Questions from S 4 Flashcards
Actual exam question
How do these viral infections present?
Rift Valley Fever
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
St Louis Encephalitis
Rift Valley Fever - Flu-like illness, visual disturbance due to macula disease, encephalitis, haemorrhagic fever
Eastern Equine Encephalitis - Flu-like illness, encephalitis
Western Equine Encephalitis - Flu-like illness, encephalitis
Venezuelan Equine Encephalitis - Flu-like illness, encephalitis
St Louis Encephalitis - Flu-like illness, encephalitis
Actual exam question
What is the case fatality rate of these infections?
Rift Valley Fever
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
St Louis Encephalitis
Rift Valley Fever - 1%. And that is usually the 1% of total cases which end up developing haemorrhagic fever. 90% if <1 year old
Eastern Equine Encephalitis - 40-80 - different reports vary
Western Equine Encephalitis - 10%
Venezuelan Equine Encephalitis - <1%
St Louis Encephalitis - 5-20%
Which groups of people are most at risk of severe disease from these infections?
Rift Valley Fever
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
St Louis Encephalitis
Exposure to mosquitoes - outdoor workers
Most infections cause very mild asymptomatic disease. Very young or very old seem more prone to developing encephalitis
What are the vectors for these infections
Rift Valley Fever
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
St Louis Encephalitis
All mosquitoes
Rift Valley Fever - Aedes/ Culex
Eastern Equine Encephalitis - Culex
Western Equine Encephalitis - Culex
Venezuelan Equine Encephalitis - Culex
St Louis Encephalitis - Culex
What is the case fatality rate for these infections?
West Nile Virus
Japanese Encephalitis
Yellow Fever virus
Dengue virus
West Nile Virus - 3-15% if encephalitis develops. But <1% develop symptoms
Japanese Encephalitis - 30% if encephalitis develops
Yellow Fever virus - 3%, but 20% if severe complications develop
Dengue virus - <1% with treatment. 25% in severe untreated Dengue
Which Bunyaviridae are arboviruses?
Rift Valley Fever
Toscana
Sandfly fever - Naples/ Sicilian
Severe fever with Thrombocytopenia virus
CCHF
How are these Bunyaviridae arboviruses transmitted?
Rift Valley Fever
Toscana
Sandfly fever - Naples/ Sicilian
Severe fever with Thrombocytopenia virus
CCHF
Culex mosquito
Rift Valley Fever
Sandfly
Toscana
Sandfly fever - Naples/ Sicilian
Hard ticks
Severe fever with Thrombocytopenia virus
CCHF
Which Flaviviridae are arboviruses?
Dengue
Zika
Yellow fever
West Nile
St Louis
Japanese Encephalitis
Murrary Valley
Omsk haemorrhagic fever
Kyasanaur Forest disease
Tick borne encephalitis
Powassan
How are these Flaviviridae arboviruses transmitted?
Dengue
Zika
Yellow fever
West Nile
St Louis
Japanese Encephalitis
Murrary Valley
Omsk haemorrhagic fever
Kyasanaur Forest disease
Tick borne encephalitis
Powassan
Mosquito Aedes
Dengue
Zika
Yellow fever
Mosquito Culex
West Nile
St Louis
Japanese Encephalitis
Murrary Valley
Hard Tick
Omsk haemorrhagic fever
Kyasanaur Forest disease
Tick borne encephalitis
Powassan
Which Togaviridae are arboviruses?
Chikungunya
Venezuelan equine encephalitis
Sindbis
Western Equine Encephalitis virus
Eastern Equine Encephalitis virus
How are these Togaviridae arboviruses transmitted?
Chikungunya
Venezuelan equine encephalitis
Sindbis
Western Equine Encephalitis virus
Eastern Encephalitis virus
Aedes mosquito
Chikungunya
Culex mosqutio
Venezuelan equine encephalitis
Sindbis
Western Equine Encephalitis virus
Eastern Encephalitis virus
What is geographic distribution of these viruses?
Western Equine Encephalitis virus
Eastern Equine Encephalitis virus
Venezuelan Equine encephalitis
Western Equine Encephalitis virus - North America/ South America
Eastern Equine Encephalitis virus - North America/ South America
Venezuelan Equine encephalitis - Central/ South America
What is the primary host of these arboviruses? (not dead end host)
Dengue
JEV
Rift Valley fever
West Nile virus
TBEV
Yellow Fever
Dengue - humans/ primates
JEV - pigs/ birds
Rift Valley fever - bats
West Nile virus - birds
TBEV - small rodents
Yellow Fever - primates
What is the primary host of these arboviruses?
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
St Louis Encephalitis
Birds are main hosts. Horses are dead-end hosts
Eastern Equine Encephalitis
Western Equine Encephalitis
Venezuelan Equine Encephalitis
Birds are main host
St Louis Encephalitis
How does West Nile virus present?
Flu-like illness
Encephalitis
Acute flaccid paralysis