Final Exam Flashcards
when was influenza first described
400 BC
t/f
virologists believe another influenza pandemic that could kill millions is inevitable
true
most diseases are caused by _____ viruses
rna
why did influenza epidemics become unmanageable at alarming speeds (3)
short incubation period (1-4 days)
one droplet can contain 100,000-1,000,000 virus particles
what is the approximate R0 of influenza
SARS-CoV2
1.4
2-3
who normally dies from influenza
why
babies and elderly
bc their immune systems are either not fully developed or no longer function at their prime
what is a hallmark clinical symptom of influenza
how long does it last
fever (100-103 degrees)
3-4 days
how long does it typically take for flu symptoms to clear themselves up
7 days
what two secondary infections lead to death after a flu infection
bronchitis
pneumonia
t/f
flu infections tend to have age-dependent side effects
true
what three secondary infections are common for young children with the flu?
elderly?
croup, secondary bacterial pneumonia, middle ear infections
life-threatening secondary pneumonia, worsening of preexisting conditions (like heart failure)
what is the family name for influenza
what are the three main genera
Orhtomyxoviridae
Alpha, Beta, Gamma
what type of virus is influenza (segemented vs nonsegmented; +/-)
neg ssRNA, segmented
t/f
only Influenza A can infect humans
false
A, B, and C can infect humans
which influenza is rare
C
t/f
being infected with one type of flu protects you from the others
false
Name that flu boo: infects humans and animals goes through antigenic shift and drift can cause pandemic that mostly affect young people 8 gene segments 10 viral proteins with unique M2
influenza A
Name that flu boo: humans only antigenic drift only leads to severe typically in at risk and elderly doesn't cause pandemics 8 gene segments 11 viral proteins, unique NB
influenza B
Name that flu boo: humans and piggies antigenic drift only mild disease, common in kids 7 gene segments 9 viral proteins, unique HEF
influenza C
Am I driftin' or shiftin' slow gradual change responsible for localized/ seasonal epidemics by A, B, and C mutation in H and N subtypes --------------------------- sudden dramatic change cause pandemic influenza A only viral re-assortments leading to novel flu virus
antigenic drift
antigenic shift
what is the animal reservoir for Influenza A
are they symptomatic or asymptomatic
wild water fowl
asymptomatic
what are the two tests for laboratory diagnosis of the flu
ELISA tests
RT-PCR
Name that testing method (flu):
some distinguish between A and B
results in 10-20 minutes
LOW SENSITIVITY HIGH SPECIFICITY
ELISA assay
Name that testing method (flu): used to confirm conventional virus isolation detection in cell cultures expensive results take 2-10 days
RT-PCR
Outline Flu Pathogenesis Here
- transmitted by droplets
- virus gets into respiratory tract
- virus attaches to the ciliated columnar epithelial cells lining the sinuses and airways
what is the primary site of infection in someone infected with the flu
tracheobronchial tree and nasopharynx
what happens to the cilia in the respiratory tract as the flu virus replicates
what does this lead to….
they are destroyed
- lungs aren’t cleaned well
- mucus stays in the airway and causes coughing
- lead to secondary infections
what two proteins can we develop immunity to on the surface of the flu virus
N: neuraminidase
H: hemagglutinin
Antibodies against _____ neutralize the flu virus and those against ______ do not neutralize, but can help with the reduction in the release of the virus from infected cells
H
N
immediately after isolation flu particles are _____ in shape, but after several passages they’re _____
filamentous
spherical or pleomorphic
who am i:
enveloped
80-120 nm
12-14 kb
influenza A
how many subtypes of H and N are found in influenza A
how many proteins particles on the surface of the virus
18; 11
400; 100
name the 6 proteins that make up Influenza A
what do they do
- M1 matrix- wraps around rna
- M2 ion channel-lets in hydrogen ions
- NP- nucleoprotein around RNA
- PA, PB-1, PB-2 -RdRp
- NS-1- blocks IFN and stops cellular mRNA from leaving nucleus preventing translation
- NS-2- helps viral RNA out of the nucleus
how is a flu virus is named (in order)
- influenza type
- species isolated from (unless human)
- place of isolation
- strain of designation
- year of isolation
- H and N subtype number
when naming a flu virus do you designate the H and N subtype if it’s B or C
no
what leads to antigenic drift
changes in H and/or N because viral RdRp does not have a proofreading mechanism
what causes antigenic shift
two versions of influenza A co-infect a cell and lead to a virion product with a combo of gene segments
t/f
mutations are common in influenza A viral infections
true
____ cleaves virus from sialic acid so that when the virus is released it does not reattach to the infected cell
neuraminidase
why doesn’t avian flu infect people
because the H proteins struggle to attach to the sialic receptor
which season is the flu more prevalent in?
why? (include humidity and temp in explanation)
winter
aerosol spread easier at 20% humidity and temperatures of 5 C or 41 F
people are closer together in contained spaces
what unique effects were seen with the 1918 Spanish Flu
killed 20-40 year olds
killed in 2-3 days
hemorrhagic symptoms
what spread faster than any plague in history
1918 spanish flu
what was the precursor to the spanish flu
an avian flu strain
what antivirals are used to treat the flu
what do they do
M2 inhibitors- prevent uncoating
N inhibitors- prevent neuraminidase from cleaving sialic acid during budding
what is the most effective way to prevent the flu
vaccine
what are the 2 flu vaccines
Trivalent: 2 strains A and 1 strain B
Quadrivalent: 2 strains A and 2 strains B
name the flu viral RNA: shorter than template genome has poly A tail 5' cap synthesis is insensitive to protein synthesis inhibitors
+ viral mRNA
name the flu viral RNA: exact copy of genome segment no poly A no 5' cap synthesis requires continuous viral protein synthesis
+ antigenome/viral copy RNA
what family does the flu virus belong to
orthomyxoviridae
what family does rabies virus belong to
rhabdoviridae
name that virus family: monopartite 15-16 kb helical enveloped virion size: 150-200 nm
paramyxoviridae
what two viruses fall under the family paramyxoviridae
measles morbillivirus
mumps orthorubulavirus
- what is the common name for measles morbillivirus
- what is the R0 for this virus & how is it spread
- incubation period
- what appears about 2-3 days in
- when does a rash that appears on the face that eventually spreads downward
- rubeola
- 12-18; respiratory
- 7-14 days
- Koplik spots– white spots in the mouth
- 3-5 days
t/f
you can shed rubeola (measles) 2 days prior to and post symptom appearance
false
four
for what age group is measles most serious
5-20
______ leads to death or neurological complications after infected with measles
encephalitis
what effect does rubeola have on pregnant women
can lead to babies with low birth weight or premature birth
______ occurs _____ yearspost measles at a rate of about 1/10,000 and can lead to death in __-__ years.
SSPE Subacute Sclerosing Panencephalitis
7-10
1-2
what is a hallmark symptom of mumps orthorubulavirus
what is the incubation period
how is it spread
swollen salivary glands
16 days
respiratory
who tends to experience the most complications from mumps but is typically rare
adults
name that family: monopartite 19 kb helical enveloped 80 and 650-1400 nm
filoviridae
what two viruses (genera) fall under filoviridae
which genera was discovered first
ebolavirus
marburg marburgvirus
marburg
when and where was marburg marburg virus discovered
1967 in marburg, germany
what are the five species of ebolavirus
which infect humans
which infect primates
bundibugyo, reston, sudan, tai forest, zaire
b, s, z, tf
r
what is the mortality rate for ebolaviruses
which one has the highest mortality rate
40-80 %
zaire