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142 Cards in this Set

  • Front
  • Back
live attenuated vaccines don't need...
booster
recombinant vaccines
HBV
HPV
killed vaccines
killed for putting on AIRS
salK = Killed

hep A
influenza
rabies
salk polio
live vaccines
smallpox
yellow fever
chicken pox
sabin's polio
MMR
the only live vaccine you can give to HIV + patients
MMR
all DNA viruses except _ are dsDNA
parvoviridae

("part-of-a-virus")
all DNA viruses are linear except _ which are circular
papilloma
polyoma
hepadna
all RNA viruses except _ are ssRNA
reoviridae
rotavirus
+ssRNA viruses
i went to a Retro Toga party and drank Flavored Corona and ate Hippy California Pickles

retrovirus
togavirus
flavivirus
caronavirus
hepevirus
calicivirus
picornavirus
most dsDNA except _

and +ssRNA viruses

are infectious
poxviruses
HBV
a "diploid" virus (i.e. has 2 copies of its genetic material)
retroviruses
all DNA viruses replicate in the nucleus except _
poxvirus
all RNA viruses replicate in the cytoplasm except _
influenza virus
retrovirus
naked viruses include
Naked CPR and PAPP smear

Calicivirus
Picornavirus
Reovirus
----------------------
*Parvovirus
*Adenovirus
*Papilloma
----------------
Polyoma

* a DNA naked virus
a virus which acquires its envelope from nuclear membrane
herpesvirus
DNA enveloped viruses
herpesviruses
--HSV
--VZV
--CMV
--EBV

HBV
smallpox
DNA nucleocapsid viruses
adenovirus
papillomaviruses
parvovirus
RNA enveloped viruses
influenza
parainfluenza
RSV

M
M
R

rabies
HTLV
HIV
RNA nucleocapsid viruses
enteroviruses: "PEaCH"
--poliovirus
--echovirus
--coxsackievirus
--HAV

rhinovirus
reovirus (rotavirus)
in general, all DNA viruses are (5)
HH A PPPPy viruses
--hepadna
--herpes
--adeno
--pox
--parvo
--papilloma
--polyoma

double stranded
--except parvo

linear
--except papilloma, polyoma, hepadna

icosahedral
--except pox (complex)

replicate in nucleus
--except pox
a circular, incomplete virus
hepadna
HSV-1 importantly--> (1)
keratoconjunctivitis
CMV --> (3)
--AIDS retinitis
--infects transplant recipients
--congenital defects
--pneumonia
--mononucleosis (negative monospot)
HHV-6
roseola (examnthem subitum)
EBV --> cancerous...
Hodgkin's
endemic Burkitt's lymphoma
nasopharyngeal carcinoma
herpesviruses classification
enveloped
dsDNA
linear
partial circular dsDNA virus
hepadnavirus
ssDNA virus
parvovirus
circular dsDNA viruses
papillomavirus
polyomavirus

hepadnavirus (partial circular)
adenovirus --> (5)
fever
sore throat
acute hemorrhagic cystitis
pneumonia
conjunctivitis (watery)
the notable parvovirus
B19
B19 parvovirus -->
--aplastic crisis in sickle cell

--"slapped cheeks" rash in kids
(erythema infectiosum = 5th disease)

RBC destruction --> hydrops fetalis and death

adults
--RBC aplasia
--rheumatoid arthritis-like sxs
HPV viruses that cause warts
1,2,6,11
the notable polyomavirus
JC virus
JC polyomavirus -->
progressive multifocal leukoencephalopathy in HIV
an obscure poxvirus
molluscum contagiosum
molluscum contagiosum -->
flesh-colored dome lesions

with central dimple
VZV can surprisingly cause (2)
encephalitis
pneumonia
HHV-6 roseola sxs
high fevers for several days

can --> seizures

followed by a diffuse macular rash
CMV cells histopathology findings
owl's eye inclusions

intranuclear Cowdry A inclusions
what cells have intranuclear cowdry A inclusions?
CMV
VZV
HSV
EBV

CMV

latent in what cells?
B cells

mononuclear cells
tzanck test detects _
multinuclear giant cells
CMV route of transmission
congenital
sex

saliva
urine

transplant
transfusion
EBV sxs
fever
hepatosplenomegaly
pharyngitis

lymphadenopathy esp posterior cervical
EBV hematologic findings
EBV infects B cells

------------------------------
"atypical lymphocytes"

= normal T cells reacting to EBV infected cells
reovirus family includes _
reovirus
rotavirus
reovirus -->
colorado tick fever
#1 cause of fatal diarrhea in children
rotavirus
picornaviruses include
PERCH on a "peak" (pico)

poliovirus
echovirus
rhinovirus
coxsackievirus
hepatitis A virus
all picornaviruses cause _ except

all picornaviruses are _ except
meningitis

except: rhinovirus, hep A

fecal-oral spread (they're enteroviruses)

except rhinovirus
molecular mechanism details of picornaviruses
makes one large polypeptide that's cleaved by proteases
echovirus -->
meningitis
2 important causes of the common cold
rhinovirus
coronavirus
coxsackievirus --> (5)
meningitis

fever
pharyngitis
hand, foot, mouth disease
myocarditis
caliciviruses include _
norwalk virus
norwalk virus -->
gastroenteritis
flaviviruses include
HCV
Yellow fever*
Dengue*
St. Louis encephalitis*
West Nile*

*arboviruses
arboviruses are by definition _

and include _ 4 + 2 + 3
transmitted by arthropods (mosquitos, ticks)

some flaviviruses:
--yellow fever
--dengue
--st. louis encephalitis
--west nile

some togaviruses:
--eastern equine encephalitis
--western equine encephalitis

some bunyaviruses:
--california encephalitis
--sandfly/rift valley fevers
--crimean-congo hemorrhagic fever
togaviruses include
rubella
EEE*
WEE*

*arboviruses
retroviruses include HIV and _ which causes _
HTLV -- T cell leukemia
coronavirus causes
common cold
SARS
influenza is in what virus family?
orthomyxovirus
paramyxoviruses include
PaRaMyxoviruses:

Parainfluenza
RSV
Measles
Mumps
measles is aka
rubeola
croup is caused by _
parainfluenza
measles and mumps are in what virus family?
paramyxoviruses
rabies is caused by what virus family?
rhabdoviruses
filoviruses -->
ebola/marburg
ebola and _ cause what sxs?
marburg

hemorrhagic fever
ebola and marburg are in what viral family?
filoviruses
arenaviruses include. comments?
LCMV -- lymphocytic choriomeningitis virus

Lassa fever encephalitis -- spread by mice
bunyaviruses include
--california encephalitis *
--sandfly/rift valley fevers *
--crimean-congo hemorrhagic fever *
--hantavirus
hantavirus causes
hemorrhagic fever
pneumonia
-ssRNA viruses:

--molecular mechanism

--examples?
they use their own RNA-dependent RNA polymerase

"Always Bring Polymerase Or Fail Replication"

Arenaviruses
Bunyaviruses
Paramyxoviruses
Orthomyxoviruses
Filoviruses
Rhabdoviruses
segmented viruses include
BOAR

bunyaviruses
orthomyxoviruses
arenaviruses
reoviruses
segmented viruses are all classified as _
RNA viruses
structure of influenza genome
8 segments of -ssRNA
why does rhinovirus not infect _ like the other picornaviruses?
the GI tract

it's destroyed by stomach acid
yellow fever tx
Aedes mosquitos

monkey or human reservoir
yellow fever sxs
high fever
black vomitus
jaundice
rotavirus genome structure
dsRNA
epi of rotavirus
--most important global cause of infantile gastroenteritis

USA:
--winter
--day-care centers
rotavirus physiology
villous destruction, atrophy -->

v absorption of Na+ and water
influenza viruses description of overall structure and genome structure (5)
enveloped
ssRNA
segmented
molecular mechanism point about influenza
hemagglutinin (viral entry)

neuraminidase
(progeny virion release)
family of rubella virus
togavirus
rubella -->
"3-day measles"

fever
postauricular tenderness
lymphadenopathy
arthralgias
fine truncal rash
RSV --> _ in infants
bronchiolitis
pneumonia
all the paramyxoviruses contain _ molecule...
fusion protein

respiratory epithelial cells to fuse --> multinucleated cells
of course ribavirin is used to rx RSV

but _ drug is used in RSV to neutralize _
palivizumab
pavilizumab rx, moa
RSV

neutralize fusion protein
measles is aka _
rubeola
rubella is aka _
german (3-day) measles
koplik spots
red spots
blue-white center
buccal mucosa
measles -->
cough
coryza (head cold)
conjunctivitis
koplik spots

rash:
--presents last
--spreads from head to toe.
--includes hands & feet

SSPE years later
encephalitis
giant cell pneumonia (in immunosuppressed)
rash in measles vs. rubella
measles: includes hands & feet

rubella: truncal rash
mumps virus (4)
parotitis
orchitis
aseptic meningitis
sterility, esp. after puberty
rabies virus histopathology
negri bodies
bullet-shaped capsid
negri bodies
cytoplasmic inclusions

often found in Purkinje cells
rabies transmission
in USA, "BRS":

bats, raccoons, skunks more than dogs
rabies sxs
fever
malaise-->agitation

photophobia
hydrophobia-->paralysis
coma-->death
rubeola
roseola
measles
HHV-6
roseola two most notable sxs
high fevers

followed by diffuse maculopapular rash
3 general sxs of hepatitis viruses
episodes of

fever
jaundice
^ ALT, AST
incubation time:

hep a

hep b
3 weeks

3 months
hep a usual clinical presentation
asymptomatic!
the only hepatitis virus with a DNA genome
hep b
viral families:

hep e

hep d
hepevirus

deltavirus
hep b transmission
parenteral
sexual
maternal-fetal
hepatitis viruses classification:

dna/rna, family
HAV: RNA picornavirus
HBV: DNA hepadnavirus
HCV: RNA flavivirus
HDV: RNA deltavirus
HEV: RNA hepevirus
HCV is a common cause of hepatitis in who...?
transfusion pts
IV drug users
HDV is defective and requires _ (molecule) for what?
HBsAg as its envelope
HDV patterns of infection with HBV (2)
coinfect
superinfect (worse prognosis)
HEV can notably cause (2)
water-borne epidemics

high mortality rate in pregnant women
_ is a marker for active hepatitis A. but

_ indicates (2)
indicates prior hep A infection

protects against reinfection
important hep B antigens
HBsAg
Anti-HBsAg

HBcAg
Anti-HBcAg

HBeAg
Anti-HBeAg
HBsAg

Anti-HBsAg

indicate...
hep B infection

immunity to hep B
Anti-HBcAg

indicates
IgM = acute/recent infection


IgG = chronic disease.

Positive during window period
window period
HBsAg and Anti-HBsAg are -

because they are bound to each other

but Anti-HBcAg is +
HBeAg

Anti-HBeAg

indicate...
active viral replication and therefore high transmissibility

low transmissibility
HIV binds to _
CXCR4, CD4 on T cells

CCR5, CD4 on macrophages
HIV genes and proteins
gag:
p17 matrix protein
p24 capsid protein

env:
gp120 attachment
gp41 fusion & entry

pol:
reverse transcriptase
AIDS diagnosis (3)
< 200 CD4+

HIV +, with AIDS indicator condition e.g. pneumocystis jiroveci pneumonia

CD4/CD8 ratio < 1.5
normal CD4 count
500-1500
_ AIDS antibody crosses the placenta
anti-gp120
during HIV's latent phase, the virus replicates in _
lymph nodes
AIDS comes on in _ years after HIV infection, if left untreated
3 - 10 (or more)
AIDS infections:

brain
cryptococcal meningitis
toxoplasmosis
CMV encephalopathy
AIDS dementia
PML (JC virus)
AIDS infections:

eyes
CMV retinitis
AIDS infections:

mouth and throat
thrush (Candida albicans)
HSV
CMV
oral hairy leukoplakia (EBV)
AIDS infections:

GI
cryptosporidiosis

mycobacterium avium-intracellulare complex

CMV colitis

non-HOdgkin's lymphoma (EBV)

Isospora belli
AIDS infections:

skin
shingles (VZV)
Kaposi's sarcoma
AIDS infections:

genitals
genital herpes
warts
cervical cancer
HIV infections and CD4 count:

<400
oral thrush

tinea pedis

reactivation VZV

reactivation TB

bacterial infections e.g.
--H. influenzae
--S. pneumoniae
--Salmonella
HIV infections and CD4 count:

<200
reactivation HSV

cryptosporidiosis

Isospora

disseminated coccidioidomycosis

Pneumocystis pneumonia
HIV infections and CD4 count:

<100
Candidal esophagitis

toxoplasmosis

histoplasmosis
HIV infections and CD4 count:

<50
CMV retinitis and esophagitis

disseminated
M. avium-intracellulare

cryptococcal meningoencephalitis
neoplasms associated with HIV
kaposi's sarcoma

cervical carcinoma

1^ CNS lymphoma

non-Hodgkin's lymphoma
prion diseases are caused by conversion of prion protein _ to _
PrPc

to a beta-pleated form PrPsc
prions:

accumulation of PrPsc results in (4)
spongiform encephalopathy
dementia
ataxia
death
prion disease: 3 categories
sporadic
--Creutzfeldt-Jakob

inherited
--Gerstmann-Straussler-Scheinker

acquired
--kuru