Final; Respiratory Viruses Flashcards
What are the three types of influenza
A, B , and C (the most rare)
type A is the most common and associated with the greatest concern
What is the genome of influenza
-ssRNA in 8 segments
What type of virion is influenza
enveloped
What are the special surface antigens of influenza
16 HA (hemagglutinin) serotypes 9 NA (neuraminidase) serotypes
What is a major determinant for human to human transmission of influenza
HA
Which type of influenza has an animal reservoir
type A; mostly waterfowl
the pig is a key between bird and human transmission
True or False
HAs role is cell attachment and entry is poorly understood
False; it is well understood
What triggers the conformation change after virus and host cell membrane attachment
pH change of the endosome
The conformation change of the membranes triggered by the pH change causes what
membrane fusion; this is a model for all enveloped viruses
Where does transcription of influenza take place
in the nucleus; exception to the rule (it has -ssRNA)
The protected genome (RNP core) escapes the nucleus and buds from the cell via the use of this protein
NA
How is influenza transmitted
aerosol, large and small droplets
When is the infectivity the greatest for influenza particles
When they are the smallest, they can penetrate the deep lung
What is the incubation period of influenza
1-4 days
contagious days before symptom onset to 5 days letters; children infectious for longer
What are the symptoms of the seasonal flu
fever, malaise, nonproductive cough, sore throat
lasts 3 to 7 days after symptoms develop
What are the current circulating strains of influenza and its contagiousness
H3N2, H1N1
reproductive numer = 1:2
What are some complications of influenza
viral pneumonia
bacterial pneumonia
reye synrome (type B + aspirin)
otitis media
What type of vaccine is the influenza vaccine
attenuated live; donor virus with wild type HA/NA epitopes
Why is a new influenza vaccine required each year
antigenic shift, the vaccine usually contains H3N2, H1N1, and type B
What is used to prevent/control influenza
antiviral treatment
tamiflu
supportive care