Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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 |