RSV Flashcards

1
Q

What does RSV cause?

A

severe lower respiratory infection, esp in young children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What time of year does RSV infect people?

A

winter and spring, annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is RSV spread?

A

large droplets; can live on surfaces for 1 hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How many strains of RSV are problematic?

A

2- A and B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

RSV is the most common cause of _____.

A

bronchiolitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Does pre-existing immunity protect someone from RSV?

A

no- it rapidly evolves like influenza

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

RSV is a _____, _____ virus.

A

ss, non-segmented RNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 2 subtypes of RSV? Which is more severe? What are the 2 proteins to know?

A

A and B; A causes a worse disease and is more prevalent; F protein (fusion) and G protein (binding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does F protein do?

A

fusion of viral envelope, membranes, causes synctia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does G protein do?

A

allows initial binding of virus to the host cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does RSV invade?

A

the conjunctiva/nasopharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the incubation period for RSV?

A

3-5 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the clinical signs/symptoms of RSV?

A

respiratory distress, wheezing/rhonchi, hypoxia, copious secretions, mucous plugging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens in the airway with RSV?

A

constriction of smooth muscle in the bronchioles, Get edema/inflammation, ventilation/perfusion mismatch, hyperexpansion, mucous plugging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you test for RSV?

A

cell culture, direct antigen detection, nucleic acid/genome PCR (best)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Having RSV as a child may predispose the adult to?

A

wheezing

17
Q

What was the problem with the RSV vaccine?

A

didn’t confer protective immunity and children who received it actually got worse disease; showed risk of priming for infections

18
Q

What is the RSV prophylaxis?

A

Palivizumab (Respigam) or Palavisumab (Synagis), pooled Abs; decreases severity and hospitilizations

19
Q

Who receives RSV prophylactic treatment?

A

children in high risk groups