Measles and such Flashcards

Prescribe MMR vaccine for patients. Diagnose measles and mumps. Describe the pathogenesis of congenital rubella. Differentiate variola, vaccinia, and other pox viruses. Diagnose parvovirus infection.

1
Q

morphology of measles virus

A

enveloped, negative sense, single stranded RNA virus with 6 structural proteins

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2
Q

location of measles replication

A

cytoplasm

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3
Q

giant cells indicitve of

A

measles

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4
Q

transmisson of measles

A

respiratory droplets

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5
Q

tract of infection of measles

A

resp tract –> lymphatics –> spleen –> blood stream

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6
Q

measles virus infects what tissues

A

all epithelial cell surfaces

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7
Q

abrupts onset of illness with cough, coryza, rhinorrhea, photophobia, and conjuctivitis

A

measles

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8
Q

lesions on buccal mucosa with red halo (koplik’s spots)

A

measles

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9
Q

koplik spots precede measles rash how long?

A

12-24 hours

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10
Q

maculopapular lesions

A

measles

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11
Q

sickest day of measles

A

day rash appears

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12
Q

causes measles rash

A

T-cell response to measles virus antigens in endothelial cells of skin capillaries

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13
Q

measles complications

A
giant cell pneumonia
encephalitis
SSPE
atypical measles
secondary bacterial pneumoia
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14
Q

fatal , non rash measles complication in people with defective cell mediated immunity

A

giant cell pneummonia

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15
Q

CNS issue, myoclonic jerks, photophobia, blindness, coma 6-15 years after measles infection

A

SSPE

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16
Q

conplication form killed measles virus

A

atypical measles

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17
Q

where you can grow measles virus

A

monkey kidneys or human cell cultures

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18
Q

easiest and efficient way to confirm measles

A

immunoflouracense assay for in cells harvested from mucus, urine, and skin biopsies

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19
Q

giant cells on giemsa stain

A

measles

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20
Q

treatment for early exposure to measles

A

pooled immunolobulin or vaccination witin 2/3 days of exposure

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21
Q

acute, painful parotitis

A

mumps

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22
Q

paramyxoviruses

A

measles/mumps

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23
Q

out of respiratory sites of mumps

A

testes, meningies, pancreas and ovaries

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24
Q

where you can row mumps virus

A

monkey kidneys

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25
multinucleated giant cells
mumps
26
sites of recovering mumps virus from pts
saliva, urine, pharynx, secrections from Stensen's duct, and CSF
27
1/3 of infections are subclinical
mumps
28
can cause congenital defects in infected pregnant mothers
rubella
29
togavirus
rubella
30
envoloped, positive sense, single stranded RNA virus with icosahedral nucleocapsid
rubella
31
ranges from inapparent infection to lymphedenopathy, mild malaise, corzya, low-grade fever and rash
rubella
32
irregular pink, maculopapular lesions starting on the face, spreading to the trunk and lasting 3 days
rubella
33
adult femals with polyarthritis and polyarthalgia
rubella
34
diagnosis of rubella
specific IgM antibody (in green monkey kidneys)
35
reinfection can occur in immune folks
rubella
36
vaccination contraindicated in pregnant women
rubella
37
time in pregnancy most vunreable to congenital rubella infection
first 20 weeks
38
baby sx of congenital rubella
cararacts, MR, deafness, heart defects, microcephaly, and rash
39
"bluberry muffin baby"
congenital rubella
40
place to detect rubella virus in baby
CSF, urine, rectal swab
41
serodiagnostic of in utero infection of rubella
IgM in cord serum
42
time kids born with CRS should be considered infectious
1 year
43
icosahedral visur with no capsid
B19 parvoviruses
44
fifth disease virus type
B19 parovirus
45
pathenogenisis of congenital rubella
affects normal growth, mitosis, and chromosomal structure in cells
46
distinct non vesicular rash on cheeks, resembing a slap with polyarthritis,
fifth disease
47
can cause aplastic crisis
fifth disease
48
fatal parvovirus infection in fetus
hydrops fetalis
49
virus that spreads to bone marrow
B19 parovirus
50
dianosis of b19 parvovorus
IgM or viral DNA by PCR
51
big-ass 2x stranded DNA virus
pox
52
reolicates it;s genome and assembles virons in cell cytoplams with large cytoplasmic inclusions
pox
53
difference between pox viruses and chickenpox
all skin lesions are the same stage in development in pox diseases
54
variola causes
smallpox
55
vaccina casues
cowpox
56
replication site of pox
upper resp tract
57
western/central africa pox virus
monkey pox
58
sheep pox that can be transmitted to humans
orf virus
59
clusters of wart lije viruses on the face
molluscum contagiosum
60
diagnostic for molluscum contagiosum
large cytoplasmic inclusions