E1- Respiratory Infections Flashcards

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1
Q

ALL VIRUSES ARE ____.

A

Obligate intracellular parasites

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2
Q

Where do viruses reproduce?

A

Within living cells only

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3
Q

Why can viruses only reproduce in living cells only?

A

No independent metabolism

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4
Q

What is different about the reproduction of viruses compared to all other organisms?

A

No binary fission (use an assembly line process)

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5
Q

What is the goal of virtually all viruses?

A

Rapidly replicate new virion at the expense of the host cell

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6
Q

Does selective toxicity treatment work for viruses the way it can for bacteria?

A

Viruses use the hosts ribosomes, energy, precursor molecules etc. So, for example, when you kill the “viruses ribosomes” you also kill the hosts ribosomes.

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7
Q

What type of virus remains associated with the host, but it’s genes are largely silent?

A

Prophage (bacteria lysogens) or provirus (human host cell)

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8
Q

What is it called when a virus provides virulence factors such as toxins to a bacterial host?

A

Lysogenic conversion

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9
Q

What are the three main types of persistent viral infections?

A

Latent infections
Chronic infections
Transforming infections

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10
Q

What is it called when there is intermediating acute episodes of clinically evident virus production between which there is an absence of virus particles and limited viral macromolecular synthesis?

A

Latent infections (HSV)

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11
Q

What is it called when there is sustained nonlytic production of viruses, continued presence of substantial numbers of virus particles during period in which cLinical disease is absent?

A

Chronic infections (Hep B)

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12
Q

What is it called when infected host cells are “immortalized” and properties altered to those of cancer cells?

A

Transforming infections (HPV)

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13
Q

Why are viral infections so hard to manage?

A
  1. Exploit host cell functions (makes developing non-toxic chemotherapeutic agents challenging)
  2. Viruses can evade immune system
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14
Q

What is the key control strategy for managing viral infections?

A

Avoidance of infection

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15
Q

What is an upper respiratory tract infection that creates tracheal constriction below the vocal cords?

A

Croup

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16
Q

What are the most likely causes of croup? What else can cause it, but is less likely?

A

PIV type 1 > PIV type 2&raquo_space;> RSV

17
Q

How does coup present?

A

Fever, barking cough in children 6-18 months, worse at night

18
Q

What is unique about PIV?

A

Non segmented

19
Q

What is a complication of PIV?

A

Otitis media - viral infection sets the stage for bacterial superinfection (warn pt)
Parotitis

20
Q

Why types of PIV show seasonal upsurge?

A

PIV type 1 and PIV type 2

21
Q

Does life long PIV immunity exist?

A

No! Repeat mild infections occur

22
Q

How does RSV present?

A

Cough, dyspnea, cyanosis, sometimes croup

23
Q

What causes of the symptoms of RSV?

A

Inflammatory response to infection
IgE
T cells

24
Q

What is used to diagnose PIV?

A

Direct viral isolation from throat swabs

Direct FAB test

25
Q

How is RSV diagnosed?

A

Rapid antigen tests*
Nuclear acid tests
Serology

26
Q

If treatment for RSV is needed, what can you use?

A

Ribavirin (severe cases)

27
Q

What can be used as prophylactic tx for RSV for high risk pts?

A

Monoclonal immune globulin (Palivizumab)

28
Q

What causes syncytia formation in PIV?

A

Novel fusion protein

29
Q

What is the worst birth season for RSV and why?

A

3-4 months before RSV season because the mothers antibodies are no longer there

30
Q

What is SARS?

A

Severe Acute Respiratory Syndrome, a highly fatal coronavirus that is now presumed to be exinct

31
Q

What is the causative agent of SARS?

A

Coronavirus

32
Q

What is MERS?

A

Middle east respiratory syndrome

33
Q

What is the causative agent of MERS?

A

Coronavirus

34
Q

Which viruses act as a zoonotic reservoir?

A

SARS and MERS

35
Q

Why are respiratory tract infections so common?

A

Many are caused by viruses
-abx ineffective
-not many effective vaccines
Usually acute
-pts may infect others before showing sxs
Many transmitted from healthy carrier reservoirs