Virus and oral cavity
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Questions and Answers

What area of the body does Herpes Simplex Virus type 1 (HSV 1) predominantly affect?

  • Lower extremities
  • Hands and feet
  • Genital region
  • Oropharyngeal region (correct)
  • Which of the following is NOT commonly caused by Coxsackie Viruses?

  • Hand, Foot and Mouth Disease
  • Myocarditis
  • Meningitis
  • Genital herpes (correct)
  • What is a hallmark characteristic of Herpes Simplex Virus type 2 (HSV 2)?

  • Causes genital lesions (correct)
  • Causes lesions above the waist
  • Associated with orofacial sores
  • Linked to chickenpox
  • Which virus is primarily responsible for causing chickenpox?

    <p>Varicella-Zoster Virus</p> Signup and view all the answers

    Which symptom is typical for Hand, Foot and Mouth Disease?

    <p>Fluid-filled blisters on hands and feet</p> Signup and view all the answers

    What disease is primarily caused by the Epstein-Barr Virus (EBV)?

    <p>Glandular fever</p> Signup and view all the answers

    Which of the following complications is NOT associated with measles?

    <p>Swelling of testicles</p> Signup and view all the answers

    Which age group is most commonly affected by mumps?

    <p>Children</p> Signup and view all the answers

    How does Epstein-Barr Virus (EBV) persist in the human body after infection?

    <p>It becomes dormant in B-lymphocytes.</p> Signup and view all the answers

    What symptom is most characteristic of measles?

    <p>Exanthematous rash</p> Signup and view all the answers

    What is the chance of a male experiencing testicular pain if infected with mumps after puberty?

    <p>1 in 4</p> Signup and view all the answers

    Which type of virus does not include Epstein-Barr Virus (EBV)?

    <p>Coxsackie Virus</p> Signup and view all the answers

    What is a significant complication associated with measles infection?

    <p>Fits and seizures</p> Signup and view all the answers

    What is the primary causative agent of chickenpox?

    <p>Varicella-Zoster virus</p> Signup and view all the answers

    Which symptom is characteristic of chickenpox?

    <p>Painless vesicular rash</p> Signup and view all the answers

    How is hand, foot, and mouth disease primarily transmitted?

    <p>By air and direct contact</p> Signup and view all the answers

    What is the seasonal occurrence pattern of herpangina?

    <p>Summer</p> Signup and view all the answers

    Which virus is known to infect most individuals during early childhood?

    <p>Epstein-Barr virus</p> Signup and view all the answers

    What is a common symptom of shingles?

    <p>Unilateral facial palsy</p> Signup and view all the answers

    Varicella infection is generally considered ____ in children.

    <p>Mild and self-managed</p> Signup and view all the answers

    Which of the following is NOT a common feature of hand, foot, and mouth disease?

    <p>High blood pressure</p> Signup and view all the answers

    Which condition is characterized by vesicles in the mouth and affects the faecal/oral route?

    <p>Herpangina</p> Signup and view all the answers

    What is the incubation period for Varicella?

    <p>2 weeks</p> Signup and view all the answers

    What characterizes the viral genome of vinis?

    <p>Contains either DNA or RNA, never both</p> Signup and view all the answers

    Which component of a virus gives it symmetry and protects the nucleic acid core?

    <p>Capsid</p> Signup and view all the answers

    What defines viruses as obligate intracellular parasites?

    <p>They require a living host cell to multiply.</p> Signup and view all the answers

    What is a common characteristic of the icosahedral type of viral capsid?

    <p>Contains 12 corners and 20 equilateral triangle facets.</p> Signup and view all the answers

    Which viral infection is known to potentially lead to Ramsay Hunt syndrome?

    <p>Varicella-Zoster Virus (Shingles)</p> Signup and view all the answers

    What is a complication associated with the Epstein-Barr Virus?

    <p>Burkitt's Lymphoma</p> Signup and view all the answers

    How is herpangina commonly presented in children?

    <p>It manifests on the soft palate.</p> Signup and view all the answers

    Which factor is NOT involved in tissue tropism for viral infections?

    <p>Type of viral nucleic acid</p> Signup and view all the answers

    What is the primary distinction between lytic and lysogenic replication of viruses?

    <p>Lytic replication requires host cells to be destroyed, whereas lysogenic replication does not.</p> Signup and view all the answers

    Which of the following viruses is associated with persistent infections?

    <p>HIV</p> Signup and view all the answers

    What role do capsomeres play in the viral assembly process?

    <p>They are responsible for incorporating viral nucleic acid.</p> Signup and view all the answers

    Which characteristic best defines viral latency?

    <p>The virus lies dormant within a host cell and does not produce symptoms.</p> Signup and view all the answers

    How does viral persistence differ from chronic viral infections?

    <p>Persistent infections involve stages of silent and productive infection.</p> Signup and view all the answers

    What is a critical step in viral replication once a virus has entered a host cell?

    <p>Host cell enzymes replicate the viral genome.</p> Signup and view all the answers

    Which virus is known for having significant dental implications due to its association with oral lesions?

    <p>Human Immunodeficiency Virus (HIV)</p> Signup and view all the answers

    How do viruses demonstrate tropism towards specific cell types?

    <p>By utilizing specific receptors on their capsid.</p> Signup and view all the answers

    Which classification of viruses is based on the arrangement of their structural proteins?

    <p>Symmetry</p> Signup and view all the answers

    What best defines persistent viral infections?

    <p>Infections where the virus remains dormant in host cells.</p> Signup and view all the answers

    Which type of nucleic acid can be found in viruses?

    <p>Double-stranded RNA or single-stranded DNA</p> Signup and view all the answers

    What distinguishes an icosahedral virus structure?

    <p>Its spherical symmetry with 20 triangular faces.</p> Signup and view all the answers

    Which of the following statements about viral entry into host cells is false?

    <p>All viruses require energy to enter host cells.</p> Signup and view all the answers

    What is the primary function of transcription in the viral replication process?

    <p>To produce mRNA necessary for enzyme synthesis</p> Signup and view all the answers

    Which of the following best describes how viruses achieve cellular tropism?

    <p>By binding to specific host receptors on cell membranes</p> Signup and view all the answers

    Which process describes how viruses penetrate host cells after attachment?

    <p>Direct fusion with the host membrane</p> Signup and view all the answers

    Which viral classification is characterized by high mutation rates compared to DNA viruses?

    <p>RNA viruses</p> Signup and view all the answers

    During which phase of viral replication can the virus not be detected in the host cell, indicating a 'pause' in infectivity?

    <p>Eclipse phase</p> Signup and view all the answers

    What is a key characteristic of persistent viral infections?

    <p>They integrate into the host's genome and can remain dormant</p> Signup and view all the answers

    Which of the following viruses is known for its significant implications in dental health?

    <p>Hepatitis B virus</p> Signup and view all the answers

    What is the key difference between endocytosis and fusion in the context of viral penetration?

    <p>Endocytosis allows viruses to enter by engulfing them, while fusion merges membranes of both virus and host.</p> Signup and view all the answers

    Study Notes

    Varicella-Zoster

    • Caused by human herpes virus 3
    • Commonly known as chickenpox and shingles
    • Chickenpox usually mild and self-managed
    • Chickenpox can be more serious if contracted in adulthood
    • Chickenpox has a 2 week incubation period
    • Symptoms include fever, rash, papules becoming vesicular and itchy, but painless
    • Shingles are a reactivation of the varicella-zoster virus
    • Shingles manifest as painful vesicular rash
    • Shingles occur in dorsal root ganglia and trigeminal nerve

    Ramsay Hunt Syndrome

    • A rare form of shingles
    • Affects the facial nerve
    • Symptoms include vesicular rash on the tympanic membrane and auditory canal
    • Causes unilateral facial palsy

    Hand Foot & Mouth Disease

    • Primarily caused by group A coxsackie viruses
    • Symptoms include malaise and spots on buttocks, groin, hands and feet
    • Transmission through air, coughing, faecal contact and contaminated objects
    • Common outbreak in nurseries

    Herpangina

    • Symptoms include vesicles in the mouth, malaise and sore throat
    • Caused by Coxsackie A virus
    • Primarily occurs in summer
    • Transmission through faecal-oral route or air droplets
    • Self-managed

    Epstein-Barr Virus (EBV)

    • Also known as Human Herpesvirus 4
    • Most people are infected in early childhood
    • When contracted in teens or young adulthood can cause infectious mononucleosis aka glandular fever
    • EBV becomes dormant and people remain infected for life
    • EBV lives in latent form in B-lymphocytes
    • Human are the only known host
    • EBV can cause:
      • Glandular fever
      • Burkitt’s Lymphoma
      • Nasopharyngeal carcinoma
      • Oral Hairy Leukoplasia

    Mumps

    • Usually a childhood illness
    • Causes parotitis (inflammation of the salivary glands)
    • Causes painful swelling
    • If contracted after puberty males can have pain and swelling of the testicle
    • One in 20 females can get swelling of the ovaries
    • One in 20 can have temporary hearing loss
    • One in 1000 can get viral meningitis
    • One in 20 can get acute pancreatitis

    Measles

    • Also known as measles morbillivirus
    • Most highly infectious disease known
    • Transmitted by air droplets and surfaces
    • Causes a characteristic exanthematous rash
    • Enters the body through the respiratory tract
    • Associated symptoms include headache, fever, sore throat and Koplik’s spots
    • Complications include:
      • Stillbirth and miscarriage in pregnancy
      • Vision loss
      • Subacute sclerosing panencephalitis (rare, fatal brain complication)
      • Fits and seizures
      • Encephalitis

    Koplik’s Spots

    • White spots with a red halo on the inside of the cheek
    • Characteristic of measles

    Herpes Simplex (HSV 1 & 2)

    • HSV 1 generally causes orofacial lesions (above the belt)
    • HSV 2 generally causes genital lesions (below the belt)

    Viral Genome

    • Contains either DNA or RNA, never both.
    • Can be linear or circular, single stranded, or double stranded.

    Capsid

    • Protective outer layer of the virus.
    • Surrounds the nucleic acid core.
    • Composed of numerous subunits called capsomers.
    • Provides symmetry and is made of proteins called protomers.

    Envelope

    • Surrounds the nucleocapsid.
    • Bilayer of lipoprotein and glycoproteins.
    • Viruses without an envelope are called "naked viruses."

    Enzymes

    • Play a crucial role in the infection process.
    • Some enzymes contain their own nucleic acid polymerases that transcribe the viral genome into mRNA during replication.

    Obligate Intracellular Parasites

    • Viruses can only multiply within a living host cell.

    Icosahedral Viruses

    • Polygonal shape.
    • Capsid has 12 corners, 20 facets (equilateral triangles), and 30 edges.
    • Most stable type of virus.
    • Found in human pathogenic viruses such as herpes.

    Filamentous Viruses

    • Linear, thin, thread-like or rod-shaped.

    Head-Tail Viruses

    • Icosahedral head.
    • Filamentous body.

    Viral Tropism

    • Refers to the specific host cells, tissues, or organisms that a virus can infect.
    • Influenced by:
      • Presence of cellular receptors for viral entry.
      • Availability of transcription factors for viral replication.
      • Cellular receptors of proteins on the cell or viral surface.

    Varicella-Zoster Virus (Human Herpesvirus 3)

    • Causes chickenpox in children and shingles in adults.

    Management of Varicella-Zoster Virus

    • Hydration.
    • Good diet.
    • Non-steroidal anti-inflammatory drugs (NSAIDS) for fever relief (e.g., paracetamol, ibuprofen).

    Shingles

    • Reactivation of the varicella-zoster virus.
    • The virus resides in the dorsal root ganglia.
    • Reactivation triggered by trauma, immunosuppressant drugs, or other unknown factors.
    • Dormant virus travels through nerve fibers to the skin when reactivated causing unilateral rash.

    Management of Shingles

    • Requires medical management.
    • Can lead to Ramsay Hunt syndrome (shingles of the facial nerve) which causes:
      • Unilateral facial palsy.
      • Tinnitus.
      • Change or loss of taste.
      • Dry mouth.
      • Oral manifestations.
      • Potential for toothache-like pain due to hyposensitivity.

    Herpangina

    • Viral infection presenting on the soft palate.
    • Affects children aged 3-10 years old.
    • Symptoms last for up to 10 days.
    • Contagious for 3-8 weeks after infection.
    • Can cause difficulty swallowing.

    Epstein-Barr Virus (Human Herpesvirus 4)

    • Can cause various conditions, including Burkitt's lymphoma.

    Virus Replication

    • Viral replication begins with the attachment of the virus to the host cell.
    • Following attachment, penetration occurs, allowing the virus or its genome to enter the host cell.
    • Penetration can happen via endocytosis, fusion, or translocation.
    • After penetration, the virus undergoes uncoating, where the lipid membrane and protein capsid surrounding the nucleic core are removed.
    • The viral nucleic acid becomes free and acts as a template for mRNA synthesis.
    • Transcription occurs, producing mRNA that encodes enzymes necessary for viral replication.
    • Viruses take advantage of the existing cell structures to replicate themselves.

    Viral Release

    • Lytic replication results in the death of the host cell.
    • Lysogenic replication allows the host cell to continue living and functioning normally.

    Viral Persistence

    • Persistent infections are characterized by the continuous presence of the virus within the host, without necessarily causing immediate death or significant damage to the host cells.
    • Examples of persistent viral infections include HIV, Epstein-Barr, Human Cytomegalovirus.

    Viral Latency

    • Virus latency is the ability of a virus to remain dormant within a cell, characterized as the lysogenic part of the viral life cycle.
    • Latent viral infections are a type of persistent infection, distinct from chronic viral infections.

    Viral Tropism

    • Viral tropism describes the selective ability of a virus to infect specific cells, tissues, or host species.
    • Viral tropism is determined by the presence of specific receptors on the host cell that the virus can bind to.

    Features of Viruses

    • Viruses are infectious particles that reproduce by hijacking the machinery of a host cell.
    • Viruses consist of a DNA or RNA genome enclosed within a protein shell called a capsid.
    • Some viruses possess an external membrane envelope.
    • Viruses exhibit diverse shapes, structures, genome types, and host preferences.
    • Viruses reproduce by infecting host cells and reprogramming them to produce more viruses.

    Classification of Viruses

    • Viruses are classified based on their symmetry and nucleic acid type.
    • Symmetry can be icosahedral, filamentous, or head-tail.
    • Nucleic acid can be DNA or RNA, with variations in strandedness (single or double) and type (DNA or RNA).

    Key Structures of Viruses

    • The capsid encloses the viral genome, providing structural integrity.
    • The nucleocapsid consists of the viral genome and associated proteins.
    • The envelope, if present, is a lipid bilayer surrounding the capsid.
    • Viral enzymes facilitate various steps in the replication process.

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    Description

    This quiz covers important infectious diseases such as varicella-zoster, Ramsay Hunt Syndrome, and Hand Foot & Mouth Disease. It includes information on causes, symptoms, transmission, and complications associated with these conditions. Test your knowledge on these diseases and their impact on health.

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