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81 Cards in this Set
- Front
- Back
What do virus virulence factors promote?
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1. efficiency of viral replication
2. viral transmission 3. access and binding of virus targets 4. escape of virus from host defenses |
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What is viremia?
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Its when a virus becomes free in the plasma
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What virus has no preference for a tissue?
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Herpes simplex virus type 1
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What is a non-permissive cell to viral replication?
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The cell doesn't allow replication of a particular strain
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What is a permissive cell to viral replication?
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The cell provides machinery for complete replication cycle of virus
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What does a semi-permissive cell provide for viral replication?
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It is a cell that may support some but not all steps of replication
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What is Syncytia?
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Its when cell to cell fusion happens allowing a virus to spread and escape infection
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What is a latent virus infection?
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Its when a cell is infected, but no ongoing virus synthesis occurs
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What is a recurrent infection?
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Its the reactivation of a latent virus occurs due to immune suppression or some other event
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What cells are affected by the antigen-nonspecific (innate) system?
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Macrophages and NK cells
- limit and control local replication and spread |
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What cell are affected by the antigen-specific system?
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Antibodies
- effective against extracellular viruses and cytolytic viruses |
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What cells are affected by the Cell-mediated immunity?
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Cytotoxic T cells
- required for lysis of cells infected by non-cytolytic viruses |
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Viruses affect which age population the most?
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Infants/Children and elderly
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Do respiratory viruses happen in the summer more?
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No they happen in the winter
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What is an outbreak?
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intro of a new virus into a new location
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What is an epidemic?
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Its a new strain of a disease into an immunologically naive population, usually a larger geographic area
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What is a pandemic?
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Worldwide epidemic
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Which virus is associated with cervical cancer and warts?
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Papilomavirus (HPV)
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HPV has what characteristics?
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Small, capsid, DNA genome and has oncogenic potential
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Which HPV viruses are associated with oncogenic potential?
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HPV -16 and HPV-18
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How is HPV acquired?
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1. Direct contact through small break in skin
2. during intercourse 3. while an infant passes through an infected birth canal 4. chewing warts |
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Are Laryngeal papilomas associated with HPV?
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Yes
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How can a person diagnose HPV in the lab?
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1. Microscopy for excess keratin
2. PAP smears detect abnormal epithelial cells 3.DNA probes and PCR |
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What are characteristics of Adenovirus?
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DNA virus, non-enveloped capsid, encodes its own DNA polymerase
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How is Adneovirus spread?
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Spread exclusively through human to human contact by fecal-oral, fingers and fomites
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What virus is a major cause (15%) of gastroenteritis?
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Adenovirus
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What treatments can be given to a patient with adenovirus?
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No treatment or vaccine, but should keep patients separate
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What virus is associated with the largest area of viruses?
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Herpesvirus
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What are the characteristics of Herpes viruses?
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DNA genome, enveloped capsid, Large and common
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Which Herpes simplex is associated with infections above the waist?
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HSV-1
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What virus avoids antibody cell to cell spread by syncytia?
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Herpesviruses
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Herpesvirus have an enveloped capsid has to stay ______ in order to have its serious effects?
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Wet
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What does Herpetic keratitis effect?
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Eye
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What does Herpetic whitlow effect?
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Finger - especially with doctors
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What does Herpes gladiatorum effect?
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Body
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Is Genital herpes caused by HSV 1 or 2?
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HSV -2 mainly and HSV-1
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Herpes encephalitis is caused by HSV -1 or HSV-2?
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HSV-1, has significant morbidity and mortality
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Is Herpes meningitis caused by HXV 1 or 2?
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HSV 2
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Does HSV 1 or 2 cause Neonatal HSV?
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HSV 2
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What treatments are available for HSV?
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1. antivirals
2. contact precaution with gloves, antiseptics and abstinence 3. C-section |
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How is Varicella-Zoster Virus transmitted?
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primarily by respiratory route
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What virus is similar to HSV?
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Varicella-Zoster Virus
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Is Varicella-Zoster Virus contagious?
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Yes, 90% infection rate among household contacts
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Diseases associated with Varicela-Zoster virus?
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Chickenpox, Interstitial pneumonia, Herpes Zoster, postherpetic neuralgia
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How do you treat Varicella-Zoster virus?
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Treat adults and immunocompromised shinges, and with vaccine
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What parasite is associated wtih Epstein-Barr virus?
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B-lymphocyte parasite
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How is EBV transmitted?
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Transmitted by saliva
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What virus gives a person a lifelong infection?
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EBV
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How do you treat EBV?
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no treatment or vaccine available
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Is Cytomegalovirus an oppertunistic pathogen?
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Yes
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Is Cytomegalovirus a common human pathogen?
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Yes
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What virus causes hearing loss and mental retardation?
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Cytomegalovirus
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Is the STD of cytomegalovirus symptomatic?
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No usually asymptomatic
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What antibody is high in AIDS patients with Cytomegalovirus infection?
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IgM
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How do you treat Cytomegalovirus?
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Specific antivirals- Ganciclovir, foscarnet, contact precautions, no vaccine available
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What are the characteristics of Picornavirus?
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Small, RNA based and has a naked capsid
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What virus is associated with hand-foot-and-mouth disease?
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Coxsackievirus A16 and there is no treatment or vaccine for disease
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Which virus is associated with the common cold?
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Rhinovirus
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What are the characteristics of Rhinovirus?
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RNA, capsid, non-enveloped and transmitted by aerosols and on fomites
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cargo hook reach pendant
two types |
25,000lbs black bottom loop
11,000lbs green bottom loop |
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What treatments are there for Rhinoviruses?
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1. experimental drugs
2. vaccine unlikely 3. hand washing and disinfection most effective 4. may need to use decongestants in appropriate age groups |
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What are characteristics of paramyxoviruses?
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RNA based and enveloped
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Are paramyxoviruses contagious?
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Yes, passed by resp drops
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What virus provides lifelong immunity after recovery of rash?
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paramyxovirus
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Is there a vaccine for Paramyxovirus?
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Yes and its highly effective
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Koplik's spots are associated with what virus?
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Paramyxovirus
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What is the main cause of death of paramyxovirus?
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Pneumonia causes 60% of deaths associated with measles
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Croup or seal bark is associated with what virus?
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Parainfluenza
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How is parainfluenza transmitted?
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Transmitted by person to person contact and via respiratory droplets
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Infection of the parotid gland is associated with what virus?
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Viral parotitis (mumps)
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How is the mumps spread?
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By person to person and via respiratory droplets
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How do you treat mumps?
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Prevention is difficult but vaccine is highly effective - MMR
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What anibody is found with infection of mumps and serologic testing?
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IgM
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What virus is associated with the most common cause of fatal acute respiratory tract infection in infants and young children?
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Respiratory syncytial virus
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Is RSV contagious?
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Yes, transmitted by hands, fomites and respiratory routes
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What virus causes bronchiolitis in infants?
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RSV
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What drug can you give a premature infant or immunocompromised patient with RSV?
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Ribavirin
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What are chacteristics of Influenza?
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enveloped RNA viruses
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Does influenza A or B cause minor antigenic changes?
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Influenza B
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When an antigenic shift occurs association with influenza, there is a mutation in what?
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Hemagluttin (HA)
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What drugs treat influenza and what are they are targets?
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Amantadine and rimantidine, they target Membrane (M2) proten
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