Diagnosis of Viral Infections (Ex1) Flashcards

1
Q

Risk Group 1

A
  • no or low individual and community risk

- a microbe that is unlikely to cause human or animal disease

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2
Q

Risk Group 2

A
  • moderate individual risk, low community risk
  • a pathogen that can cause human or animal disease, but unlikely to be a serious hazard
  • effective treatment and preventative measures available
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3
Q

Risk Group 3

A
  • high individual risk, low community risk
  • a pathogen that usually causes serious human or animal disease, but does not normally spread
  • effective treatment and preventative measures available
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4
Q

Risk Group 4

A
  • high individual and community risk
  • pathogen that usually causes serious human or animal disease and is readily transmitted
  • no effective treatment or preventative measures
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5
Q

Negative Stain Electron Microscopy

A
  • sample mixed with solution of heavy metal salt that is opaque to electrons
  • spread on thin layer of copper grid
  • stain absorbs electrons through beam
  • virus particles appear lucent
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6
Q

Scanning Electron Microscopy

A
  • method based on scattered electrons
  • focuses on sample surface and its composition
  • 3D images
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7
Q

Transmission Electron Microscopy

A
  • method based on transmitted electrons
  • focuses on inside or beyond surface
  • images have higher magnification and greater resolution
  • 2D images
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8
Q

What is Negative Predictive Value?

A

the probability that a negative test result accurately indicates the absence of infection

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9
Q

What is Positive Predictive Value?

A

the probability of a positive result accurately indicating presence of infection

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10
Q

What is Sensitivity?

A

the probability that cases with the infection will have a positive result

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11
Q

What is Specificity?

A

the probability that cases without the infection will have a negative result

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12
Q

Describe a Direct ELISA test

A
  • suspected virus sample
  • add enzyme conjugated antibodies
  • if antibodies bind to antigens, color change noted
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13
Q

Describe an Indirect ELISA test

A
  • sample with known antigen
  • add patient sample
  • if patient has antibodies they will bind
  • add secondary antibody with enzyme that binds to the primary antibody
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14
Q

Describe a Sandwich ELISA test

A
  • antigen to be measured is bound between a layer of capture antibodies and detection antibodies
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15
Q

Describe Competitive ELISA test

A
  • antigen of interest and purified antigen compete for binding to capture antibody
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16
Q

What is Immunohistochemistry?

A

antibody is tagged with an enzyme

- the enzyme reacts with a substrate to produce a colored product that can be seen with a light microscope

17
Q

What is POC?

A

Point of Care

- diagnostic testing performed at or near the patient’s site of care

18
Q

What is Fluorescence Antibody test?

Direct vs Indirect?

A
  • antibodies are labeled with fluorescent dye
  • direct: labeled antibodies added to sample
  • indirect: secondary antibody labeled with dye use to detect primary antibody bound to antigen
19
Q

Describe Agar Gel Immunodiffusion test

A
  • antigen and antibody place in separate wells
  • diffuse toward each other
  • thin white line formed due to precipitation of antigen/antibody complex
20
Q

Describe a positive Complement Fixation test

A
  • antibody is present in serum
  • add virus
  • antibody binds to virus forming complex
  • add complement which binds to complex
  • add red blood cells
  • complement is bound, so unable to act on RBCs, which will settle on bottom of well