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Micro Exam 2: Human Papilloma Virus and Gastroenteritis
NA
42
Microbiology
Undergraduate 2
11/02/2012

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Cards

Term
HPV structure?
Shape, envelope, strand, D/R.
Definition
Naked, icosahedral, Circular, Double stranded DNA.
Term
Types of HPV infections: skin to skin.
Caused by virus numbers?
Definition
1,2,3
Term
Skin to skin HPV causes?
Definition
Plantar warts, common warts.
Term
Mucosal HPV Low risk, virus types?
Definition
HPV 6 and 11.
Term
Low Risk Mucosal HPV associated with?
Definition
Genital warts.
Term
HPV high risk, virus types?
Definition
16, 18.
Term
HPV high risk associated with?
Definition
Invasive cancers.
Term
Why do some strains of HPV cause cancer?
Definition
High risk(16 and 18) episomes (DNA inclusions) are opened and inserted into the genome. Where they are cut disrupts a gene that controls how rapidly the DNA is transcribed. Makes huge amounts of protein and causes instability of the DNA within the cell.
Term
Do many people become HPV positive?
Definition
Levels increase dramatically with sex and number of partners.
Term
Do condoms protect from HPV?
Definition
Nope. They do not. Travels through the moisture.
Term
DO most people know they are infected?
Definition
Only 1% present with warts, many more present with subclinical cytology and the greatest portion of people have no clinical symptoms put have positive PCR or Antibody.
Term
How long does it take on average to develop precursors or invasive cancer?
Definition
10 years.
Term
HPV causes what percent of Cervical cancers? Anal cancers?
Definition
100%. 90%.
Term
Can you grow the virus?
Definition
Virus is difficult to grow outside of a cell.
Term
Vaccine Production
Definition
Isolate DNA of naturally occurring HPV and then clone and insert into yeast to make viral proteins, which form a capsule. The empty capsid is used as the vaccine, body generates antibodies against the capsule.
Term
HPV vaccine forms
Definition
16 and 18, and 16, 18 and 11 ,6. Produces a humoral immune response. 3 doses.
Term
Efficacy of HPV 16/18 against mod/severe changes?
Definition
100%
Term
Efficacy of HPV 6/11/16/18 vaccine against genital warts?
Definition
99%
Term
HPV vaccine is recommended for who?
Definition
Females between 9-26. Boys. Can be administered to persons who are immunosupressed. Not recommended for use in pregnancy.
Term
What is the cause of 3/4 of all diarrhoeas?
Definition
Gastroenteritis viruses
Term
Second most common viral illness after upper respiratory tract infections?
Definition
Gastroenteritis
Term
How are enteric viruses spread?
Definition
Poor hygiene and poor sanitation.
Fecal oral, contaminated water supplies, food, fomites.
Term
Types of Gastroenteritis viruses?
Definition
Rotavirus*
Noroviruses*
Adenoviruses*
Astrovirus
*= diarrhea causing
Term
Explain Pathogenesis of gastroenteric viruses.
Definition
Viruses replicate in the mucosal cells of small intestine, damaging transport mechanisms, resulting in greater loss of fluids and electrolytes.
Little inflammation and diarrhea is non-bloody.
Term
Gastroenteritis incubation times?
Definition
Short (12-24 hours).
Term
Gastroenteritis symptom length?
Definition
Don't last long, (24-48 hours)
Term
In children this symptom is more common for Gastroenteritis virus?
Definition
Vomiting
Term
In adults, what is the most common symptom for Gastroenteritis virus?
Definition
Diarrhea
Term
How long are you contagious?
Definition
Viral shedding may occur asymptomatically for weeks.
Term
Is Gastroenteritis fatal?
Definition
Only in developing countries
Term
Dx of Gastroenteritis?
Definition
Antigen in stool(Rota virus), PCR nucleic acid detection(norovirus).
Term
Therapy for viral Gastroenteritis?
Definition
No antivirals available. Focus on rehydration, and symptom relief(peptobismol).
Term
Rota virus structure? Strand/enveloped/DorR.
Definition
Naked, double stranded RNA virus.
Term
Where did rotavirus get their name?
Definition
Look like a wheel under EM?
Term
Symptoms of rotavirus?
Definition
May be asymptomatic. can cause mortality in approx. 30% malnourished children.
Term
Rotavirus capacity to cause outbreak?
Definition
Usually endemic (localized).
Term
4 things to know about Rotavirus?
Definition
1. Primarily in children 2. Seasonal 3. Rota vaccine not publicly funded 4. Looks like a wheel
Term
Norovirus structure? Strand/D or R.
Definition
Small RNA virus.
Term
Noroviruses - aka Winter vomiting disease. Commonly found where?
Definition
Cruise ships, hospitals, nursing homes, daycares. If there is an outbreak of diarrhea, there is 90% it is noroviruses.
Term
Norovirus causes outbreaks most commonly in which age range?
Definition
Adults more than children.
Term
Norovirus - how infectious is it?
Definition
VERY INFECTIOUS. Only 10 viruses can cause disease?
Term
You can have recurring Norovirus infections why?
Definition
We don't develop antibodies to it.
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