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