Microbiology Flashcard
Unlock all answers in this set
Unlock answersquestion
gp120 |
answer
docking protein; envelope protein, attachment to host T cell |
question
gp41 |
answer
transmembrane, envelope protein; fusion and entry |
question
env gene |
answer
gp120 and gp41 |
question
gag gene |
answer
capsid protein p24 |
question
pol gene |
answer
reverst transcriptase |
question
immunity to HIV |
answer
homozygous CCR5 mutation |
question
HIV virus binds ___ or ___ on T cells |
answer
CXCR4 or CCR5 |
question
HIV binds ___ on macropages |
answer
CCR5 |
question
HIV diagnosis |
answer
ELISA (highly sensitive) and confirmed with western blot (highly specific) |
question
HIV/PCR/viral load |
answer
monitory effect of drug therapy, newborns |
question
AIDS dx |
answer
CD4 < 200 with aids defining illness |
question
acute HIV |
answer
wide dissemination of virus, seeding of lymphoid organs, first couple months |
question
clinical latency |
answer
several years |
question
4 stages of HIV infection |
answer
Fluelike (acute), feeling fine (latent), falling count, final crisis |
question
HIV with fever, cough and hepatosplenomegaly |
answer
histoplasma capsulatum; CD4 <100 |
question
HIV with fluffy cottage-cheese lesions, pseudohyphae |
answer
Candida; CDF < 400 esophageal if <100 |
question
HIV with superficial vascular proliferation; biopsy reveals neutrophilic inflammation |
answer
bartonella henselae (bacillary angiomatosis) |
question
HIV with CD4 <200 with chronic, watery diarrhea |
answer
cryptosporidium |
question
HIV with encephalopay |
answer
JC virus |
question
HIV with ring enhancing brain abscess |
answer
toxoplasma gondii |
question
HIV with meningitis |
answer
cryptococcus |
question
HIV with retinitis and cotton wool spots |
answer
CMV |
question
HIV with retinitis and cotton wool spots |
answer
CMV |
question
HIV with neoplastic proliferation of vasculature |
answer
kaposi with HHV8 |
question
HIV with hairy leuoplakia |
answer
EBV |
question
HIV with non-hodgkin lymphoma |
answer
EBV |
question
HIV with squamous cell carcinoma of anus or cervix |
answer
HPV |
question
HIV with primary CNS lymphoma |
answer
EBV |
question
HIV with interstitial pneumonia |
answer
CMV |
question
HIV with pleuritic pain, hemptysis, infiltrates |
answer
aspergillus |
question
HIV with CD4 < 200 and pneumonia |
answer
pneumocystis jiroveci |
question
HIV with TB like disease with CD4 < 50 |
answer
MAC |
question
Hepatitis: RNA picornavirus |
answer
HAV |
question
Hepatitis: fecal-oral |
answer
HAV, HEV |
question
Hepatitis: short incubation |
answer
HAV, HEV |
question
Hepatitis: no HCC risk |
answer
HAV, HEV |
question
Hepatitis: usually asymptomatic or acute |
answer
HAV |
question
Hepatitis: DNA hepadna |
answer
HBV |
question
Hepatitis: parenteral |
answer
HBV, HDV |
question
Hepatitis: sexual |
answer
HBV, HDV |
question
Hepatitis: maternal-fetal |
answer
HBV, HDV |
question
Hepatitis: long incubation |
answer
HBV, HCV |
question
Hepatitis: HCC risk |
answer
HBV (acts as oncogene) and HCV (chronic inflammtion) |
question
Hepatitis: RNA flavivirus |
answer
HCV |
question
Hepatitis: blood transmission |
answer
HCV |
question
Hepatitis: IVDU |
answer
HCV |
question
Hepatitis: chronic |
answer
HCV |
question
Hepatitis: no carrier state |
answer
HAV, HEV |
question
Hepatitis: depends on HbsAg |
answer
HDV |
question
Hepatitis: RNA delta virus |
answer
HDV |
question
Hepatitis: RNA hepevirus |
answer
HEV |
question
Hepatitis: high mortality in pregnancy |
answer
HEV |
question
HBV: signifies active disease |
answer
HbsAg |
question
HBV: signifies recovery |
answer
anti-HbsAg |
question
HBV: shows new disease |
answer
HBcAg |
question
HBV: history of disease |
answer
anti-HBcAg |
question
HBV: high transmissibility |
answer
HBeAg |
question
HBsAg +, HBeAg +, anti-HBcAb IgM + |
answer
acute HBV |
question
anti-HBcAb + |
answer
window period |
question
HBsAg +, HBeAg +, anti-HBcAb IgG + |
answer
chronic HBV with high infectivity |
question
HBsAG +, anti-HBeAb +, anti-HBcAb + |
answer
chronic HBV, low infectivity |
question
anti-HBsAb, anti-HBeAb +, anti-HBcAb + |
answer
recovery |
question
only anti-HBsAb + |
answer
immunized |
question
viral recombination |
answer
exchange of genes between 2 chromosomes by crossing over within regions of significant base sequence homology |
question
reassortment |
answer
viruses with segmented genres exchange segments; causes influenza pandemics |
question
complementation |
answer
when 1 of 2 viruses that infect the cell has a mutation that results in a nonfunctional protein; the non mutated virus complements the mutated one by making a functional protein that serves both viruses |
question
phentypic mixing |
answer
with simultaneous infection with 2 viruses; |
question
live attenuated vaccines - immunity ilicited - examples |
answer
- humoral and cell mediated - smallpox, yellow fever, chicken pox, sabin's polio, MMR |
question
killed vaccines - immunity ilicited - examples |
answer
- humoral only - rabies, influenxa, salk poilio and HAV |
question
recombinant vacines examples |
answer
HBV, HPV |
question
DNA viral genomes: - ds or ss- linear or circular? |
answer
- all ds except parvovirus B19 - all linear except papilloma, polyoma and hepadna |
question
RNA viral genomes: - ss or ds- positive sense examples |
answer
- all ss except reoviridae - retro, toga, flavi, corona, hepe, calici and picorna |
question
naked viral genome infectivity |
answer
require enzymes contained in the complete vision for infectivity |
question
are viruses diploid or haploid? |
answer
all haploid except retroviruses |
question
viral replication: - DNA - RNA |
answer
- all in nucleus except poxvirus - all in cytoplasm except influenza and retroviruses |
question
naked viruses |
answer
calici, picorna, reo, parvo, adeno, papilloma and polyoma |
question
where does the herpes envelope come from? |
answer
nucleus |
question
icisahedral DNA viruses |
answer
all except pox |
question
DNA viruse examples |
answer
HHHAPPPPy = hepadna, herpes, adeno, pox, polyoma, papilloma, parvovirus |
question
types of herpes viruses |
answer
HSV1, HSV2, HHV3 = VZV; HHV4= EBV, HHV5 = CMV, HHV6 = roseola, HHV7 =insignificant, HHV8 = kaposi |
question
hepadnavirus example |
answer
HBV |
question
adenovirus diseases |
answer
febrile pharyngitis, acute hemorrhagic cystitis, pneumonia, conjunctivitis |
question
parvovirus B19 symptoms |
answer
aplastic crises; slapped cheeks in children; RA like symptoms in adults |
question
HPV - wart subtypes - cervical cancer subtypes |
answer
- 1, 2, 6 and 11 - 16, and 18 |
question
types of polyomaviruses |
answer
JC virus= PML BK virus= transplant patients in kidney |
question
types of poxviruses |
answer
smallpox, vaccinia (cowpox), and molluscum contagious |
question
flesh colored dome lesions with central dimple |
answer
molluscum contagiosum |
question
temporal lobe encephlitis |
answer
HSV1 |
question
latent in: - trigeminal ganglia - sacral tanglia - dorsal root ganglia |
answer
- HSV1, VZV - HSV2 - VZV |
question
spread by respiratory secretions |
answer
HSV1, EBV, VZV |
question
owls eye inclusions |
answer
CMV |
question
monospot negative mono |
answer
CMV |
question
retinitis in AIDS patients |
answer
CMV |
question
high fevers for several days then diffuse macular rash |
answer
HHV6; roseola |
question
tzanck test |
answer
smear of vesicle shows multinucleate giant cells; for HSV1, 2 and VZV |
question
cowdry A inclusions |
answer
HSV1, and 2 |
question
atypical lymphocytes: B or T cells? |
answer
T cells that are reactive to the infected B cells |
question
heterophile antiodies |
answer
detected by agglutination of sheep or horse RBCs in EBV |
question
cancers with EBV |
answer
burkitts, hodgkins, nasopharyngeal carcinoma |
question
medically important reoviruses |
answer
coltivirus and rotavirus; DS! |
question
#1 cause of fatal diarrhea in children |
answer
rotavirus |
question
medically important pirocnraviruses |
answer
polio, echo, rhino, coxsackie and HAV |
question
aseptic meningitis |
answer
echovirus, coxsackie, mumps and enterovirus |
question
hand foot and mouth disease |
answer
coxsackievirus |
question
medically important hepevirus |
answer
HEV |
question
medically important calicivirus |
answer
Norwalk virus = viral gastroenteritis |
question
medically important flaviviruses |
answer
HCV, yellow fever, dengue, st louis encephalitis and west nile virus |
question
medically important togaviruses |
answer
rubella, easter equine encephalitis and western equine encephalitis |
question
medically important retroviruses |
answer
HIV and HTLV |
question
medically important paramyxoviruses |
answer
parainfluenza, RSV, rubella and mumps |
question
medically important filoviruses |
answer
ebola/marburg hemorrhagic fever |
question
medically important arenaviruses |
answer
LCMV and lassa fever encephalitis |
question
encephalitis from mice |
answer
lassa fever |
question
medically important bunyaviruses |
answer
california encphalitis, sandfly/rift valley fevers, crimean-congo hemorrhagic fever, hantavirus |
question
medically important deltavirus |
answer
HDV |
question
negative strand viruses |
answer
arenavirus, bunyaviruses, paramyxoviruses, orthomyxoviruses, filoviruses and rhabdoviruses |
question
segmented viruses |
answer
bunyaviruses, orthomyxoviruses, arenaviruses and reoviruses |
question
enteroviruses |
answer
fecal oral = polio, echo, coxsackie and HAV |
question
rhinovirus disease |
answer
common cold >100 serologic types |
question
rhinovirus: acid stable or labile? |
answer
labile |
question
yellow fever - transmission - symptoms |
answer
-Aedes mosquito - high fever, black vomit and jaundice |
question
rotavirus - epidemiology - mechanism |
answer
- inter months in day care centers - vilous destruction with atrophy leads to dec absorption of Na and water |
question
influenza virus - virulence factors - inc risk of - vacine |
answer
- hemagglutinin (viral entry) and neuraminidase (virion release) - bacterial superinfection - killed with 2A and 1B |
question
genetic shift vs drift |
answer
shift = reassortment of viral genomes drift= minor changes with random mutation |
question
symptoms of rubella |
answer
fever, postauricular adenopathy, LAD, arthralgias, truncal rash that starts at head and moves down |
question
symptoms of parainfluenza |
answer
seal-like barking cough |
question
symptoms of RSV |
answer
bronchiolitis, pneumonia in infants |
question
virulence of paryamysoviruses |
answer
surface F protein which causes respiratory epithelial cells to fuse and form multinucleate cells |
question
symptoms of measles |
answer
kplic spots, cough coryza and conjunctivitis; descending maculopapular rash |
question
measles complications |
answer
SSPE, encephalitis and giant cell pneumonia (IS) |
question
symptoms of mumps |
answer
parotitis, orchitis and aseptic meningitis; can cause sterility |
question
negri bodies |
answer
rabies virus |
question
symptoms of rabies |
answer
fever, malaise -> agitation, photophobia, hydrophobia -> paralysis , coma -> death |
question
bullet shaped capsid |
answer
rabies virus |
question
mechanism of rabies |
answer
travels to CNS by migrating in a retrograde fashion up nerve axons |
question
prions |
answer
PrPc -> PrPsc = transmissible; dementia ataxia and death with spongiform encephalopathy |