Influenza Flashcards

1
Q

What is influenza?

A

acute, febrile respiratory disease (NOT GI upset and NOT mild respiratory illness)

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2
Q

Influenza virus is an ____ virus with a segmented genome.

A

enveloped ssRNA

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3
Q

The influenza virus genome is made up of _____.

A

8 pieces of ssRNA

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4
Q

Two of the best characterized viral proteins are the ____ and _____ glycoproteins, which identify the subtype of influenza based on their combination in the viral coat.

A

hemagglutinin (H); neuraminidase (N)

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5
Q

There are 3 types of influenza viruses: ___ and ____, which circulate in the pop. every year, and ____ that causes a mild/clinically insignificant illness.

A

A and B; C

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6
Q

How do repeated influenza epidemics persist?

A

type A and B viruses undergo constant and rapid change due to antigenic drift

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7
Q

When does antigenic drift occur? Why?

A

only after a strain has become established in humans; it has adapted to the host Abs

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8
Q

Influenza virus is an RNA virus with a ____ genome.

A

segmented

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9
Q

What is antigenic drift?

A

gradual change in the virus via mutations, substitutions, or deletions in aas that make up the H or N surface antigens

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10
Q

What is antigenic shift?

A

a completely novel hemagglutinin or neuraminidase gene segment is introduced

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11
Q

Where does the new gene segment in antigenic shift come from?

A

other host species (birds or swine)

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12
Q

How is influenza transmitted?

A

respiratory route, contamination of hands and inanimate objects

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13
Q

What is the incubation period for influenza?

A

1-3 days

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14
Q

What are the s/s of influenza in adolescents and adults?

A

acute onset fever, chills, myalgias, headache, cough

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15
Q

What are the s/s of influenza in a neonate?

A

resembles bacterial sepsis, including lethargy, decreased eating, mottling

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16
Q

What are the s/s of influenza in toddlers?

A

GI symptoms (nausea, vomiting, diarrhea), fever, anorexia, URI, croup, bronchitis, convulsions

17
Q

What are the 2 general treatments for influenza?

A
  1. matrix protein inhibitors

2. neuraminidase inhibitors

18
Q

What are the 2 matrix protein inhibitors and what do they target?

A
  1. amantadine
  2. rimantadine
    subtype A viruses
19
Q

What are the 3 neuraminidase inhibitors and what do they target?

A
  1. oseltamivir (Tamiflu)
  2. Zanamivir (Relenza)
  3. Peramivir (Rapivab)- IV
    subtype A and B viruses
20
Q

What are the 2 types of seasonal flu vaccines?

A
  1. inactivated influenza vaccine (IIV))

2. live attenuated influenza vaccine (LAIV)

21
Q

What is the inactivated influenza vaccine?

A

injectable, killed vaccine for 6mos+; trivalent and quadrivalent

22
Q

What is the live attenuated influenza vaccine?

A

intranasal live attenuate vaccine for 2-49yo; quadrivalent

23
Q

What is swine influenza/pandemic H1N1?

A

the 2009/10 swine influenza virus created from reassortment; mostly affected those under 24yo

24
Q

What is avian influenza?

A

infectious influenza A in birds- asymptomatic but shed in huge amounts in feces = storage reservoir

25
Q

Avian viruses bind in an alpha-2, 3-linkage, whereas human viruses bind in an _____.

A

alpha-2,6-linkage

26
Q

Why doesn’t avian flu usually infect humans?

A

it doesn’t have the correct receptor

27
Q

Name 2 ways influenza pandemics could emerge.

A
  1. avian to human transfer

2. reassortment of human strains to avian strains via pigs

28
Q

What are the 3 criteria for a pandemic?

A
  1. emergence of a new flu subtype
  2. virus infects humans and causes serious illness
  3. virus is transmitted from human to human w/o interruption
29
Q

Avian viruses bind in an_____, whereas human viruses bind in an alpha-2,6-linkage.

A

alpha-2, 3-linkage