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