Prions Flashcards

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1
Q

______ _______ are rare, fatal, rapidly progressive neurodegenerative diseases that occur in humans and other animal species.

possess small vacuoles within the neuropil, which produces a spongiform appearance

A

Prion Diseases

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2
Q

The complex net of axonal, dendritic, and glial branchings that forms the bulk of the central nervous system gray matter of the brain and in which the nerve cell bodies are embedded

A

Neuropil

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3
Q

Bovine spongiform encephalopathy affects ______.

Scrapie affects ____ ___ _____

A

cattle

sheep and goats

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4
Q

Kuru

Creutzfeldt-Jakob disease (CJD)

Variant Creutzfeldt-Jakob disease (Variant CJD)

Gerstmann-Sträussler-Scheinker syndrome (GSS)

Fatal familial insomnia (FFI)

A

Human Prion Diseases

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5
Q

fatal neurodegenerative disease of sheep

demonstrated to be a transmissible disorder

A

Scrapie

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6
Q

fatal neurodegenerative disease of humans recognized since the 1920s
demonstrated to be transmissible in the 1960s (humans to chimpanzees)

Early symptoms: memory problems, behavioral changes, poor coordination, and visual
disturbances

Later symptoms: dementia, involuntary movements, blindness, weakness, and coma 70% of people die within 1 year of diagnosis

A

Creutzfeldt-Jakob disease (CJD)

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7
Q

A prion is a ______ and ______ particles

A

Proteinaceous

infectious

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8
Q

PRNP gene on chromosome 20 encodes ___ _______.

A

PrP protein

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9
Q

Met or Val at codon 129 of PRNP gene

60% Met codon; 40% Val codon homozygote for either = increased risk of disease

A

a PrP polymorphism

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10
Q

t/f: PrPSc is resistant to degradation and accumulates in amyloid fibrils

A

true

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11
Q

t/f: PrPC is strongly expressed in both neurons and glial cells of the CNS and appears to regulate ion channels and neurotransmitter receptors at the pre- and postsynaptic levels.

A

true

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12
Q

Median Age of Death: 68 years

Median duration of illness: 4-5 months

Clinical signs and symptoms: dementia, early neurologic signs

A

CJD

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13
Q

Median Age of Death: 28 years

Median duration of illness: 13-14months

Clinical signs and symptoms: prominent psychiatric/behavioral symptoms; painful dysthesias; delayed neurologic signs

A

Variant CJD

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14
Q

t/f: Prions may not be inactivated by means of routine surgical instrument sterilization procedures.

A

true

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15
Q

t/f The World health Organization and the US Centers for Disease Control and Prevention recommend that instrumentation used in such cases be immediately destroyed after use.

A

true

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16
Q

t/f: Secondary to destruction, it is recommended that heat and chemical decontamination be used in combination to process instruments that come in contact with high-infectivity tissues.

A

true

17
Q

t/f: No cases of iatrogenic transmission of CJD have been reported subsequent to the adoption of current sterilization procedures, or since 1976.

A

true