Respiratory Viruses 1 Flashcards

(44 cards)

1
Q

how do viruses change so quickly

A

segmented genome recombination

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2
Q

orthomyxo viruses

A

influenza

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3
Q

paramyxo viruses

A

measles
mumps
parainfluenza (croup)
respiratory syncitial disease

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4
Q

what gives influenza subtypes

A

H and N types present on the surface

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5
Q

influenza type A

A

animals and humans
multiple subtypes
responsible for pandemics
constantly changing

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6
Q

influenza type B

A

humans only

no subtypes

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7
Q

properties of influenza

A
envelope
helical
8 strands
- RNA
nucleus replication
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8
Q

infleunza HA does

A

attachment

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9
Q

influenza Na does

A

cuts through upper respiratory tract mucus

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10
Q

influenza transmission

A

person to person via small aerosolized droplets

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11
Q

antigenic drift

A

mutations in HA and NA surface antigens that allow for the virus to evade the immune system

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12
Q

what does antigenic drift

A

influenza A and B

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13
Q

what does antigenic shift

A

influenza A

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14
Q

antigenic shift

A

switching chunks of genetic material between subtypes

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15
Q

influenza incubation period

A

1-2 days

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16
Q

influenza infectious period

A

1 day prior to symptoms

2-6 days after symptoms end

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17
Q

antivirals for influenza A

A

amantadine

rimantadine

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18
Q

antivirals for influenza

A

oseltamivir

zanamivir- inhaled

19
Q

MOA amantadine and rimantadine

A

blocks M2 protein ion channel and prevents endosome pH change –> blocks uncoating

20
Q

MOA oseltamivir and zanamivir

A

block NA and prevent viral release

21
Q

Reye’s syndrome

A

brain swelling and fatty degeneration of liver

Type B influenza complication giving febrile kids aspirin

22
Q

influenza vaccine

A

live attenuated
inactivated
recombinant
(6 total)

23
Q

paramyxo properties

A

envelop
helical
1 segment
- RNA

24
Q

measles incubation period

25
prodromal phase of measles
respiratory symptoms and Koplik spots
26
3 Cs of measles
conjunctivitis coryza cough
27
unique to measles
Koplik spots
28
site of paramyxo replication
cytoplasm
29
spread of measles
aerosol via small droplet
30
pathology of mumps
upper respiratory tract | moves to glands- parotid, ovary, testes, pancreas
31
normal respiratory syncytial virus in children
bronchiolitis- cough, wheeze, dyspnea
32
abnormal respiratory syncytial virus in children
laryngotracheobronchitis (croup) focal alveolar disease liked to asthma
33
respiratory syncytial virus in adults
common cold
34
respiratory syncytial virus in elderly
flu with pneumonia
35
transmission of respiratory syncytial virus
large droplet aerosol kids- 12 days adults- less immunocompromised- more
36
immunity after respiratory syncytial virus
lower protected | upper recurrences
37
diagnosis of respiratory syncytial virus
quick immune tests | PCR
38
diagnosis of mumps
virus isolation from saliva or CSF
39
diagnosis of measles
virus cultured
40
spread of parainfluenza virus
direct contact with respiratory secretions
41
main cause group
parainfluenza virus
42
parainfluenza virus diagnosis
PCR | culture
43
infection site for parainfluenza virus
upper and lower
44
parainfluenza virus treatment
ribavirin