Exam III: SARS-CoV-2 Student Presentations Flashcards

1
Q

What is the death rate of COVID-19?

A

0.1%

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2
Q

Variant of Concern vs Variant of Interest

A
Concern = has a mutation that has increased virulence
Interest = has a mutation that could increase virulence
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3
Q

What are the current variants of concern? (4)

A

Alpha
Beta
Gamma
Delta

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4
Q

What are current variants of interest? (5)

A
Eta
Iota
Kappa
Lambda
Mu
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5
Q

What are examples of spike mutations that lead to variants of concern? 1 for each variant

A

Alpha : Deletion of aa 69 and 70 of spike S1 fragment
Beta : E484K = evade antibodies
Gamma : H655Y = better escape
Delta : T478K = evade immune response

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6
Q

What is the receptor for SARS-CoV-2? What cells have the receptor?

A

ACE 2

Most; type II pneumocytes and alveolar macrophages

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7
Q

Where does infection of COVID often start?

A

In the airway

Primary mode of transmission is respiratory droplets

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8
Q

What is the cause of death from COVID-19?

A

Pneumonia is the primary underlying cause

Septic shock and multi-organ failure also

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9
Q

What does a molecular test look for? What is the mechanism of the test? When should you get a molecular test? Length of time? Accuracy?

A

Uses RT-PCR to detect the presence of the viral genome
Most accurate and widely used
Quick (2-4 hours) and accurate (99%)

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10
Q

What does an antigen test look for? What is the mechanism of the test? When should you get a molecular test? Length of time? Accuracy?

A
Detects viral proteins
Use lateral flow assay (positive line catches viral proteins)
While you have infection
15-30 min
50-80%
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11
Q

What does an antibody test look for? What is the mechanism of the test? When should you get a molecular test? Length of time? Accuracy?

A

Detects antibodies
Plate with virus > wash with antibody > add flourescence > does it have color = pos
Only used to see if you had a past infection
24-48 hours
98% accurate

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12
Q

What are the 3 types of vaccines being used against SARS-CoV-2?

A
  1. mRNA
  2. Viral Vector (DNA) Vaccines
  3. Inactivated Virus Vaccines
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13
Q

How do mRNA vaccines work?

A

ssRNA encoding spike protien surroinded by lipid nanoparticles > lipid layer fuses with cell membrane > RNA is translated in cytosol > viral spike protein is translated > cells present spike protein on membrane > antibodies are made agaisnt it

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14
Q

How do viral vector (DNA) vaccines work?

A

Inactivated adenovirus carries DNA encoding for spike protien > endocytosed > genome is replicated > spike protein is presented > antibodies are made agaisnt it

Creates stronger immune response because the vector stimulates immune system

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15
Q

How do inactivated virus vaccine work?

A

COVID envelope / nucelocapsid without the genome?

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16
Q

COVID-19 prevention

A
  1. Vaccines

2. Vitamins = enzyme cofactor

17
Q

COVID-19 treatment: antibodies

A

Reduces viral load by mimicing human immune response

18
Q

COVID-19 treatment: intubation and ventilation

A

Sedated to be intubated
Ventilators move oxygen into lungs
Risk for blood clots and lung damage

19
Q

COVID-19 treatment: Decadron/Dexamethasone

A

Steroid > decreases inflammation

Reduces mortality

20
Q

COVID-19 treatment: restricting fluids

A

Less fluid = less fluid to build up in the lungs

21
Q

COVID-19 treatment: Merck’s drug

A

Ribonucleoside anlogue that prevents replication

Still under study