Respiratory Viruses And Covid 19 Flashcards

1
Q

Rhinitis

A

Colds

Swelling redness runny nose not major issues

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2
Q

Rhinitis are caused by

A

Corona viruses and rhinoviruses

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3
Q

Hantavirus

A

Sporadic outbreaks in the US
Spread of mice
Outbreaks all related to increases in rodent populations

Fatality rate of 33%

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4
Q

Measles

A

Caused by paramyxovoridae

sSRNA enveloped virus

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5
Q

Why is one of the most contagious disease ever discovered

A

Measles

Can be detected in the air and on fomites in an area where an infected person has coughed up to two hours later

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6
Q

Symptoms of measles

A

Fever watery eyes dry cough etc

White spots in mouth called kopliks spots
Begins on face then spreads
Fever spikes

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7
Q

Complications of measles

A

Ear infections
Diabetes

Pneumonia
Enchaphlitis (swelling of the brain)

Subacute sclerosis from oananchalitis (Dawson’s disease) chronic progressive brain inflammation

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8
Q

Measles numbers after vaccination

A

From 200,000 cases 1963 to about 200 in 2002

Current day: 23 separate outbreaks. Why?

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9
Q

Influenza

A

Second most common virus after rhinovirus
Most major are from GROUP A

cases increasing drastically in morbidity

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10
Q

Influenza is what kind of cell

A

Single stranded RNA virus

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11
Q

Influenza goes from RNA to what

A

sSRNA to mRNA

(No DNA) step unlike HIV

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12
Q

How many genes does influenza have

A

10

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13
Q

How many RNA strands with regions that code for different protiens on each strand for influenza

A

8

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14
Q

What does it mean that influenza has no proofreading enzymes

A

Mistakes approximately made once every 10,000 nucleotide so the degree of mutation is very high

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15
Q

2 major antigens in influence surface

A

Hemagglutinin

Neuraminidase

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16
Q

Hemaggkutinin

A

Binds to host cell receptors for docking (influenza)

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17
Q

Neuraminidase

A

Digests away mucus in surface respiratory cells (influenza)

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18
Q

We name strains of influenza protiens based on what

A

Different forms of hemagglutinin and neuraminidase

19
Q

Antigenic drift

A

Mutations lead to changes in surface antigens because of natural mutation

20
Q

Why would u want a high rate of mutation for an antibody binding site

A

If you can change the structure of site for antibody binding then the body needs to learn all over again how to fight a new structure

21
Q

Antigenic shift

A

Viruses are sloppy, you get mix ups of RNA inside viruses so it’s swapping whole RNA strands (each with 1 or more genes) with other viruses

So you can get human influenza with a duck antigen

22
Q

Antigenic shift consequences

A

Any prior immunity is lost
Vaccines may be in effective
Major flu pandemics start this way (swine flu, bird flu)

23
Q

Influenza vaccine information

A

Vaccine is determined each summer based on observed strains from the year before the strains are prevelanr in other countries

24
Q

How does influenza virus bind and infect

A

Virus binds to ciliates cells lining the respiratory system

Dry cold air disrepute mucus and cell structure underneath, making the respiratory mucosa more susceptibility to viral infection

25
Two previous recent outbreaks due to coronavirus
SARS (2002-2003) ASIA MERS (2012-2019) Saudi Arabia Super her fatality rate even if infections numbers are not super high
26
What kind of cell is coronavirus
Large enveloped RNA virus rhat infect birds and a wide range of mammals including humans Large so it engulfs the cell Enveloped so it doesnt survive well outside of body (dries out) RNA so it has a higher probability to infect new host species because of it exceptionally shorter generation time and faster revolutionary rate
27
What is SARS
severe acute respiratory syndrome Caused by a coronavirus Enveloped
28
SARS pandemic season
Flu season like winter (when people are more vulnerable)
29
First SARS patient
45 year old man in China
30
International outbreak of SARS
Medical doctor brought it to hotel of dozens of people By the end of that month 156 patient had SARS
31
What does SARS do in the body
In addition to flu like symptoms, it causes muscle pain, labored breathing,
32
Where does SARS 1 come from
Palm civets
33
Primary method of transmission for SARS 1
Respiratory droplets Some limited evidence of fomite transfer Small number from sewage transport
34
Method of SARS
virus enters the body through the respiratory tract Infects the epithelial cells of the airway and lungs by binding to the ACE 2 receptor and entering the cytoplasm of the cell Pneumonia results leading to inflammation alveolar collapse recruitment of macrophages and formation of syncytia As it proliferate the virus also affects immune cells and can be carried immune organs including the spleen lymph nodes and other lymphoid tissue
35
MERS
Middle East respiratory syndrome Single stranded RNA viruses Enveloped
36
Clinical features of MERS
rapidly progress and leads more to organ failure
37
Mkre white color in lung images
More collapsed alveoli
38
Transmission of MERS
camels to humans direct or indirect contact Possibly came from Bats
39
Mechanism of MERS
Used DPP4 which is common amongst a wide range of organisms Pneumonia results leading to inflammation, alveolar collapse, recruitment of macrophages and neutrophils
40
How to be eligible for SARS and MERS testing
Exposure to infection as well as symptoms
41
Tests for SARS and MERS
Antibody tests Nucleic acid tests Lymphocyte count can help predict patient outcomes
42
Steps of outbreak containment
``` Public alert issued on personal protection. Addition of SARS as notable disease Suspension of schools Limitation on travel Isolation of residents Home quarantining Body temp checks ```
43
How does SARS covid 2 infect a cell
1. Virus enters through nasal passages 2. The spike protein attaches to cell receptors —angiotensin converting enzyme 2 (ACE2) 3. Viral membrane fuses with the cell membrane 4. RNA genome is released into the cell 5. Cell replicates virus using its RNA genome
44
What are the differences between DNA and RNA viruses
Do you know viruses are mostly double stranded while RNA bars are single-stranded. RNA mutation rate is higher than the DNA mutation rate. DNA replication takes place in the nucleus well RNA replication takes place in the cytoplasm. DNA viruses are stable while our new viruses are unstable