Viral Infections Flashcards

1
Q

Characteristics of infectious mononucleosis?

A

Pharyngitis
Generalised lymphadenopathy
Hepatosplenomegaly

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2
Q

Lymphadenitis in EBV infection most commonly affects which lymph nodes?

A

Posterior cervical chain

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3
Q

Most common causes of secondarily infected chickenpox?

A

Group A strep

Staph aureas

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4
Q

Causative agent for Roseola Infantum (Sixth disease)?

A

HHV6 (Human herpes virus type 6)

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5
Q

HHV-8 is strongly associated with what disease process?

A

Kaposi sarcoma

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6
Q

Parvovirus B-19 is the causative agent of which disease process?

A

Erythema infectiosum (slapped cheek, fifth disease)

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7
Q

Disease processes associated with EBV infection include? (10)

A
Stevens Johnson Syndrome
Hepatitis
Herpes
Infectious Mononucleosis (glandular fever)
Alice in Wonderland syndrome
Non-hodgkin's lymphoma
Hodgkin's disease
Post-transplant lymphoproliferative disorder
Nasopharyngeal carcinoma
Herpangina
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8
Q

Incubation period of chickenpox?

A

11 - 21 days

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9
Q

Most common cause of SJS?

A

Herpes simplex virus

Other causes include drugs - sulphonamides, phenytoin, penicillins, EBV infection

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10
Q

What type of virus are the herpes virus family?

A

Encapsulated Double Stranded DNA virus

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11
Q

Which 2 Herpes viruses are associated with malignancy?

A

EBV

HHV8 (Kaposi’s Sarcoma)

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12
Q

Where is the viral reservoir for EBV infection?

A

B cells

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13
Q

Malignant associations with EBV include what? (4)

A

NHL (Burkitt’s + primary cerebal lymphoma)
Hodgkin’s disease
Post transplant lymphoproliferative disease
Nasopharyngeal carcinoma

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14
Q

Which of the hepatitis viruses are RNA viruses?

And which one of the hepatitis viruses is a DNA virus?

A

Hepatitis A, C, D, E are all RNA viruses

Hepatitis B is a DNA virus

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15
Q

EEG findings associated with HSV encephalitis?

A

Periodic lateralised epileptiform discharges

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16
Q

How long is enterovirus secreted for in throat and stool?

A

Throat: 3/42
Stool: 2/12 (!!)

17
Q

Most common causes of bronchiolitis obliterans?

A

adenovirus > Mycoplasma > measles > connective tissue diseases

18
Q
With regard to HBV investigations, what do the following mean?
HBsAg
HBsAb
HBcAg
HBcAb
HBeAg
A

HBsAg: current infection (chronic or acute)
HBsAb: past immunisation
HBcAg: only in infected hepatocytes (don’t think they do this any more)
HBcAb: past infection
HBeAg: highly infectious (marker of HBV replication)

19
Q

Which herpes virus infection is most commonly associated with febrile convulsions?

A

HHV6/7

Causes Roseola infantum + high fever, febrile convulsions in ~15% cases