Viral Infectious Agents Overview
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Questions and Answers

What type of virus is HIV?

  • Bacteriophage
  • RNA virus
  • Non-enveloped virus
  • Enveloped virus (correct)
  • How can HIV be effectively disinfected?

  • By freezing it
  • By exposure to ultraviolet light
  • When it is on the surface (correct)
  • By treating it with alcohol
  • What is required for HIV to infect an individual?

  • Direct contact with blood (correct)
  • Interaction with respiratory droplets
  • Exposure to saliva
  • Contact with skin
  • Which of the following statements is true about HIV's characteristics?

    <p>HIV requires a host to replicate</p> Signup and view all the answers

    Which of these can help reduce the risk of HIV transmission?

    <p>Wearing gloves when handling blood</p> Signup and view all the answers

    What roles are indicated for the writers mentioned in the lecture notes?

    <p>One is a doctor providing explanations and the other is a writer of student notes.</p> Signup and view all the answers

    What does the abbreviation 'Dr.' likely signify in the context of this content?

    <p>Doctor of Medicine.</p> Signup and view all the answers

    Which of the following roles is NOT mentioned in the lecture notes?

    <p>Writer of textbooks.</p> Signup and view all the answers

    What purpose does the 'Key information' section serve in these notes?

    <p>It summarizes the main points of the lecture.</p> Signup and view all the answers

    What can be inferred about the content labeled as 'Deleted'?

    <p>It was part of a previous topic and is now irrelevant.</p> Signup and view all the answers

    What is the primary purpose of liver function tests?

    <p>To assess liver function</p> Signup and view all the answers

    What component do liver function tests primarily target?

    <p>Liver cells</p> Signup and view all the answers

    Which of the following is a likely indicator of impaired liver function?

    <p>Elevated liver enzymes</p> Signup and view all the answers

    Where does HSV-1 latency occur?

    <p>In the trigeminal ganglion</p> Signup and view all the answers

    Which condition would most likely prompt liver function tests?

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

    What is a common outcome when liver function is compromised?

    <p>Yellowing of the skin</p> Signup and view all the answers

    What is the role of virus particles in HSV-1 latency?

    <p>They travel along neural pathways</p> Signup and view all the answers

    Which of the following best describes the behavior of HSV-1 during latency?

    <p>It is dormant and shows no symptoms</p> Signup and view all the answers

    Which anatomical location is associated with HSV-1 reactivation?

    <p>The trigeminal ganglion</p> Signup and view all the answers

    What does the term 'latency' imply regarding HSV-1?

    <p>The virus is in a stage of dormancy</p> Signup and view all the answers

    What kind of impact does the condition described have on the skin?

    <p>Unilateral effect</p> Signup and view all the answers

    From where does the virus take sensory supply in the case described?

    <p>Dorsal root ganglion</p> Signup and view all the answers

    What term describes the area of skin affected by the condition?

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

    What is the state of the virus when it affects the skin?

    <p>Dormant in the dorsal root ganglion</p> Signup and view all the answers

    Which of the following statements about the sensory supply is true?

    <p>It takes sensory inputs from the dorsal root ganglion</p> Signup and view all the answers

    What is the primary function of a dermatome in clinical practice?

    <p>To identify the segment of the spinal cord associated with a specific nerve</p> Signup and view all the answers

    Why is understanding dermatomes important for clinicians?

    <p>It helps them identify specific areas of neurological impairment</p> Signup and view all the answers

    How does a dermatome's correspondence with the spinal cord assist clinical diagnosis?

    <p>It correlates specific sensory loss to specific nerve roots</p> Signup and view all the answers

    Which statement is true regarding dermatomes?

    <p>Each dermatome corresponds to an individual nerve root</p> Signup and view all the answers

    What would be the clinical implication of a disrupted dermatome?

    <p>It suggests possible nerve damage in a specific spinal segment</p> Signup and view all the answers

    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.

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