upper respiratory tract infections Flashcards

1
Q

how are infections transmitted in the respiratory tract

A
  • respiratory secretions
  • inhalation of drops or aerosols
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2
Q

what are the characteristics of a lower respiratory infection

A
  • last longer
  • can be more serious
  • more difficult to treat
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3
Q

where do upper respiratory tract infections occur

A
  • nose and throat
  • middle ear
  • auditory tubes
  • ducts from the sinuses
  • lacrimal canals
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3
Q

what pathogens infect the nares

A

Staphylococcus epidermidis
Corynebacteria
Staphylococcus aureus

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4
Q

what pathogens infect the nasopharynx

A

Streptococcus pneumoniae
Haemophilus influenzae
Neisseria meningitidis

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5
Q

what are the respiratory defence mechanisms

A
  • filtration of air
  • muco-cillary clearance system
  • cough reflex
  • reflex broncho- constriction
  • alveolar macrophages
  • antimicrobial peptide
  • inflammatory cells
  • adaptive immune response
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6
Q

what is the nasopharynx defence mechanisms

A
  • nasal hair
  • turbinates
  • muccocillary apparatus
  • IgA secretion
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7
Q

what is the oropharynx defence mechanism

A
  • saliva
  • sloughing of epithelium
  • local complement production
  • interference from resident flora
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8
Q

what are professional invaders

A

successfully infect the respiratory tract of healthy individuals

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9
Q

what are secondary invaders

A

only cause disease when host defence are already impaired

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10
Q

what respiratory tract infections are restricted to the surface of the epithelium

A
  • pharyngitis
  • common cold
  • influenza
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11
Q

what respiratory tract infections spread to other parts of the body

A
  • measles
  • mumps
  • rubella
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12
Q

how is pharyngitis caused

A
  • encounter submucosal lymphoid tissue that form defensive ring around oropharynx
  • sore throat due to muscosa infection or inflammatory and immune response
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13
Q

what causes pharyngitis

A
  • common cold
  • influenza
  • Epstein barr virus - glandular fever
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14
Q

what are causes of a sore throat

A
  • laryngitis
  • tonsilitis
  • strep throat
  • glandular fever
  • candida - thrush
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15
Q

what are complications of bacterial pharyngitis

A
  • rheumatic fever
  • poststreptococcsal glomerulonephritis
  • peritonsillar abscess
16
Q

how does the common cold cause infection

A
  • transmission by aerosol
  • surface molecule allow attachment to host cells or to cilia
  • not washed away - initiates disease
17
Q

what are the symptoms of rhinovirus

A
  • viral respiratory illness
  • wheezing
  • increased risk of asthma
18
Q

what are the symptoms of influenza

A
  • sore throat
  • chills
  • headache
  • fatigue
  • muscle pains
19
Q

how is influenza spread

A

airborne transmission

20
Q

what are the complications of influenza

A

viral or bacterial pneumonia

21
Q

how is measles spread

A
  • highly infectious
  • airborne transmission
22
Q

what are the complications of measles

A
  • ear infection
  • diarrhoea
  • pneumonia
  • encephalitis - deafness
  • respiratory and neurological complications
23
Q

what causes mumps

A

paramyxovirus

24
how is mumps spread
direct contact or airborne droplets
25
what are the symptoms of mumps
- inflation of salivary glands - swelling of jaw and neck
26
what are the complications of mumps
- encephalitis - sensorineural deafness - orchilitis - inflammation of testes
27
how is rubella spread
- placenta leading to fetal abnormalities
27
what is the vaccine for rubella
MMR vaccine
28
how is chicken pox spread
- infectious droplets