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60 Cards in this Set

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Western Blot

*ag of micro organism are fractionated by electrophoresis according to molecular weight




*useful for determination of specificity of the antibody response to HIV-1




*need at least 2 major bands: gp 160/120, gp41 or p24 must be present

Line Blot

*microorganism's ag of various mw are purified separately




*separate purified ag are placed in predetermined lines on a nitrocellulose strip

parts of a virus

*virion


*nucleic acid


*capsid


*some have an envelop (if this is present then they also have a glycoprotein)

capsid

*components are called capsomeres arranged into: helical and icosahedral


*enveloped viruses rarely survive passage thru the gut

viral replication

1. attachement


2. entry/penetration


3. uncoating-removal of envelope or disassemble of the capsid to release nucleic acid


4. replication


5. assembly


6.maturation/release

norovirus



*family: calicivirdae


*most common cause of food borne gastroenteritis

enterovirus

*family:picornaviridae


*main cause of viral meningitis

DNA viruses

*Adenoviridae


*Hepadnavirdae (hep B virus)


*Herpesviridae


*papillomaviridae


*Parvoviridae


*polyomaviridae


*poxvirdae (largest human virus)

common sites of collection

*np/throat


*rectal/stool


*CSF


*swabs from lesions


*urine


*rarely blood

Good specimen

*need columnar epic!!


*need to remove exudate before collection


*needs to be in viral transport media


*transport media: antibiotics, sugars and proteins

herpes subfamilies

*alphaherpes (herpes simplex virus)


*betaherpes (CMV)


*Gammaherpes (epstein barr)

3 viruses commonly associated w/ meningitis

*enterovirus


*RSV


*hMPV (doesn't grow in culture)


*VZV


*HSV

common in stools

*roto


*noro


*entero

common in urines

*adeno


*CMV


*entero


*mumps



how to assess quality

DFA

transport conditions

-70 or refrigerated (not RT or -20)

cytopathic effect

*swelling


*multinucleated


*lysing/shrinking

common resp viruses

*Parainflu 1,2,3


*influenza rhinovirus


*RSV


*measles


*adeno


*VZV

skin lesions

*HSV


*VZV


*entero

brain lesions

*HSV


*VZV


*CMV


*measles


*mumps

tissue or organ

*HSV


*CMV


*VZV


*adeno


*MMR

Bone marrow

*CMV


*entero


*HIV

Genital

*HSV


*CMV

culture

*amplification method-very sensitive, w/ highly specific id


*indicates presence of infectious virus


*can detect presence of other viruses not targeted in PCR, DFA, or EIA

Viruses not able to culture

*hepatitis


*rotavirus


*HPV


*norovirus


*many arboviruses

3 main type of cells used

*primary: tissue direct from donor


*diploid: cells subcultured from normal tissue


*continuous: usually from tumor cell lines

primary types (heteroploid)

*primary monkey kidney


*mink lung


*rabbit kidney

diploid types

*HF


*MRC5

continuous

*A549


*HeLa


*Hep-2

other viral detection and confirmation methods

*Immunofluorescence


*hemadsorption (usually to id resp. viruses)


*blind stains


*shell vials

detection methods

1. PCR (best)


2. culture


3. DFA


4. EIA (least sensitive)

test method for helicobacter

*breath test


*stool ag test


**doesn't rule out active infection

processing viruses

* vortex or sonicate to disrupt cells


*remove swabs, centrifuge to remove cell debbris


*filter if needed


*blood req special processing

chlamydia trachomatis testing

*culture


*EIA


*TMA


*SDA

pathogenesis of chlamydia

*sterility


*neonatal pneumo and blindness

NAAT methods

*PCR


*bDNA


*TMA


*SDA

PCR

*used for the quantitation of HCV, HIV, HBV, and CMV

bDNA

*not DNA amplification but quantitative signal amplification for measuring viral load

TMA

*utilizes reverse transcriptase


*RNA pol makes thousands of copies of comp RNA seq from sDNA


*RNA amplicon is new target for reverse transcriptase

SDA

*amp DNA assay


used for detection of C. trachoma's, N. gonorrhoeae and HSV 1 and 2


*DNA needs to be released prior to testing

viruses diagnosed by serology

*HCV


*HIV


*EBV

HPV testing method

*hybrid capture 2 high and low risk probes


*hologic genprboe aptima HPV (mRNA detection by TMA)

indirect ELISA

*ag coated plate captures ab


*detects ab

sandwich ELISA

*Detects ag

CLIA

*uses chemical run to emit photons of light

*used to detect ab


*ag coated on a solid phase


HCV diagnostic testing

*screening/dx: ab for HCV


*Conformation: HCV RNA-viral load


*Treatment/monitoring: viral load

HCV Test

*serology


*PCR


*Genotype (1a harder to respond)


*test of cure: SVR (sustained virology testing

SVR

*undetectable amounts of RNA after 6 months of treatment

Measles

*resp


*brain


*organ/tissue

Mumps

*Brain


*organ/tissue


*urines

RSV

*Resp


*meningitis

Adeno

*Resp


*urines


*organ/tissue

HSV

*skin


*brain


*organ/tissue


*genital


*meningitis

VZV

*Resp


*Skin lesion


*brain


*organ


*meningitis



CMV

*brain


*organ/tissue


*bone marrow


*urines


*genital

Entero

*meningitis


*skin


*bone marrow


*stool


*urine

hMPV

meningitis

Roto

stools

Noro

stools

HIV

bone marrow