W21 Respiratory System Flashcards

(53 cards)

1
Q

What 3 structures are in the upper respiratory tract :

A

Nasal Cavity , pharynx and larynx

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2
Q

what 3 structures in the LRT

A

Trachea
primary bronchi
lungs

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3
Q

LO

A

influenza and SARS-COV2 infections
Types of Pneumonia
Types of Lung cancer

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4
Q

Influenza (flu ) virus affects what % global pop annually

A

10-20%
every yr 290,000 to 650,000 deaths are assoc. w seasonal influenza

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5
Q

recall symptoms atleast 3 of influenza

A

fever
chills
myalgia
sore throat
headache
fatigue
cold-like symptoms
exhaustion

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6
Q

What are the 4 similarities bw influenza and common cold

A

spread in winter
direct contact or via droplets
child (<5yrs): 5-7 per year
adult 1-2 per yr

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7
Q

explain structure of influenza virus (circle img w rna strands in middle snd receptors outside)

A

8 segments
-ve strain RNA virus (indirectly binds ribosome)

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8
Q

What 3 polymerase basic proteins code for the RNA dpdnt RNAP complex

A

PB2 + PB1 + PA (Polymerase acidic protein) {for all. influenza genome segments they code it}

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9
Q

What is the RNA dependant RNAP complex role

A

resp. for making another copy of RNA

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10
Q

What does the M2 protein channel do and where is it in the influenza virus structure do

A

in envelope of influenza ; proton conducting ch. & maintains pH across envelope during cell entry and viral maturation

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11
Q

How does Type A influenza differ from type B

A

A is animal & human resoirvoirs espc. pigs = pandemics and epidemics
B is humans only but only epidemic
C = not epidemic and only minor infection

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12
Q

Defintion of pandemic

A

infection spread through human pop across large region i.e multi contitents

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13
Q

Define Epidemic

A

rapid inf. spread to large no. in given population within short time i.e 2 weeks or less

i.e meningoccocal infections

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14
Q

Where did swine flu start & in what year

A

USA & Mexico
2009
cant spread by eating pork
H1N1 gene - combo of swine, bird and human influenza vrius

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15
Q

How is swine flu transmitted

A

dervived from strain that lived in pigs
spreads P2P contact or droplets
not swine 2 ppl

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16
Q

How many haemagglutin types (HA) can infect a human out of the 18 INfluenza A has

A

3 HA (H1-H3)

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17
Q

How many neuraminidase (NA) types can humans be infected by out of the 11 NA from IA

A

3 - N1 N2 N8 (INFECT HUMANS ONLY)

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18
Q

Whats haemagglutinin (HA)

A

binds to sialic acid sugars on surfaces of epithelial cells

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19
Q

Whats neuraminidase NA

A

enzyme that enables the virus to be released from host cell

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20
Q

How many NA and HA can infect birds

A

all unlike humans

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21
Q

What resoirvoir is Type C influenza in and what does it do

A

humans only
only minor resp.infection
not epidemic

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22
Q

Name the 3 influenza viruses in the seasonal vaccines

A

A (H3N2)
A(H1N1) - not 2009 pandemic one
Influenza B
give 70-80% protection

23
Q

What influenza types can zanamivir (relenza) treatmt work against

A

A & B
its an NA inhibitor

24
Q

What Influenza types can Oseltamivir (Tamiflu) trmt work against

A

A & B
NA inhibitor

25
How does Amantadine drug trmt work to prevent influenza
Inhibitor of viral M2 protein
26
Swine flu pandemic 2009 - 2010 started in what countries
US & Mexico
27
how was swine flu transmitted
P2P and droplet BUT NOT swine > person
28
What 2 NA inhibitor drugs were used for swine flu treatment
Relenza or tamiflu - antivirals
29
What prevention method was given out to prevent swine flu
pandremix vaccine
30
what is swine flu
combo of genes from swine, avian (birds) and human influenza virus
31
what type of RNA genome virus was SARS-CoV2
+ single stranded RNA virus
32
how did SARS-CoV2 cause viral infection
ACE2 - binding to csurface via receptor binding domain (ACE2) of its spike (s) protein TMPRSS2 - primed virus s protein by cleaving it to trigger viral activation
33
Whats one essential host factor for pathogenicity of SARS-CoV2
viral activation of TMPRSS2 by cleave of S protein
34
How can swine flu (H1N1) be detected
rtPCR other tests unable to differentiate bw H1N1 (2009) & regular flu
35
Hows SARS-CoV2 detected
by rtPCR - lacks nuclear phase in life cycle and replicated in cytoplasm
36
Describe which and where the variant of SARS-CoV2 was first identified ? means of how it was spread ? and severe effects ?
Alpha B.1.1.7 ; UK , spread faster than other variants and severe effects = potentially cause more death & sickness
37
What was the characteristics of beta variant of SARS-CoV2 ?
identified - SA spread - may be faster than other variants Severe effects - current data does not indicate more severe illness or death comparatively
38
slide 9 /45
39
what 2 variants of SARS-CoV2 are omicron (SAmerica origin)
gamma and delta
40
what 3 tests are used to diagnose coronavirus
Lateral flow - detects SARS-CoV2 antigens (activity) ELISA - detects antibodies (not if active or not) PCR: detects SARS-CoV2 RNA
41
name some symptoms of LRT diseases
cough yellow sputum - high NpH w myelin in there (+blood present) wheezing chest pain cyanosis clubbing of fingers
42
acute inflamm. of lung parenchyma is known as what condition ?
pneumonia
43
Risk Factors of pneumonia
age (kids and elderly) stroke , multi sclerosis , alzheimers immunocompromised alcolism and smokers cystic fibrosis congestive cardiac failure chronic obstructive lung diseases
44
are most cases of pneumonia comm-acquired or hospital ?
CAP = 2.4/1000 vs HAQ 1-1.2/1000
45
What common CAP organisms cause pneumonia
streptococc. pneumonia resp viruses haemophilus influenza mycoplasma pn. legionella
46
what morphologies are there for pneumonia
bronchopneumonia lobar and interstitial
47
what opportunstic infections cuase pneumonia
cytomegavirus mycobacterium avium fngal infections pneumocytis carinii
48
how is bronchopneumonia diff to lobar pneumonia
has patchy consolidation of lesions across lobe vs lobar on whole thing fully
49
aetiology of pneumonia
bacteria viruses fungi mycoplasma chlamydia
50
do slide 14 and 15
51
name the 4 pathology stages of lobar pneumonia
congestion red hepatisation grey hepatisation resolution
52
do the 4 pathological stages of lobar pneumonia occur if the pneumonia has been treated with antibiotics and nit metastasised
no only when untreated
53
slide 14,15 and 17 - 30 to do