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what is true about negative sense, single-stranded RNA viruses
require a viral RNA polymerase to be packaged into viral particles
what is the process of internalization during a viral infection called
penetration
what is an enveloped virus composed of
nucleocapsid plus membrane plus glycoproteins
new extracellular infections virus are detected during......
during the assembly phase of viral infection
what are the microscopic or macroscopic degenerative changes or abnormalities in host cells and tissues due to viral replication called?
cytopathic effects (CPEs)
which virus genome is directly translated into proteins upon entry into a cell
poliovirus
what is the agent of herpangina, which includes vesicles and ulcers on the tonsils and palate?
coxsackievirus
what is the receptor for most rhinoviruses?
ICAM-1
the agent of Middle East respiratory syndrome (MERS) is
a coronavirus
what virus with a positive sense RNA genome that can be directly translated in protein also requires a second phase of translation to produce several smaller mRNAs transcribed form a negative sense copy of the RNA genome
coronavirus
what flavivirus is transmitted by mosquitos form person-to-person and from monkeys-to-humans and causes jaundice in severe cases
yellow fever virus
what are kopek's spots
lesions of the oral cavity associated with measles
subacute sclerosis panenecephalitis is associated with a relative of which virus
measles
bronchitis in children is caused by
respiratory syncytial virus
post-exposure vaccination is recommended for an infection by which virus?
rabies
what virus is characterized by cytoplasmic masses of nucleocapsids in brain tissue during the late stages of an infection
rabies virus
which of the following is not true of the influenza virus hemagglutinin protein?
a. acts to promote fusion of influenza virus and cellular membranes
b. is the target of neutralizing antibodies elicited by the flu vaccine
c. cleaves sialic acid to promote influenza virus release
d. promotes aggregation of red blood cells
c. cleaves sialic acid to promote influenza virus release
antigenic shifts in influenza viruses are caused by
random packaging of single stranded RNA genome segments during a coinfection with two types of influenza viruses
how could the adenovirus E1b protein play a role in carcinogenesis
binds p53 and prevents p21 activation in response to DNA damage
what are the characteristics of adenovirus
double-strand DNA genome, naked capsid
conjunctivitis can be caused by
adenovirus
which viruses are present in the greatest proportion of advanced periodontal lesions
cytomegalovirus and Epstein-Barr virus
which drug blocks release of influenza A virus form an infected cell
tamiflu
an adjuvant is used to
boost the immunogenicity of a killed (inactivated) virus vaccine
passive immunity is used for all of the following excerpt:
a. to prevent disease after a known exposure
b. to ameliorate the symptoms of an ongoing disease
c. to protect immunodeficient individuals
d. to elicit production of secretory antibodies
e. to block the action of bacterial toxins
d. to elicit production of secretory antibodies
what refers to the drop in viral titers that occurs in cell culture due to penetration of virus into host cells
viral eclipse
what is a naked capsid virus composed of?
only viral genome + structural proteins surrounding/coating genome + other proteins (depending on virus)
what is true about some small positive sense, single-stranded RNA viruses, like hepatitis A virus
can directly translate viral RNA upon entry into a new host cell
what process is required for a viral infection to proceed once the viral nucleocapsid gains entry into a cell
uncoating
which class of virus includes viruses with large genomes that proceed through three phases of viral gene expression (transcription/translation) during infection
double stranded DNA viruses
for which RNA virus, initially encountered in the gastrointestinal tract, is a vaccine not available?
a. norovirus
b. adenovirus
c. hepatitis A virus
d. poliovirus
a. norovirus
which viral agent of gastroenteritis has a single-stranded RNA genome and undergoes two phases of translation like coronavirus
norovirus
what is true about the role pigs play in major periodic changes in influenza viruses
pigs can be inflected by influenza virus from birds and humans as well as other pigs
antigenic drift in influenza is caused by
point mutations that occur during viral genome replication
which of the following is not true of the influenza virus neuraminidase protein?
a. acts to promote fusion of influenza virus and cellular membranes
b. is not the target of neutralizing antibodies elicited by the flu vaccine
c. cleaves sialic acid to promote influenza virus release
d. does not promote aggregation of red blood cells
a. acts to promote fusion of influenza virus and cellular membranes
what best describes the range of treatment strategies for preventing rabies
preexposure vaccination OR post exposure passive immunization plus post exposure vaccination
what paramyxovirus is limited to replication in the region of initial contact and does not demonstrate significant spread to other sites by viremia
respiratory syncytial virus
what is true about measles virus
infections by the measles virus are limited in the United States because of widespread vaccination
members of what minus-stranded RNA virus family are characterized by helical necleocapsid and their ability to induce syncytia during infection
paramyxoviruses
what naked capsid viruses can cause an aseptic meningitis OR vesicles/ulsers on the tonsils and palate OR pleurodynia, depending on the subtype
coxsackievirus
which naked capsid, positive stranded RNA virus is acid-sensitive and replicates optimally at 33 degrees C, confining it to the upper respiratory tract
rhinovirus
what virus is transmitted by anopheles mosquitoes from person-to-person and causes more severe disease to individuals that have partial immunity from a prior exposure to the virus
dengue fever virus
what is true about Zika virus?
a. it is a toga virus
b. it is transmitted by Anopheles mosquitos
c. it is an enveloped, positive stranded RNA virus
d. humans are dead end hosts for the virus
c. it is an enveloped, positive stranded RNA virus
members of what enveloped, plus stranded RNA virus family can cause an acute respiratory syndrome that is an atypical pneumonia, but more often cause milder disease, generically referred to as the "common cold"?
coronavirus
passive immunization is used for all of the following except
a. to prevent disease after a known exposure
b. to ameliorate the symptoms of an ongoing disease
c. to protect immunodeficient individuals
d. to elicit production of secretory antibodies
d. to elicit production of secretory antibodies
what are koplik's spots
lesions of the oral cavity associated with measles
what are the microscopic or macroscopic degenerative changes or abnormalities in host cells and tissues due to viral replication called
cytopathic effects (CPEs)
which vaccine protects solely or principally by induction of serum antibodies
tetanus vaccine
how does amantidine block infection by influenza A virus
inhibits viral disassembly in endosome
what is a property of the anti-cyclomegalovirus drug ganciclovir
is more toxic than acyclovir because it is more readily used by viral thymidine kinase
what virus creates "giant cells" that are very characteristic of the course of an infection
measles
what is the agent of hand, foot, and mouth disease, producing blisters on the hands, feet, and palate
coxsackievirus
what is a naked capsid virus composed of
only nucleocapsid
what virus is responsible for about 30% of cases of the "common cold", has an RNA genome that can be directly translated into protein, but also requires a second phase of translation to produce several smaller mRNAs transcribed from a negative sense copy of the RNA genome
coronavirus
what flavivirus is transmitted by mosquitos from person-to-person, can cause jaundice, and was the first virus proven to be spread by an insect vector
yellow fever virus
what virus does not invade neurons
respiratory syncytial virus
reassortment of genetic information among influenza viruses is possible because of
random packaging of single stranded TNA genome segments during a coinfection with two types of influenza viruses
which class of virus always brings its own RNA polymerase into a cell during infection
negative-sense, single stranded RNA viruses
what paramyxovirus initially infects cells of the respiratory tract but characteristically replicates in the parotid gland after viremia
mumps virus
which viral agent of gastroenteritis has a segmented double-stranded RNA genome
rotavirus
when performing controlled viral infections in tissue culture (with a defined number of viral particles (visions)), during what phase do viral titers rise?
assembly phase
which influenza virus protein mediates absorption of the virus onto a host epithelial cell surface
hemagglutinin
which virus initially infects cells in the intestinal epithelium
poliovirus
what spore forming bacterium produces an A-B exotoxin that blocks glycine release from axon endings of intraneurons that control motor neurons within muscles
clostridium tetani
which organism is a gram-positive, spore-forming, strict anaerobic rod
clostridium perfringens
clostridium _________ is part of the normal human intestinal bacteria flora
difficile
blockage of acetylcholine release form host cells is caused by virulence factor of which bacterium
clostridium botulinum
which of the following is NOT true about bacillus anthracis?
a. produces an adenylate cyclase called edema factor
b. produces a metalloprotease called metal factor
c. only Bacillus species that does not form spores
d. bacteria are gram positive rods
c. only Bacillus species that does not form spores
what type of virulence factor of haemophilus influenza serotype B is specifically correlated with the ability of these bacteria to cause systemic infections
capsule
this gram-negative coccobacillus is transmitted zoonotically via fleas and eventually infects lymph nodes, where it can cause a purulent infection. In some individuals the bacteria can subsequently spread to the lungs and be transmitted by aerosol from human to human
yersinia pestis
what property is associated with listeria monocytogenes
is transmitted to human in contaminated meat and dairy products
what is a property of the bacterial agent of Legionnaires disease
epithelial cells in the lung are this bacterium only main target for invasion
a positive result with an acid-fast staining test on a sputum smear is indicative of
mycobacterium tuberculosis
which of the following is true for cord factor of mycobacterium tuberculosis
a. used for the Mantoux reaction diagnosis test for exposure to this bacterium
b. contains mycolic acid
c. contributes to smooth, flat appears of bacterial colonies
b. contains mycolic acid
which of the following is true about tuberculosis
a. a clinical symptom of the disease is the lack of a Mantoux reaction
b. a 3 month course of penicillin is a standard treatment for the disease
c. untreated, the disease usually progresses rapidly over the course of 1 week, leading to death
d. most individuals exposed to the bacterial agent do not develop disease
d. most individuals exposed to the bacterial agent do not develop disease
t/f
individuals normally clear the bacterial agent of leprosy via cell-mediated immunity
true
which is not a property of Nocardia
a. opportunistic pathogen
b. agent of bronchopulmonary infections and brain abscesses
c. has filamentous, branched cellular growth
d. contains mycolic acids in cell walls
d. most individuals exposed to the bacterial agent do not develop disease
e. is a zoonotic agen (sheep and goats)
e. is a zoonotic agen (sheep and goats)
a pregnant 22-year-old woman was seen at an urgent care clinic and presented with fever, malaise, headache, and a macular rash (flat, red) over much of her body. Upon questioning, she reported that about 1 year earlier she had a painless ulcer on her vagina that healed spontaneously after a few weeks. a diagnostic test revealed the pathogen and the likely connection between her previous and current symptoms. what is the most likely diagnosis made following her urgent care visit
she has secondary syphilis
what is the treatment for a child born with congenital syphilis to clear the infection
penicillin
what is a symptom of late stage, chronic disease with Borrelia burgdorferi
arthritis
trachoma is a form of _______
blindness
what is a proper of chlamydia trachomatis
a. has a thick peptidoglycan layer
b. transmitted by fecal-oral route
c. elementary body is actively replicating form
d. reticulate body is inert, transit form
e. some serotypes cause a gonorrheal-like disease
e. some serotypes cause a gonorrheal-like disease
what is true about mycoplasma pneumoniae
a. gram positive
b. facultative anaerobe
c. causes severe, life-threatening lung infections
d. cells pass through filter that traps most other bacteria
d. cells pass through filter that traps most other bacteria
what is a property characteristic of cariogenic bacteria (versus non-cariogenic bacteria)
presence of acid stress response proteins
what role does ammonia production from arginine and urea play for oral bacteria
creation of a more basic (pH) local environment
what is true of dental plaque
a. the first colonizing bacteria during plaque formation bind tooth enamel directly
b. prevotella oralis is an early colonizer
c. epithelial cells produce glucans in response to the dental biofilm
d. the pellicle is the coating that forms on the plaque surface after bacterial coaggregation
e. sugar consumption causes increased levels of streptococcus mutans in plaque
e. sugar consumption causes increased levels of streptococcus mutans in plaque
which bacteria are common late colonizers of dental plaque when oxygen is depleted, especially between teeth
prevotella melaninogenicus
which bacterium is strongly associated with acute necrotizing ulceratize gingivitis
fusobacterium nucleatium
dental carries correlates with
high numbers of streptococcus mutans
which genus is specifically associated with aggressive periodontitis
aggregatibactor
how does lysozyme act as an antibacterial agent
lysozyme cleaves tend the bond between N-acetylglucosamine and N-acetrylmuramic acid
what is an example of a role of a toll-like receptor in oral defense
bind to lipopolysaccharide and signal bacterial presence
which of the following is characteristic of salivary gland infections
a. spirochetes are the predominant organisms
b. smoking decreases the risk of infection
c. blockage of a gland by calcium deposits decreases the risk of infection
d. dehydration increases the risk of infection
d. dehydration increases the risk of infection
which disease has oral manifestations that include ulcers on the palate
tuberculosis
given an example where post-exposure vaccination is recommended
after being bitten by an animal suspected to be infected with the rabies virus
what drug inhibits the function of influenza A virus M2 protein
rimantidine
which virus genome is directly translated into proteins upon entry into a cell
coronavirus
(also true of poliovirus)
name a virus that creates "giant cells" that are very characteristic of the course of an infection
measles virus
What paramyxovirus is limited to replication in the region of initial contact and does not demonstrate significant spread to other sites by viremia?
respiratory syncytial virus
What is true about measles virus?
A: initial infection in the gastrointestinal tract is followed by viremia
B: cough, coryza, and conjunctivitis are the only symptoms of the disease caused by infection
C: viremia spreads the virus to endothelial cells, causing a typical rash, but the virus does not replicate in any other tissue
D: the virus is spread through contaminated food and water
E: infections by the measles virus are limited in the United States because of widespread vaccination
E: infections by the measles virus are limited in the United States because of widespread vaccination