cold and flu Flashcards

1
Q

what are the steps of viral replication

A

1: Attachment: the virus attach itself to its host cell
2: Penetration: the virus or its genetic information penetrates the cell.

3: Uncoating: the nucleic acid is uncoated which frees the DNA or RNA from its capsomeresor lipid envelope and permits the host cell to read out ( express ) the genetic functions of the virus.
4: Translation: At this stage in the life cycle if many viruses, only a portion of the viral genetic information is expressed, resulting in the synthesis of only the subset of viral-encoded proteins collectively called the early viral gene functions ( proteins )
5. Replication: The viral nucleic acid is then synthesized to produce hundreds or thousands of copies of viral chromosome.

5 B: Replication: At this time, a second subset of the viral genetic information, commonly termed the late proteins, is expressed. These are the structural proteins including the capsomeres of the virus

Step 6: Assembly: The capsomeresare assembled to form a new shell around the nucleic acid of the virus.

Step 7: The mature virus having duplicated its new copies, is released from the infected cell to attack a new cell and repeat this process.

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2
Q

what is viruses

A
  • intracellular parasite cannot replicate on their own
  • recruit the host cell to replicate viral DNA and new cell contain the virus
  • or recruit the cell to replicate viral RNA where the cell creates viruses that are released through budding and the cell lyses
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3
Q

what are the s & s of viral infection

A
  • fever,
  • headache
  • cough
  • malaise
  • myalgia
  • nausea
  • vomiting
  • diarrhea
  • insomnia
  • photophobia

*WBC count remains normal

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4
Q

what is antigenic drift

A
  • a genetic change (mutation of a gene for the anitbody binding sites) of the virus that is minimal
  • the effect of genetic change is managable
    e. g. small variation in the protein of influenza virus: hemagglutinin & neuraminidase
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5
Q

what is antigenic shift

A
  • a process where 2 or more different strains of virus combine to form a new subtype of the original virus

–> the result of the combination is a REASSORTMENT of a gene segment that code for the surface protein

–>occurs only in influenza A (as it affects more than just human)

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6
Q

signs and symptoms of adenovirus

A
  • ->asymptomatic
    1. fever>39 degree for >5 days, especially in pediatrics
  • ->sore throat, cough, rhinorrhea may occur
    2. may cause conjunctivits, pharygitis
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7
Q

what is the treatment of adenovirus

A

supportive

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8
Q

What is Respiratory Syncytial Virus (RSV)?

A

pneumovirus

  • ubiquitious: all infant/child infect by age 4
  • doesn’t confer immunity
  • Cause lower respiratory tract infection in baby
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9
Q

what is the S & S of RSV?

A
  • brochioloitis

- pneumonia

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10
Q

what is the treatment of RSV

A

supportive
-o2, hydration, rest
maybe use ribavirin

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11
Q

what is Common Cold

A

50% caused by one of >100 rhinoviruses

–>common in the fall and spring…less common in the winter

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12
Q

what is the sign and symptoms of common cold

A
  • sore throat
  • sneeze
  • rhinorrhea
  • malaise
  • nasal obstruction
  • Latent infection: takes 24-72 hours to develop
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13
Q

how does common cold spread

A

Direct contact via

  • -> droplet
  • ->aerosolized liquids
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14
Q

what are the Treatment of common cold?

A
-Decongestant
•Antihistamine (1stgeneration)
•Antipyretic
•Analgesic
•Anticholinergic
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15
Q

What is the Sequale of common cold

A
  1. body immune system resolves the infection

or

  1. Bacterial infection
    - ->sinusitus
  2. pneumonia
  3. otitis media
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16
Q

what is influenza

A

viral respiratory infection

17
Q

what is the epidemiology of influenza

A

Widespread in fall and winter months
Influenza virus A, B, C
Viruses usually sequential but may be simultaneous

18
Q

what are some exmaple of influenza

A

H5N1 avian flu

H1N1 swine flu

19
Q

what are the types of influenza

A

Influenza A

  • Most common viral serotype
  • May cause severe disease

Influenza B

  • Produces mild disease
  • cause moderate –severe disease

Influenza C
- Rarely causes infection

20
Q

How is influenza spread?

A
  1. Droplet
  2. Direct contact
  3. Contaminated items
    - ->Virus can live on surfaces for 2 –48 hours, some longer
21
Q

what is the S&S of influenza

A
  • affect upper respiratory tract
  • malaise
  • Nasal congestion.
  • Sore throat
  • Aching muscles
  • Chills and sweats
  • cough
22
Q

how to diagnosis influenza

A
  • nasal swab
  • blood test
  • allergy test
23
Q

what are the treatment for influenza

A

medication

  • Antiviral medications (for severe infection and those at risk for serious complication)
  • Antipyretic
  • Analgesic
  • decongestent

supportive treatment

24
Q

what are some antivirals

A

inhibit viral replication

  • zanamivir(Relenza®)
  • oseltamivir(Tamiflu®)
25
Q

what are the Side Effects/Contraindications of antivirals

A
  • GI

- Relenza : exacerbate asthma, COPD

26
Q

what is epidemic

A

occurs when an infectious disease spreads rapidly to many people.

27
Q

what is pandemic

A

a global disease outbreak.
Influenza pandemics have occurred more than once.

e. g.
- ->spanish influenza
- ->Asian influenza
- ->Hong Kong influenza

28
Q

what are the sequale of influenza?

A

usual outcome

–>resolved

29
Q

What are the possible complication of influenza

A
  • Decreased lung function and ventilation for weeks
  • Pneumonia
  • Respiratory failure
30
Q

Who should NOT get the flu vaccine or contraindication to flu vaccine?

A
  • Infants under six months of age
  • Anyone with a serious allergy (anaphylaxis) to eggs or egg products
  • Anyone who is acutely ill with a fever should usually wait until the fever goes down before being vaccinated.
  • Anyone who has developed Guillain-Barre within 6 to 8 weeks of a previous influenza vaccination.