Exam 2 - Enteroviruses Flashcards

1
Q

enteroviruses have a __________ genome

A

+ssRNA

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2
Q

location of enteroviruses

A

GI tract (intestines)

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3
Q

enteroviruses shed in _________ for prolonged time

A

feces

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4
Q

what discovered that a virus caused polio?

A

Chamberlain filter

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5
Q

why was polio a public concern?

A
  • mysterious, seasonal
  • paralyze respiratory muscles
  • strange effects
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6
Q

mode of transmission for polio

A

oral-fecal, oral-oral (rare)

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7
Q

when is polio most infectious?

A

just before onset and 1-2 weeks after onset

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8
Q

up to 95% of polio infections are ______________

A

asymptomatic

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9
Q

major illness of polio caused inflammation of _______________, which caused _______________ and ________________

A

motor neurons, weakened muscles and flaccid paralysis

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10
Q

paralytic poliomyletitis

A

destruction of motor neurons, paralysis is permanent

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11
Q

what are the 3 forms of major polio illness?

A
  1. spinal
  2. bulbar
  3. bulbospinal
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12
Q

describe the spinal form of major polio illness

A
  • lower spinal column
  • paralysis of legs (asymmetric)
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13
Q

describe the bulbar form of major polio illness

A
  • upper spinal column and medulla
  • inability to talk or swallow
  • iron lung or respiratory
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14
Q

describe the bulbospinal form of major polio illness

A

combination of both spinal and bulbar symptoms

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15
Q

what is the main result of major polio illness?

A

permanent paralysis

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16
Q

post-poliomyelitis syndrome (PPS)

A

affects a large proportion of those who recovered from major illness

17
Q

post-poliomyelitis syndrome (PPS) is more common in __________

18
Q

what is the treatment for post-poliomyelitis syndrome (PPS)?

A

supportive care - pain management, physical and occupational therapy

19
Q

what is the cause of post-poliomyelitis syndrome (PPS)?

A

infected motor neurons degenerate and die and surviving neurons degenerate over time

20
Q

poliovirus enters through the ________

21
Q

primary viremia results in ________________, while secondary viremia results in _________________

A

mild symptoms; major illness

22
Q

poliovirus is a part of the ______________ family

A

picornaviridae

23
Q

structure of poliovirus

A

naked icosahedral capsid - 4 VPs

24
Q

steps of poliovirus replication

A
  • poliovirus binds to PV receptor on host cell wall
  • endocytosis and uncoating to release viral genome
  • production of polyprotein –> proteolytic cleavage –> viral proteins
  • production of genome
  • assembly
  • release by lysis
25
enteroviruses are _______ stable
acid
26
enteroviruses are resistant to ___________________
things that would kill other viruses
27
cytopathic effects
structural and functional changes that occur in host cells after viral infection
28
poliovirus serotype __ is most likely to cause paralysis
1
29
Salk vaccine
- inactivated (IPV) - formal inactivation of 3 serotypes - duration of immunity not known
30
Sabin vaccine
- live, attenuated, oral (OPV) - used 3 PV strains attenuated to produce "seeds" that are tested for neruovirulence - lifelong immunity
31
both the Salk and Sabin vaccines are _________________ vaccines
whole pathogen
32
the ________ vaccine is better at preventing spread because it has ______________
Sabin; no reversion
33
what was the Cutter incident caused by
inadequately inactivated vaccine - manufacturing problem
34
what was the WHO goal for poliovirus eradication?
global eradication of poliovirus by 2000
35
challenges with poliovirus eradication:
- contagious (oral-fecal) - IPV (Salk) inefficient at preventing spread - tensions about mass vaccination programs - difficult to prove success
36
myocarditis
inflammation or degeneration of myocardium
37
dilated cardiomyopathy (DCM)
enlargement of heart muscle
38
enterovirus 71
hand, foot, mouth disease (HFMD)
39
enterovirus D68
mild to severe respiratory disease