BIOterrorism Flashcards

1
Q

Salmonella typhimurium vs

Salmonella typhi

A

Salmonella typhimurium
- not readily transferred person to person

Salmonella typhi
- hu infxn that is highly transmissible

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2
Q

Is anthrax transmissible?

Tularemia?

A

no anthrax is transmitted by spores not person to person

Tularemia is also not from person to person, it is transmitted via ticks (but can be aerosolized)

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3
Q

Widening of mediastium

A

anthrax

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4
Q

Poison you can get from the remains after caster beans that are boiled down to produce caster oil.

A

Ricin

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5
Q

Category A biothreat agents

(4) examples

A
Anthrax
Botulinum toxin
Small pox
Tularemia
Plague
Viruses causing hemorrhagic fevers
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6
Q

Category B biothreat agents

- Describe

A
Q-fever + Brucellosis
B. mallei
Ricin
Mycotoxins
Cholera
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7
Q

What could be mistaken as cutaneous anthrax (black eschar)

A

Ecthyma gangrenosum - P. aeruginosa

Ulceroglandular tularemia - Francisella tularensis

Plague - Y. pestis

Leprosy - M. leprae

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8
Q

What could be mistaken as gastrointestinal anthrax?

A

Typhoid fever - S. typhi

Intestinal tularemia - Francisella tularensis

Peptic ulcer - H. pylori

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9
Q

What could be mistaken as Inhalation anthrax?

A

Legionnaires disease - L. pneumophilia

Q fever - Coxiella burnetti

Viral pneumonia - Influenza, CMV, Hantavirus

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10
Q

2 kinds of biothreat agents

A
  1. Transmissible infectious agents
    - spread among people, animals, plants
  2. Toxins
    - affect exposed people
    - do not make them contageious
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11
Q

Category A biothreat agents

Describe

A

All are:

  • easily transmissible
  • high mortality rates and major public health impact
  • might cause public panic and social disruption
  • require special action for public health preparedness
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12
Q

Category B biothreat agents

Describe

A

All are:

  • moderately easy to disseminate
  • cause moderate morbidity rates and low mortality rates
  • require enhanced dx capacity
  • could be genetically enhanced for use as a weapon
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13
Q

Yellow rain

A

Mycotoxins (fungal toxins) that can be used as aerosol attack that contaminates clothes and environment by pigmented oily fluids

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14
Q

What is responsible for the sx of smallpox?

A

Immune response

Innate: fever + systemic symptoms

Acquired:
- Pustular rash (also due to virus dmg to cells + skin)
- inflammation +
cell mediated immunity

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15
Q

Variolation

A

inoculating people with samples taken from a patient or a recently variolated individual in the hope that a mild, but protective infection would result.
~2% died from it

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16
Q

Can the anthrax vaccine give people anthrax?

A

No. The vaccine does does contain any bacteria.
- cell free, toxigenic, nonencapsulated strain

*the anthrax SPORES are the infectious form, and people are not contagious