Exam 2 Flashcards

(47 cards)

1
Q

enteroviruses are

A

small naked RNA viruses

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2
Q

enteroviruses are transmitted via the —- route

A

oral-fecal

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3
Q

enterovirus family

A

Picornaviridae

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4
Q

polio viral shedding is —

A

high

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5
Q

polio enters via the —

A

mouth

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6
Q

polio incubation is —- in stool and —- in salivia

A

3-6 weeks, 2 weeks

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7
Q

when polio enters it invades

A

peyers patches and tonsils

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8
Q

peyers patches are

A

intestinal lymphoid tissue

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9
Q

polio virus route of entry

A
  1. enters via ingestion
  2. replicates in oro-pharnyx tonsils
  3. travels to peyers patches and replicates there too
  4. secondary viremia begin circulating
  5. get to brain -> encephalitic paralysis, or menages -> meningitis
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10
Q

—-% of polio infections are assymptomatic

A

95

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11
Q

—% of polio infections are severe

A

1-2

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12
Q

in severe polio infections polio is transmitted via the — to the —

A

blood, anterior horn of spinal cord

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13
Q

polio causes — on the — and —

A

lesions on the brain and spinal cord

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14
Q

in the CNS polio damages —-

A

motor nuerons

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15
Q

motor neuron destruction by polio manifests clinically as

A

paralysis
respiratory arrest
death

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16
Q

3 major forms of polio illness

A
  1. spinal paralysis
  2. bulbar
  3. bulbospinal
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17
Q

polio spinal paralysis is the — common

A

most

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18
Q

spinal paralysis results from polio virus invasion of the ——

A

lower spinal cord

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19
Q

polio spinal paralysis can lead to —

A

asymetric paralysis

20
Q

bulbar paralysis results from polio invasion of the —-

A

upper spinal cord and medulla

21
Q

polio bulbar paralysis can result in

A

muscle weakness
inability to swallow
use of iron lung or respirator

22
Q

bulbospinal paralysis results from polio virus invasion of —– and — and can result in

A

both upper and lower spine and medulla, both types of paralysis

23
Q

post polio syndrome is a

A

is a reactivation of polio symptoms 10 to 15 years or more after initial infectoin

24
Q

course of post polio

A

paralysis, recovery, stability, post polio

25
post polio may be a result of
degradation of motor neurons in areas effected initially by polio and never fully recovered
26
post polio syndrome is characterized by
new weakness in area affected by polio infection fatigue muscle and joint pain
27
receptor used by polio virus
polio virus receptor aka CD155
28
polio virus enters the cell through the formation of a ---
pore in the membrane
29
steps of poliovirus entry into a cell
polio interacts with PVR on cell surface, conformation changes occur within the particle - VP4 and VP1 are loosened. N term of VP1 forms a pore in the membrane, RNA enters through pore
30
IRES stands for
internal ribosome entry site
31
poliovirus is transcribed as a
polyprotein
32
the 3' end of poliovirus contains a
poly A tail
33
polio polyprotein is cleaved into --- by --- proteases
3 precursor proteins by 2A and 3C/3CD proteases
34
Vpg stands for
viral protein linked to the genome
35
5 end of polio genome has
Vpg and IRES
36
IRES is a
cloverleaf tRNA like structure that allows polio to enter the ribosome
37
which poliovirus component inactivates EIF-4
protein 2A
38
how does protein 2A inactivated EIF-4
by dephosphorylaing eIF4Ebp and cleaving eIF4G
39
Inactivated polio vaccine pioneered by
Jonas Salk
40
live attenuated polio vaccine made by
Sabin
41
benefits of live attenuated polio vaccine
longer lasting immunity
42
flu incubation period
1-4 days
43
flu becomes epidemic quickly because (5 Reasons
1. short incubation period 2. one droplet contains 100,000 to 1,000,000 virus 3. infectious dose is only 1000 to 2000 virions 4. sympomatic people don't stay home 5. lack of herd immunity
44
shape of flu particle
helical
45
genome of flu is
-ssRNA
46
flu baltimore class
V
47
is flu enveloped?
yes