Case Study Comparison Chart: Polio Flashcards

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1
Q

what is the full name for polio?

A

poliomyelitis

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2
Q

what is the causative agent of poliomyelitis

A

polio virus

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3
Q

describe the structure of polio virus (4)

A
  • icosahedral
  • ss+RNA (does not package replicase)
  • nkd (resists degradation and can withstand stomach acid)
  • enterovirus (oral-fecal route)
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4
Q

describe the different stages of a polio infection (4)

A
  1. digestive tract
  2. lymphatic stage
  3. viremia stage (blood), crosses blood-brain barrier to
  4. neural stage (CNS)
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5
Q

describe the general distribution (%) of polio symptoms

A

99% of people are asymptomatic or mild symptoms

1% get paralytic polio

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6
Q

can asymptomatic people transmit polio? if so, how and for how long?

A

yes. in feces, for 4-6 weeks.

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7
Q

how to detect virus in fecal sample?

A

direct ELISA test

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8
Q

describe some symptoms of paralytic polio (4 groups)

A
  • muscle weakness (atrophy)
  • flaccid paralysis in limbs and chest
  • headache, fever, stiffness in neck (inflammation)
  • GI symptoms
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9
Q

what happens to an infected motor neuron? why is that significant?

A

it dies, cutting off the signals to muscles

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10
Q

why is polio hard to study?

A
  • hardy: resistant to degradation
  • dangerous. Cutter incident, humans are the only host.
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11
Q

what is one example of why polio is ~dangerous~ to study?

A

the Cutter incident

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12
Q

what happened in the Cutter incident?

A

Cutter was a lab that produced vaccines. Some batches of Salk’s polio vaccine contained live virus which led to tons of people being infected upon vaccination and 5 children died.

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13
Q

what happens in post polio syndrome?

A

motor neurons compensate for the motor neurons that were killed when the body was infected with polio

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14
Q

what eventually happens to the motor neurons that don’t die upon infection?

A

they die later because they’ve spent their lifetimes compensating for the missing neighboring motor neurons that died

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15
Q

who is most susceptible to polio infection?

A

children under 5

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16
Q

who is most susceptible to paralysis?

A

older children/teens and young adults

17
Q

what puts people at risk for contracting polio? (2)

A
  • poor water sanitation
  • decreased vaccine rates
18
Q

how to prevent polio? (one word)

A

vaccines

19
Q

what vaccines are available for polio?

A

OPV and IPV

20
Q

who developed the OPV? what does it stand for?

A

Sabin. Oral polio vaccine.

21
Q

which antibodies respond when the OPV is administered?

A

IgG and IgA

22
Q

why does OPV prevent the spread of polio?

A

IgA replicates in mucous membranes, neutralizes the virus in the mucous membranes so not only does it not spread through feces, but the vaccine spreads through feces instead

23
Q

how many doses are required for OPV?

A

one

24
Q

how many doses are required for IPV?

A

multiple

25
Q

OPV: attenuated or inactivated?

A

attenuated

26
Q

cons of OPV?

A

attenuated vaccine, meaning a strain can mutate to virulent form (very uncommon, 1/24 mil.)

27
Q

who developed the IPV? what does it stand for?

A

Salk. Inactivated polio vaccine

28
Q

which antibodies respond when the IPV is administered?

A

IgG

29
Q

IPV: attenuated or inactivated?

A

inactivated

30
Q

did the Cutter incident occur with the OPV or IPV?

A

Salk: IPV

31
Q

List the 6 stages of a polio infection/life cycle:

A
  1. endocytosis
  2. release + protein synthesis
  3. replicase made
  4. replication of RNA
  5. translation packaging
  6. cell lysis to release viral particles
32
Q

which surface protein does polio virus bind to?

A

host cell receptor CD155