmosis, histoplasmosis, 
others.
Malignancies: Kaposi sarcoma, 
Burkitt lymphoma, non-
Hodgkin lymphoma, primary 
CNS lymphoma, invasive 
cervical cancer, carcinoma of 
rectum, slim (wasting) disease
High viral load; CD4+ cell count 
<200/μL CD4+ cell count 
<50/µL at high risk for 
lymphoma and death
Platelet count may be low.
Neutrophil count may be low.
ELISA and Western blot are 
positive. 
HIV antigen, RNA, and DNA 
tests are positive.
Death usually occurs 
because of wasting, 
opportunistic infection, or 
malignancies.
The use of combination 
antiretroviral agents has 
slowed the death rate, but 
long-term outlook must 
depend on vaccines for
prevention and treatment 
because the virus promotes 
resistance to these agents.
05
AIDS and HIV infection
AIDS and HIV infection
Persistent generalized lymphadenopathy :
An early sign of HIV infection found in about 70%
of infected patients during the latent stage of
infection. And posterior cervical, submandibular,
occipital, and axillary nodes are most frequently
involved. Usually not treated directly; may need
imaging or fine needle aspiration to rule out other
etiologies
including
tuberculosis
or
malignant
neoplasms(lymphoma.
06
AIDS and HIV infection
Oral
candidiasis
(Pseudomembranous,
Erythematous,
Hyperplastic, Angular cheilitis:
Most common intraoral manifestation, 90% of patients with
AIDS will develop oral candidiasis and it May affect any mucosal
site . Treatment (First line: fluconazole tablets 100 mg PO od for
7
-
14
days or Topical miconazole 50 mg buccal tablet. Refractory
disease (i.e., fluconazole resistance): Posaconazole suspension
400 mg for 28 days. Itraconazole and posaconazole are effective
but have more drug to drug interactions than fluconazole .
(
07
AIDS and HIV infection
HIV-associated Linear gingival erythema (LGE:
associated w

            Quiz: