Virology Flashcards

1
Q

single stranded non-enveloped linear DNA

A

parvovirus
B19 - ‘slapped cheek’, sickle cell crisis

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1
Q

double stranded linear DNA virus’s

A

herpes virus
poxvirus
adenovirus

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2
Q

double stranded circular DNA virus’s

A

hepadnavirus (herpes)
papilloma virus
polyomavirus (JC virus, BK virus)

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3
Q

structure of herpes virus

A

double stranded enveloped linear virus

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4
Q

Causative virus + structure - fever for days then develops rash which starts on the trunk then spreads. occurs in children < 2 years. Can progress to seizure.

A

HHV - 6&7
roseola infantum
double stranded enveloped linear DNA virus

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5
Q

virus & its structure which causees genital herpes

A

HSV-2
double stranded enveloped linear DNA virus

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6
Q

virus and its structure which causes herpes labialise (cold sores), gingiovostomatitis and keratoconjunctivitis

A

HSV-1
double stranded linear enveloped DNA virus

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7
Q

what herpes virus can cause temporal lobe encephalitis

A

HSV-1

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8
Q

what receptor does CMV use

A

integrins (hepran sulphate)

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9
Q

what receptor does EBV use

A

CD 21

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10
Q

what receptor does parvovirus B19 use

A

P antigen on RBC’s

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11
Q

what receptor does rabies use

A

nictonic AChR

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12
Q

what receptor does rhinovirus use

A

ICAM-1
(I came to see the rhino)

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13
Q

what receptor does SARS-COV2 use

A

ACE2

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14
Q

what receptor does HIV use

A

CD4, CXCR4, CCR5

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15
Q

where do RNA viruses replicate

A

all replicate in the cytoplasm except retrovirus and influenza

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16
Q

what are the flaviviruses and their structure

A

single stranded, enveloped, linear RNA virus
dengue, yellow fever west nile virus, HCV, zika virus

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17
Q

what are the paramyxoviruses and their structure

A

PaRaMyxovirus
parainfluenza - croup
RSV - bronchiolitis
measles, mumps

single stranded, non-linear, enveloped RNA

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18
Q

structure of rotavirus

A

double stranded, linear, multisegmented, non-enveloped RNA virus

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19
Q

structure of influenza virus

A

single stranded, enveloped, non-linear RNA virus

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20
Q

what is responsible for genetic change in influenza viruses

A

genetic shift and drift

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21
Q

prophylactic treatment against paramyxoviruses in premature infants

A

palivizumab

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22
Q

high fever, maculopapular rash, lymphadenopathy, joint swelling, arthralgia

A

chikungunya virus (togavirus)
single stranded, enveloped, linear RNA

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23
Q

fever, rash, headache, myalgia, arthralgia, peri-orbital pain, neutropenia. can progress to circulatory collapse.

A

dengue fever (flavivirus)
single stranded, enveloped, linear RNA

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24
Q

high fever, black vomit, jaundice, haemorrhage, backache

A

yellow fever
single stranded, enveloped, linear RNA

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25
Q

councilman bodies on liver biopsy

A

yellow fever

26
Q

transmission of yellow fever and zika virus

A

both from aedes mosquito

27
Q

conjunctivitis, low grade pyrexia, itchy rash, progression to guillian-barre syndrome

A

zika virus
single stranded, enveloped, linear RNA

28
Q

bullet shaped virus
negri bodies in perkunji cells of cerebellum and hippocampal neurones

A

rabies virus

29
Q

ebola virus structure

A

filovirus
single stranded, non-linear, enveloped RNA virus

30
Q

abrupt onset flu like symptoms, diarrhoea, fever and myalgia. progression to DIC, haemorrhage and shock

A

ebola virus
single stranded, enveloped, non-linear RNA

31
Q

strcuture of covid-19

A

single stranded linear RNA virus

32
Q

HIV test to monitor response to treatment and transmittability

A

viral load tests (PT-PCR)

33
Q

HIV test to detect HIV virology in antibody negative patients

34
Q

when is HIV diagnosed as AIDS

A

CD4 count < 200 or HIV with aids defining illnesses

35
Q

test of choice for suspected HIV in babies

A

HIV viral load test (PT-PCR)

36
Q

virus responsible for hairy leukoplakia

37
Q

unscrapable plaque on lateral tongue

A

oral hairy leukoplakia

38
Q

AIDS defining illness and CD4 count you would expect this condition;
Non-enhancing areas of demyelination on MRI

A

JC virus - progressive multifocal leukoencephalopathy
CD4 < 200

39
Q

AIDS defining illness and CD4 count you would expect this condition;
acid-fast oocytes in stool

A

cryptosporidium spp.
causes chronic watery diarrhoea
CD4 < 100

40
Q

AIDS defining illness and CD4 count you would expect this condition;
ring enhancing solitary mass on MRI

A

CNS lymphoma (EBV)
CD4 < 100

41
Q

AIDS defining illness and CD4 count you would expect this condition;
multiple ring enhancing lesions on MRI

A

toxoplasma gondii = brain abscesses
CD4 < 100

42
Q

List the 3 prion diseases

A

creutzfeldt-jakob disease - sporadic
bovine spongiform encephalopathy - ‘mad cow disease’
kuru - tribes practising human canabolism

43
Q

AIDS defining illness and CD4 count you would expect this condition;
encapsulated yeast on india ink stain or capsular antigen positive

A

cryptococcus neoformans = meningitis

44
Q

bacillary angiomatosis vs kaposki sarcoma

A

both found in HIV and immunocompromised individuals
kapsoki will show predominantly lymphocytic infiltrates whereas kapsoski will show neutrophil infiltrates

45
Q

what viral infections are associated with intranuclear eosinophillic Cowdry A inclusions

A

HSV1, HSV2, VZV,

46
Q

ground glass appearance on liver biopsy

A

chronic hep B infection

47
Q

structure of papiloma virus

A

souble stranded, non-enveloped, non-linear DNA

48
Q

causative organisms - oval-shaped vesciles on palms, soles and oral mucosa

A

hand foot and mouth disease
coxsachievirus type A
single stranded, non-enveloped, linear RNA

49
Q

causative organism - sand paper like rash, circumoral pallor, lymphadenopathy, strawberry red tongue

A

scarlet fever - group A strep (strep pyogenes)

50
Q

virus responsible for genital warts

A

HPV 6 and 11

51
Q

rash begins at head and moves down with postauricular, posteiror cervical and suboccipital lymphadenopathy, polyarthritis, unvaccinated

52
Q

features of congenital rubella

A

EYES, EARS, HEART
cataract
deafness
+/- blueberry rash
heart disease (PDA)

53
Q

norovirus structure

A

leading cause gastroeneteritis in children
single stranded, non-enveloped, linear RNA

54
Q

norovirus vs rotavirus structure

A

rotavirus double stranded
noravirus single stranded

rotavirus = double stranded, non-enveloped linear RNA
noravirus = single stranded, nonenveloped, linear RNA

55
Q

features of hepatitis E

A

fulminant hepatitis if in pregnancy - diarrhoea, abdo pain, jaundice
will show hepatic tissue necrosis on biopsy

56
Q

genomic structure of hepatitis A, B and E

A

single stranded, linear, non-enveloped RNA

57
Q

hantavirus features

A

deer mouse is resevoir
GI upset, fever, cough, myalgia then preogression to capillary leak syndrome = pulmonary oedema
south and southewstern state of US

58
Q

mechanism by which hepatitis C is able to develop chronic infection

A

high antigenetic variability due to to error prone RNA polymerase

59
Q

mechanism by which measles can cause encephalitis

A

autoimmune mediated demyelination due to molecular mimicry
(part of paramyxovirus - single stranded, linear, enveloped, negative sense RNA virus)

60
Q

kapsokis sarcoma is derived from what cell type

A

vascular endothelial cells

61
Q

what cells of the brain are affected in HIV encephalitis

A

microglia
HIV fuse with microglia which then fuse to form multinucleated giant cells

62
Q

HIV patient presenting with subacute onset of cognitive decline and CSF shows high HIV viral load

A

HIV encephalitis