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22 Cards in this Set

  • Front
  • Back
HBV is aka ___. it's the main member of group ___
post transfusion hep (PTH)
hepadnaviridae
HBV virion components (4)
DNA (mostly ds)
DNA pol
capsid proteins
envelope
HBV capsid Ags (2)
HBcAg
HBeAg
envelope Ags
HBsAg aka australia
in addition to infective virions, called ___, HBV makes ___ (2). the purpose is ___
Dane particle
filamentous
spherical
dilutes immune response
X protein is a ___. it may be involved in ___
transcription factor
carcinogenesis
HBs and ___ are encoded in overlapping stretches of DNA
polymerase
HBV's large DNA strand has ___ sense. it is bound to ___
minus
terminal protein
HBV life cycle (9)
1. virus enters cell by endocytosis
2. viral DNA enters nucleus
3. polymerase completes dsDNA
4. DNA goes to CCC DNA form
5. host RNA pol II makes pregenomic RNA and mRNA
6. pregnomic packaged into capsids
7. RT makes - stand off pregenomic RNA
8. DNA dep DNA pol makes + strand
9. DNA either goes back to nucleus to make a new CCC DNA or buds from host cell
HBV polymerase functions (3)
RT
RNAse H
DNA dependent DNA pol
after the - strand of DNA is synthesized, the pregenomic RNA is degraded by ___
RNAse H
routes of HBV transmission (3)
parenteral
sex
birth canal
HBV incubation
1-5 months
HBV in children is frequently ___ but frequently causes ___
asymptomatic
chronic infection
HBV chronic infections are frequently ___ but can cause ___
asymptomatic
HCC
___ is the first marker for acute HBV infection. if there is recovery ___. in chronic infection, ___.
HBsAg
it goes down
it stays high
anti-HBs is present in ___ but not in ___
anti HBc IgM is present in ___, but not in ___. total anti-HBc is high in ___.
acute
chronic
acute phase
chronic phase
both acute and chronic
no HBs but high total anti-HBc means ___ but no ___. anti-HBc with anti-HBs means ___. anti-HBs without anti-HBc means ___
previous infection and cure
immunity
cure with immunity
immunization
HBV DNA in serum means
active virus replication
3 ways to identify HBV DNA
dot blot hybridization
qualitative PCR
quantitative PCR
in case of needle stick, do (3)
1. check patient for HBS (and HIV)
2. if present, check Dr for anti-HBs
3. if not present, administer HB Ig (passive immunization)
HDV is always associated with ___
its genome is ___, but it shares ___ with HBV
HBV infection
ssRNA
HBsAg