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Questions and Answers
What type of virus is HIV?
What type of virus is HIV?
How can HIV be effectively disinfected?
How can HIV be effectively disinfected?
What is required for HIV to infect an individual?
What is required for HIV to infect an individual?
Which of the following statements is true about HIV's characteristics?
Which of the following statements is true about HIV's characteristics?
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Which of these can help reduce the risk of HIV transmission?
Which of these can help reduce the risk of HIV transmission?
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What roles are indicated for the writers mentioned in the lecture notes?
What roles are indicated for the writers mentioned in the lecture notes?
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What does the abbreviation 'Dr.' likely signify in the context of this content?
What does the abbreviation 'Dr.' likely signify in the context of this content?
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Which of the following roles is NOT mentioned in the lecture notes?
Which of the following roles is NOT mentioned in the lecture notes?
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What purpose does the 'Key information' section serve in these notes?
What purpose does the 'Key information' section serve in these notes?
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What can be inferred about the content labeled as 'Deleted'?
What can be inferred about the content labeled as 'Deleted'?
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What is the primary purpose of liver function tests?
What is the primary purpose of liver function tests?
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What component do liver function tests primarily target?
What component do liver function tests primarily target?
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Which of the following is a likely indicator of impaired liver function?
Which of the following is a likely indicator of impaired liver function?
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Where does HSV-1 latency occur?
Where does HSV-1 latency occur?
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Which condition would most likely prompt liver function tests?
Which condition would most likely prompt liver function tests?
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What is a common outcome when liver function is compromised?
What is a common outcome when liver function is compromised?
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What is the role of virus particles in HSV-1 latency?
What is the role of virus particles in HSV-1 latency?
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Which of the following best describes the behavior of HSV-1 during latency?
Which of the following best describes the behavior of HSV-1 during latency?
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Which anatomical location is associated with HSV-1 reactivation?
Which anatomical location is associated with HSV-1 reactivation?
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What does the term 'latency' imply regarding HSV-1?
What does the term 'latency' imply regarding HSV-1?
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What kind of impact does the condition described have on the skin?
What kind of impact does the condition described have on the skin?
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From where does the virus take sensory supply in the case described?
From where does the virus take sensory supply in the case described?
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What term describes the area of skin affected by the condition?
What term describes the area of skin affected by the condition?
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What is the state of the virus when it affects the skin?
What is the state of the virus when it affects the skin?
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Which of the following statements about the sensory supply is true?
Which of the following statements about the sensory supply is true?
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What is the primary function of a dermatome in clinical practice?
What is the primary function of a dermatome in clinical practice?
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Why is understanding dermatomes important for clinicians?
Why is understanding dermatomes important for clinicians?
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How does a dermatome's correspondence with the spinal cord assist clinical diagnosis?
How does a dermatome's correspondence with the spinal cord assist clinical diagnosis?
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Which statement is true regarding dermatomes?
Which statement is true regarding dermatomes?
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What would be the clinical implication of a disrupted dermatome?
What would be the clinical implication of a disrupted dermatome?
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Study Notes
Viral Infectious Agents
- Viral pathogenesis often involves latent periods, like in herpes simplex viruses
- Herpes simplex viruses (HSV) type 1, transmitted through direct contact, cause primary infection, usually in children
- Primary HSV-1 infection commonly presents as acute gingivostomatitis, characterized by vesicles on the gums, which rupture and form healing crusts
- Latency of HSV-1 resides in the trigeminal ganglion, a cluster of sensory nerve cell bodies near the spinal cord
- Reactivation of HSV-1 can occur every few years, triggered by stress or compromised immune function, causing recurrent herpes labialis (cold sores) or reactivation of primary gingivostomatitis
- Varicella-zoster virus (VZV) presents in two forms: primary varicella (chickenpox), characterized by a generalized rash, and reactivation zoster (shingles), presenting as a localized rash
- Chickenpox infection typically affects children aged 4-10 years
- Adults reactivating latent varicella infection experience shingles, usually in the dermatome which gets reactivated
- Rash of varicella begins on trunk and spreads to limbs, whereas shingles remains limited to a single dermatome
- Vesicles, pustules, and ulcers develop during the course of varicella
- Diagnostic laboratories use smears of vesicular lesions with direct virus detection or serology to confirm the specific VZV antibodies (IgM or rising IgG titre). This is achieved by ELISA
- The poxvirus family is the largest of all the viruses, distinguished by their large size (300nm), brick-shaped morphology, enveloped structure, and double-stranded DNA.
- Smallpox, a member of this family, no longer exists
Hepatitis B Virus (HBV)
- HBV is a DNA virus belonging to the Hepadnaviridae family, causing serum hepatitis
- The complete virus, called the Dane particle, is spherical or tubular shaped, identifiable by the hepatitis B surface antigen
- HBV transmission occurs through sexual contact, exposure to contaminated blood products, percutaneous exposures (tattoos, piercings), and perinatally from infected mothers to newborns.
- Diagnosis involves detecting the hepatitis B surface antigen or antibodies in the blood serum, viral DNA (using PCR), and liver function tests (e.g., ALT, bilirubin)
HIV
- HIV is an enveloped virus that requires direct blood-to-blood contact for infection
- The HIV envelope contains glycoproteins (gp120 and gp41), essential for attachment and entry into host CD4+ T cells
- The HIV genome consists of two identical copies of positive-sense single-stranded RNA, associated with reverse transcriptase
- HIV transmission routes include sexual contact, blood and blood products (e.g., contaminated needles), and vertical transmission (mother to child during pregnancy or breastfeeding)
- Diagnosing HIV involves detecting HIV-specific antibodies in blood serum (using ELISA), followed by confirmatory Western blot if the ELISA is positive
- Additional tests for HIV diagnosis include nucleic acid tests (NAT) for measuring HIV DNA or RNA (e.g., PCR) and CD4 count to establish diagnosis of AIDS (if the CD4 count is below 200 cells/mm3 or CD4/CD8 ratio is less than 1)
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Description
This quiz delves into viral infectious agents such as herpes simplex virus and varicella-zoster virus. It covers their pathogenesis, primary infections, latency, and reactivation. Test your knowledge about these common viral infections and their clinical presentations.