Exam 4 - Rabies Flashcards

1
Q

Rabies means:

A

“to do violence” or “to rave”

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2
Q

Rabies affects _________

A

the CNS

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3
Q

Louis Pasteur and Emile Roux determined _____________________

A

rabies agent was found in the brain, CNS

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4
Q

Louis Pasteur and Emile Roux developed a vaccine from ____________________ that was _____________________

A

dried spinal cords from rabid animals; passed through different animal species

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5
Q

Louis Pasteur and Emile Roux tested their vaccine on _________

A

dogs

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6
Q

Rabies is a disease of ____________

A

mammals

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7
Q

Rabies is found __________________

A

in all continents except Antartica

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8
Q

Rabies most common animal reservoirs

A

bats and racoons

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9
Q

what methods have wildlife service programs used to control rabies?

A
  • dFA (direct Fluorescent Antibody) testing postmortem
  • vaccination in domestic and wild dogs
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10
Q

global reservoir of human rabies

A

dogs

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11
Q

2 most common modes of transmission of rabies

A
  • direct contact with saliva or brain/nervous system tissue
  • bite from rabid animal
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12
Q

rabies is noninfectious when ___________________________

A

dry and exposed to sunlight

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13
Q

Rabies incubation period is _______________ and course of disease is ______________

A

5 days to several years but, usually 2-3 months; 2-14 days before coma

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14
Q

rabies symptoms during prodromal period:

A

headache, malaise, fever, anorexia, nausea, vomiting

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15
Q

death from rabies occurs ~___ days after onset of symptoms

A

18

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16
Q

secondary symptoms - furious rabies

A

most often in wildlife with predators
- hydrophobia
- agitation
- hypersalivation
- bizarre behavior
- biting

17
Q

secondary symptoms - paralytic rabies

A

most often in wildlife with prey species
- weakness
- ascending paralysis

18
Q

cellular pathogenesis of rabies

A
  • virus enters body through a bite
  • replicates in local muscle tissue
  • travels along PNS to CNS
  • replicates rapidly in CNS
  • spreads to salivary glands where it can be shed in saliva
19
Q

rabies classification

A
  • Rhabdoviridae family
  • Lyssavirus family
  • nonsegmented, -ssRNA
  • enveloped
  • bullet-shaped virion
20
Q

5 rabies virus genes

A

N - nucleocapsid
P - phosphoprotein
M - matrix protein
G - glycoprotein
L - polyprotein

21
Q

Rabies replication cycle

A
  1. Receptor binding - nAchR
  2. Attachment - presynaptic neuron
  3. Endocytosis
  4. Axonal transport
  5. Fusion - low pH-dependent
  6. L polymerase - transc. of each viral gene RNA, start-stop model
  7. Translation - free ribosomes (N, P, M, L mRNAs) & rough ER (G mRNAs)
  8. Synthesis - antigome & genomic RNAs
  9. Budding - through host cell plasma memb.
22
Q

replication of rabies in neurons allows

A

escape from immune surveillance

23
Q

rabies inhibits type ___ and ___ _______________

A

1 and 2 INF responses

24
Q

IgM is detected after

A

onset of neurological symptoms

25
_________ rabies mounts a cell mediated response
furious
26
individuals involved in testing must receive ________________, _________________, and _________________
pre-exposure immunization, regular serological tests, and booster vaccinations
27
Antemortem testing
- virus isolation or RT-PCR - antibody testing - after symptoms - antigen testing - if unvaccinated
28
Postmortem testing
brain biopsies
29
all high-risk rabies individuals should
be vaccinated
30
rabies would care
washed with soap and water, irrigated with virucidal agent
31
Rabies postexposure prophylaxis (PEP)
- human rabies immunoglobulin (HRIG) - antibodies from vaccinated blood donors - passive immunity until active antibodies are produced from vaccine
32
Rabies postexposure vaccination
- nerve tissue vaccines, avian embryo vaccines, cell culture vaccines - inactivated whole pathogen vaccines
33
Rabies postexposure for unvaccinated individuals
4 injections (2 week span)
34
why does postexposure care help prevent rabies infection?
due to the time it takes rabies to reach the CNS