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Immunology Study Questions Part C
Infectious Diseases
110
Biology
Undergraduate 4
09/10/2015

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Term
What is the final dilution when 0.5 mL of serum is added to 1.5 mL sterile saline?
Definition
25% / 1:4
Term
1.0 mL of dH2O is placed into each of 4 tubes. 1.0 mL of sample is added to the first tube. The tube is mixed and 1.0 mL serially diluted throughout the remaining tubes. What is the final dilution in Tube 1?
Definition
50% / 1:2
Term
1.0 mL of dH2O is placed into each of 4 tubes. 1.0 mL of sample is added to the first tube. The tube is mixed and 1.0 mL serially diluted throughout the remaining tubes. What is the final dilution in Tube 2?
Definition
25% / 1:4
Term
1.0 mL of dH2O is placed into each of 4 tubes. 1.0 mL of sample is added to the first tube. The tube is mixed and 1.0 mL serially diluted throughout the remaining tubes. What is the final dilution in Tube 3?
Definition
12.5% / 1:8
Term
1.0 mL of dH2O is placed into each of 4 tubes. 1.0 mL of sample is added to the first tube. The tube is mixed and 1.0 mL serially diluted throughout the remaining tubes. What is the final dilution in Tube 4?
Definition
6.25% / 1:16
Term
With respect to syphilis serology:
What is the principle of the nontreponemal tests?
Definition
Nonspecific tests that detect anticardiolipin ABY (reagin)
Term
With respect to syphilis serology:
Name 2 nonteponemal tests
Definition
VDRL
RPR
Term
With respect to syphilis serology:
Define the term "biological false positive"
Definition
Reactive test due to a reason other than syphilis
Term
With respect to syphilis serology:
What are 2 examples of "biological false positive"
Definition
Autoimmune diseases (SLE), pregnancy, infectious diseases (TB, HIV)
Term
With respect to syphilis serology:
What is the principle of the treponemal tests?
Definition
Detect specific treponema pallidum ABYs
Term
With respect to syphilis serology:
Name 2 Treponemal tests
Definition
FTA-ABS
Serodia TP-PA
Term
With respect to syphilis serology:
What test is appropriate for testing cerebrospinal fluid?
Definition
VDRL
Term
With respect to tularemia and Brucella ABY tests:
What is the principle of these tests?
Definition
Bacterial Agglutination;
ABY + Bacterial cells --> Agglutination
Term
With respect to tularemia and Brucella ABY tests:
When is the slide test used?
Definition
Screen for ABYs
(Rapid)
Term
With respect to tularemia and Brucella ABY tests:
When is the tube test used?
Definition
Confirm Positive Slide Tests
(24-48 hours incubation)
Term
With respect to tularemia and Brucella ABY tests:
Since tularemia and Brucella ABYs can cross-react, how can these ABYs be distinguished?
Definition
Test each patient's serum against both AGNs. Higher titer will be seen with homologous AGNs.
Term
What is a four-fold rise in titer? What is its significance?
Definition
2 Tube difference between acute & convalescent sera indicates current infection
Term
Given the MO, name the disease:
Rickettsia rickettsia
Definition
Rocky Mountain Spotted Fever
Term
Given the MO, name the disease:
Ehrlichia chaffeensis
Definition
Human Monocytic ehrlichiosis
Term
Given the MO, name the disease:
Anaplasma phagocytophilum
Definition
Human Granulocytic Anaplasmosis
Term
Given the MO, name the disease:
Coxiella burnetii
Definition
Q Fever
Term
Given the MO, name the means by which it is diagnosed:
Rickettsia rickettsia
Definition
LA, IFA/EIA, DFA for RMSF AGN in skin
Term
Given the MO, name the means by which it is diagnosed:
Ehrlichia chaffeensis
Definition
PCR
Term
Given the MO, name the means by which it is diagnosed:
Anaplasma phagocytophilum
Definition
PCR
Term
Given the MO, name the means by which it is diagnosed:
Coxiella burnetii
Definition
Serology
Term
Which immunoglobulin class can cross the placenta?
Definition
IgG
Term
What is the clinical significance of IgM antibody specific for a given MO?
Definition
Indicates current/recent infection
Term
What is the significance of a declining antibody titer in a baby that is a few months old?
Definition
Baby acquired that specific ABY from mother through placenta. The level of that ABY declines as the baby clears the mother's ABYs.
Term
With respect to the Epstein-Barr Virus (EBV):
What disease does this MO cause?
Definition
Infectious Mononucleosis
Term
With respect to the Epstein-Barr Virus (EBV):
What nonspecific ABYs are usually produced during this disease?
Definition
Heterophile ABYs
Term
With respect to the Epstein-Barr Virus (EBV):
What laboratory tests detect these nonspecific ABY tests?
Definition
Paul-Bunnel (Monospot commercial version)
David Sohn Differential
Term
With respect to the Epstein-Barr Virus (EBV):
What "classic cells" are observed in blood smears when individuals have an acute infection?
Definition
Atypical lymphocytes
Term
With respect to the Epstein-Barr Virus (EBV):
Name 2 specific EBV tests
Definition
Anti-viral capsid AGN
Anti-Epstein-Barr
Term
With respect to the Epstein-Barr Virus (EBV):
When should the specific EBV ABY test be performed?
Definition
When monospot test is Negative & patient has clinical and hematological evidence
Term
With respect to the Weil-Felix test:
What is the principle of the test?
Definition
Individuals with certain rickettsial infections produce IgM ABYs that agglutinate certain proteus Ox AGNs
Term
With respect to the Weil-Felix test:
Is this test sensitive and/or specific?
Definition
No, it is neither sensitive nor specific
Term
What is the principle of the streptozyme test?
Definition
RBCs coated with several different streptococcal AGNs including streptolysin O, DNAse B, Streptokinase, hyaluronidase, and NADase. If ABY present in test serum, RBCs Agglutinate.
Term
What is the principle of the anti-streptolysin O (ASO) test?
Definition
Patient's sample is serially diluted. Streptolysin O is added to serum. If ABYs to SLO are present, SLO is inactivated. RBCs added to test system to determine if SLO ABYs are present. RBCs do NOT lyse if SLO ABYs are present. Hemolysis indicates ABY is NOT present (or that it has been diluted out).
Term
True or False:
RBCs do NOT lyse if SLO ABYs are present
Definition
True
Term
True or False:
RBCs lyse if SLO ABYs are present
Definition
False
Term
True or False:
In the anti-streptolysin O (ASO) test, Hemolysis indicates that the ABY is NOT present (or that it has been diluted out)
Definition
True
Term
True or False:
In the anti-streptolysin O (ASO) test, NO Hemolysis indicates that the ABY is NOT present (or that it has been diluted out)
Definition
False
Term
True or False:
In the anti-streptolysin O (ASO) test, Hemolysis indicates that the ABY is present (or that it has been diluted out)
Definition
False
Term
Cold agglutinins are associated with infections caused by which organisms? (Name 2)
Definition
Mycoplasma pneumonia
EBV
Term
With respect to Human Immunodeficiency Virus:
What is the primary test used to screen for HIV ABYs? (Name 2)
Definition
ELISA
Latex Agglutination
Term
With respect to Human Immunodeficiency Virus:
Which test is typically used to confirm the presence of HIB ABYs?
Definition
Western Blot
--Immunofluorescent test is also available
Term
With respect to Hepatitis B virus:
What marker indicates an individual is highly infectious?
Definition
HBeAg
Term
With respect to Hepatitis B virus:
What marker is present when an individual has an immune response AFTER receiving the Hepatitis B virus vaccine?
Definition
ABY to HBsAg
Term
What are cytopathic effect (CPE) changes?
Definition
Physical change in appearance of cells (cell culture) after incubation period
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Dark Red Background:
[image]
[image]
Definition
Acute HAV Infection
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Bright Red Background:
[image]
[image]
Definition
Prior HAV Infection
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Gold Background:
[image]
[image]
Definition
HCV Infection
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Yellow Background:
[image]
[image]
Definition
Acute HBV Infection
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Light Green Background:
[image]
[image]
Definition
HBV Recovery
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Dark Green Background:
[image]
[image]
Definition
Chronic HBV Carrier
Term
For each of the following hepatitis serology profiles, name the disease and its stage that have a Blue Background:
[image]
[image]
Definition
HBV & HDV Co-infection
Term
Given the Virus, Name the Disease Associated with it:
Rotavirus
Definition
Diarrhea in Infants
Term
Given the Virus, Name the Mode of Transmission:
Rotavirus
Definition
Fecal-Oral
Term
Given the Virus, Name the Means by which it is often diagnosed:
Rotavirus
Definition
EIA
Latex Agglutination
Term
Given the Virus, Name the Disease Associated with it:
Influenza A&B
Definition
Influenza
Term
Given the Virus, Name the Mode of Transmission:
Influenza A&B
Definition
Respiratory
Term
Given the Virus, Name the Means by which it is often diagnosed:
Influenza A&B
Definition
Best Specimen: Nasopharyngeal
-Cultures
-AGN Detection
-Serology (usually for epidemiologic purposes)
Term
What does a Drift indicate?
Definition
Minor change in H or N
Term
What does a Shift indicate?
Definition
Major change in H or N
Term
Given the Virus, Name the Disease Associated with it:
Respiratory Syncytial Virus (RSV)
Definition
Respiratory Tract Infections
Term
Given the Virus, Name the Mode of Transmission:
Respiratory Syncytial Virus (RSV)
Definition
Droplets & Fomites
Term
Given the Virus, Name the Means by which it is often diagnosed:
Respiratory Syncytial Virus (RSV)
Definition
-Culture in specialty labs
-Serology
Term
What Virus is the most common cause of lower respiratory infections in young children?
Definition
Respiratory Syncytial Virus (RSV)
Term
True or False:
RSV is the most common cause of lower respiratory infections in young children
Definition
True
Term
Given the Virus, Name the Disease Associated with it:
Rubella
Definition
German Measles
3 Day Measles
Term
Given the Virus, Name the Mode of Transmission:
Rubella
Definition
Respiratory
Term
Given the Virus, Name the Means by which it is often diagnosed:
Rubella
Definition
Serology
Term
Given the Virus, Name the Disease Associated with it:
Encephalitis virus - West Nile
Definition
Encephalitis
(Flu-Like Symptoms)
Term
Given the Virus, Name the Mode of Transmission:
Encephalitis virus - West Nile
Definition
Arthropods - Mosquitoes
Term
Given the Virus, Name the Means by which it is often diagnosed:
Encephalitis virus - West Nile
Definition
-Culture in Specialty
-Serology
Term
Given the Virus, Name the Disease Associated with it:
Herpes Simplex (HSV 1 & 2)
Definition
Recurrent Vesicular Lesions
Blisters - Fever, Genital, Whitlow, Neonatal
Term
Given the Virus, Name the Mode of Transmission:
Herpes Simplex (HSV 1 & 2)
Definition
Close Contact
Term
Given the Virus, Name the Means by which it is often diagnosed:
Herpes Simplex (HSV 1 & 2)
Definition
-Culture
-IFA (skin)
-Serology (to determine prior infection)
-Tzanch Prep
-PCR (CNS infections)
Term
What type of cell morphology is associated with Herpes Simplex (HSV 1 & 2)
Definition
Multinucleated Giant Cells
Term
Given the Virus, Name the Disease Associated with it:
Cytomegalovirus (CMV)
Definition
Usually asymptomatic.
Mononucleosis-like can disseminate & be severe in newborns and immunocompromised
Term
Given the Virus, Name the Mode of Transmission:
Cytomegalovirus (CMV)
Definition
Via Body Fluids, Sexual Contact, & Perinatally
Term
Given the Virus, Name the Means by which it is often diagnosed:
Cytomegalovirus (CMV)
Definition
-Culture
-Immunofluorescent in Tissue
Term
With the Cytomegalovirus, problems can often be seen in what type of patients?
Definition
Immunocompromised, especially transplant patients
Term
Given the Virus, Name the Disease Associated with it:
Epstein-Barr Virus
Definition
Infectious Mononucleosis
Term
Given the Virus, Name the Mode of Transmission:
Epstein-Barr Virus
Definition
Salivary Contact
Term
Given the Virus, Name the Means by which it is often diagnosed:
Epstein-Barr Virus
Definition
Heterophile ABY
Specific ABY
Term
True or False:
Most adults are POSITIVE for Epstein-Barr Virus
Definition
True
Term
True or False:
Most adults are NEGATIVE for Epstein-Barr Virus
Definition
False
Term
Given the Virus, Name the Disease Associated with it:
Human Papilloma Virus
Definition
Warts
-common & plantar
-genital (condylmata acuminate)
Term
Given the Virus, Name the Mode of Transmission:
Human Papilloma Virus
Definition
Some Types are Sexually Transmitted
Term
Given the Virus, Name the Means by which it is often diagnosed:
Human Papilloma Virus
Definition
Pap Smears / Biopsy
DNA Probes
Term
True or False:
Some types of HPV are associated with cervical cancer
Definition
True
Term
Given the Virus, Name the Disease Associated with it:
Hepatitis A
Definition
"Infectious"
NO Chronic Disease
Term
Given the Virus, Name the Mode of Transmission:
Hepatitis A
Definition
Fecal-Oral
Term
Given the Virus, Name the Means by which it is often diagnosed:
Hepatitis A
Definition
Serology
Term
Given the Virus, Name the Disease Associated with it:
Hepatitis B
Definition
"Serum"
Chronic Disease CAN Occur
Term
Given the Virus, Name the Mode of Transmission:
Hepatitis B
Definition
Parenteral
Sexual
Perinatal
Term
Given the Virus, Name the Means by which it is often diagnosed:
Hepatitis B
Definition
Serology
Term
Given the Virus, Name the Disease Associated with it:
Hepatitis C
Definition
Chronic Disease Common
Term
Given the Virus, Name the Mode of Transmission:
Hepatitis C
Definition
Parenteral
Sexual
Perinatal
Term
Given the Virus, Name the Means by which it is often diagnosed:
Hepatitis C
Definition
Serology & PCR
Term
What Virus is an important cause of None A / None B Hepatitis?
Definition
Hepatitis C
Term
Given the Virus, Name the Disease Associated with it:
Hepatitis D
Definition
Fulminant Disease
Term
Given the Virus, Name the Mode of Transmission:
Hepatitis D
Definition
Parenteral
Sexual
Perinatal
Term
Given the Virus, Name the Means by which it is often diagnosed:
Hepatitis D
Definition
Serology
Term
True or False:
Hepatitis D is often seen as a coinfection or superinfection to the Hepatitis B Virus
Definition
True
Term
Given the Virus, Name the Disease Associated with it:
Hepatitis E
Definition
Fulminant Disease in Pregnant Women
Term
Given the Virus, Name the Mode of Transmission:
Hepatitis E
Definition
Fecal-Oral
Term
Given the Virus, Name the Means by which it is often diagnosed:
Hepatitis E
Definition
Serology
Term
Where is Hepatitis E often seen?
Definition
Developing Countries
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