spooky viral pathogenesis Flashcards

1
Q

What are the 8 mechanisms of viral transmission?

A
  1. respiratory - areosols
  2. fecal-oral
  3. contact - lesions, saliva, fomites
  4. zoonoses
  5. blood
  6. sexual
  7. maternal-neonatal
  8. Genetic
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2
Q

THe susceptibility and severity of a viral disease depends on what four things?

A
  1. nature of the exposure
  2. viral dose
  3. status of the person
  4. virus-host interactions
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3
Q

What are some of the features of the innate immune response in the respiratory tract?

A
  • goblet cells - mucus
  • cilia
  • brush border
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4
Q

How is a virus in the GI tract disseminated?

A

It can infect M cells and easily reach the blood stream

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5
Q

What is the function of an M cell in the gut?

A

It samples the gut contents and presents it to underlying immune cells

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6
Q

What is primary viremia?

A

Virus spreads from lymph nodes to blood stream and then replicates in internal organs
—can occur without symptoms

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7
Q

What is secondary viremia?

A

Dissemination of the virus to organs where it is shed

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8
Q

Is exposure to infected blood a means of transmission?

A

Yes - it is now very common

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9
Q

What are some common organs that are locations for primary viremia?

A
  • muscle
  • Liver
  • Spleen
  • Blood vessels
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10
Q

Where is most of the HIV virus located in a PCR assay of an infected patient?

A

-Plasma, lymphocytes, CSF

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11
Q

Define a successful virus

A

One that will avoid destruction by the immune system and avoid destroying the host before replication is finished

-Transmission to a susceptible host

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12
Q

What are the three types of chronic infections?

A

persistent, latent, progresses slowly

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13
Q

In which type of chronic infection is there a period where the virus is present but cannot be cultivated: persistent, latent, or slow progression?

A

-Latent

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14
Q

Varicella -zoster is an example of what type of pattern of infection?

A

Latent - It is not demonstratable for a period of time in which it is noninfectious, and then there is a second disease episode later on

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15
Q

What pattern of infection does HepB have?

A

It is a chronic infection and the virus sheds throughout the person’s lifetime - persistent

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16
Q

What pattern of infection does creutzfeld-jacob disease show?

A

It is a slow progressing chronic infection - the virus sheds for a long period of time before a disease episode occurs

17
Q

What pattern of infection would the common cold have?

A

Acute infection

18
Q

Cell injury is caused:
_____ by viruses
_____by host

A
  • Directly by viruses

- indirectly by the host

19
Q

What is the main cause of the symptoms of a viral disease?

A

Host response to infection

20
Q

What are two ways a virus can directly effect a cell?

A
  1. Cell lysis -polio virus

2. cell inactivation - RSV –> syncytium

21
Q

When would a vaccination make a viral infection worse?

A

When the host immune response is severe and detrimental