ENT DSA II Checkpoint Flashcards

1
Q
  1. While most URT viral infections are self-limiting, complications can occur. Which type of infections frequent occur as a complication of a URT viral infection, especially in at-risk groups?
A

o pneumonia

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2
Q
  1. Which two viruses most frequently cause the common cold?
A

o Rhinovirus or coronavirus

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3
Q
  1. Which groups of adults are frequently at risk for URT infections/complications?
A

o Severe lung disease—cystic fibrosis, COPD, or chronic asthma

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4
Q
  1. Which receptors do rhinoviruses use to enter cells?
A

o ICAM-1 or low density lipoprotein receptor family members (LDHR)

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5
Q
  1. Why are infections with rhinoviruses recurrent, sometime multiple times a year?
A

o So many different serotypes

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6
Q
  1. Which virus caused both SARS and MERS?
A

o coronavirus

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7
Q
  1. Which structural trait gives coronaviruses their name?
A

o Spike glycoproteins looks like a crown

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8
Q
  1. In addition to URT infections, which other illnesses do adenoviruses cause?
A

o Gastroenteritis, conjunctivitis, cystitis, hepatitis, neurological disease

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9
Q
  1. Which virus is the most common cause of croup?
A

o Parainfluenza virus

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10
Q
  1. Which diseases are most commonly associated with PIV types 1-4?
A

o 1- croup children infants (also can cause pharyngitis and tracheobronchitis); mostly fall
o 2- similar to PIV-1 less frequency; mostly fall
o 3- severe lower resp infection children and infants: children under 1 yr common cause bronchitis, pneumonia, sometimes croup, any season
o 4- rarest of all, moderate URI

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11
Q
  1. What is the most common clinical manifestation of mumps virus?
A

o Severe swelling of parotid glands

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12
Q
  1. What are some of the uncommon complications of mumps?
A

o Orchitis, aseptic meningitis, and encephalitis

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13
Q
  1. Assuming a lack of parotitis, how can a mumps diagnosis be confirmed?
A

o Positive IgM mumps antibody detection
o Significant rise in IgG titers (3-4X) between acute and convalescent specimens
o Isolation of mumps virus or nucleic acid from a clinical specimen (RT-PCR)

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