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Micro and immun. exam 1
exam1
146
Biology
Professional
09/07/2009

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Term
microparasites
Definition
parasites that replicate insede a host and usually produce a large number of progeny and serious infection. shorter life cycle quicker onset of infection usually smaller. greater development of memory cells so we develop immunity to them
Term
macroparasites
Definition
one infectious stage. level of infection depends on number of organisms (worms) can't develop immunity to these. extracellular
Term
parasite
Definition
directly cause disease (bacteria, virus, fungi, protozoa and helmithes)
Term
vector
Definition
arthropod that carries disease and transmits from one host to another (mosquitos and ticks)
Term
What kind of cells are bacteria and what type of DNA do they have?
Definition
single celled prokaryotes, DNA is long and circular. no envelope but do have nucleoid. thick capsule around cell wall
Term
what organelles are in bacterium
Definition
ribosomes only
Term
pili or fimbriae
Definition
help attach to other bacteria/host
Term
mesosome
Definition
coiled cytoplasmic membrane that anchors chromosomes
Term
how are bacteria classified
Definition
gram-stain, shape, appearance of colonies, respiration, biochemical markers, serotyping, analysis fo genetic material, antibiogram, phage typing
Term
obligate aerobe
Definition
require oxygen to live
Term
obligate anaerobes
Definition
are unable to use oxygen and are harmed by it
Term
facultative anaerobe
Definition
can use oxygen when present but able to continue growth via fermentation or aerobic respiration when oxygen isn't available
Term
microaerophiles
Definition
require oxygen and grow in oxygen concentrations lower than air
Term
bacteria cell wall
Definition
main component is peptidoglycan giving a hydrophilic surface. elicites immune response in humans
Term
Gram-stain process
Definition
bacteria heat fixed on slide, stained w/crystal violet and gram's iodine, excess stain removed by washing w/acetone-based decolorizer and water, red counterstain (safranin) is added
Term
gram - vs gram +
Definition
crystal violet and iodine crystalize are taken up by the peptidoglycan layer but gram- has an outter membrane that prevents it from reaching that layer
Term
gram + bacteria structure
Definition
thick multilayered cell wall (peptidoglycan),
Term
gram - bacteria structure
Definition
have outter membrane and endotoxins. red/pink color. , have LPS while gram pos dont.
Term
what kind of cells does gram staining not work for
Definition
starved cells, old cells in stationary phase, treated w/antiobiotics, mycrobacteria (waxy outter shell), mycoplasmas (no peptidoglycan)
Term
bacterial growth
Definition
2 daughter cells are produced, once started must finish, chromosome replication starts at membrane (where it's anchored), as bacterial membrane grows, daughter chromosomes are pulled apart
Term
transformation
Definition
bacteria take up fragments of naked DNA and incorporate them inot thier genomes, some species are competent, naturally taking up exogenous DNA
Term
Conjugation
Definition
one way transfer of DNA from donor (male) to recipient (female) cell through sex pilus
Term
transduction
Definition
transfer of genetic material from one bacterium to another via a bacteriophage. once in a cell a transposon can jump between plasmid to plasmid or plasmid to chromosome
Term
classifications of naming viruses
Definition
biochem properties, structure, associated disease, mode of transmission, host cell, target tissue/organ
Term
viral properties
Definition
aren't living (can't survive on own), obligate intracellular parasites, must be infectious to survive, can't make NRG of proteins w/o host cell, contain RNA or DNA not both! must be able to use host to do stuff (make proteins,), single or double stranded linear or circular RNA or DNA w/capsule (capsid), virus may ONLY be nucleocapsid OR have outer membrane/envelope. virus may just have neucleocapsid or may ALSO have outter membrane/envelope that it is derived from the host cell
Term
Modes of viral transmission
Definition
oral, droplet (inhailation, direct inoculation (injection/insect bite, direct skin contact, trans-placental, sexual transmission,
Term
when is a virus no longer infective
Definition
once it is inside the host cell
Term
Stages in infection of host cell and replication of virus
Definition
1.)virus binds to specific receptor on host cell that's in line w/whatever disease the virus causes. once inside cell it sheds the capsule and replicates
Term
lytic infection
Definition
viruses replicate, and release when cell lyses
Term
persistent infection
Definition
cell survives and releases particles slowly (Hep B)
Term
Latent infection
Definition
virus is dormant (quiescent) w/ DNA or RNA exiting in host's cytoplasm or genom. replication occurs when some type of activiation occurs
Term
Cancer inducing viruses
Definition
HPV, Hep B and C, Epstein-Barr virus
Term
How are fungi classified.
Definition
according to: growth forms, type of infections caused
Term
how are fungi different from other eukaryotes
Definition
they have a rigid cell wall that can make them hard to destroy made of chitin and glucan and ergosterol instead of cholesterol in cell membrane
Term
How do drugs affect fungal cells
Definition
glucan is target. Sometimes ergosterol is target (good cuz won't effect humans since our cells made w/cholesterol)- inhibit protein synthesis, or inhibit glucan synthesis or chitin synthesis (damages cell wall). inhibit ergosterol synthesis (causes direct membrane damage)
disrupt microtubles and inhibit mitosis
Term
mycelium
Definition
mass of hyphae
Term
asexual reproduction results in:
Definition
Term
how do yeasts reproduce
Definition
by budding or fussion (division)
Term
superficial fungal infection
Definition
effects body surface (epidermis/hair) ex: black fungus
Term
Cutaneous or subcutaneous
Definition
effects nails, subQ area of skin. ex: ringworm
Term
systemic fungal infection
Definition
effects internal organs or systems. ex: histoplasmosis
Term
opportunistic fungal infection
Definition
cause disease in immune compromised hosts. ex: candida (yeast infection)
Term
structure of protozoa
Definition
single-celled animals, cytoplasm enclosed by ell membrane and have many organelles w/pseudopods, flagella and /or cilia
Term
how do protozoa reproduce
Definition
usually asexual (binary or multiple division), sexual (rare) in an arthropod vector
Term
where are protozoan infections most common
Definition
tropical, subtropical regions
Term
intracellular parasites (protozoan infection)
Definition
infect erythrocytes, macrophages, brain, muscle and epithelial cells. nutrients are uptaken from host cells.
Term
extracellular pathogens (protozoan infection)
Definition
infet the blood, intestines, urinary or reproductive tracts. feed by nutrient uptake from host cells or ingest the whole cell.
Term
Mode of protozoan transmission
Definition
ingestion of cysts in contaminated food (reside in intestines), sexual contact, arthropod vectors
Term
protozoan survival mechanisms
Definition
can change surface antigens, develop into cyst form, consume complement at cell surface, intracellular protozoans can evade intracellular enzymes, both aerobic and anaerobic respiration (FACULTATIVE ANAEROBES)
Term
Flat worms
Definition
tapeworm (cestoda) and Flukes (trematoda)
Term
round worm
Definition
nematoda
Term
characteristics of helminths (worms)
Definition
all parasitic, adults usually macroscopic while larvae microscopic, all organs can become infected, have protective cuticle so body can't recognize it, anaerobic respiration, flatworms have attach devices (suckers/hooks) while round worms lack attachment devices.
Term
helminths: modes of transmission
Definition
fecal-oral route, intermediate host(accidental ingestion, undercooked meat), active penetration of skin, injection through blood-sucking insect
Term
risk factors for humans (helminth infection)
Definition
improper food prep, unsanitary conditions, poor hygiene, close proximity to animals, tropical/warm climates, food preferances, socioeconimic conditions
Term
what are the 2 important classes of arthropods
Definition
class arachnida (ticks and mites), and class insecta (mosquitos, fleas, flies, lice, bugs)
Term
arthropods: modes of disease transmission
Definition
Direct: cause disease by feeding on host (just biting causes disease, no secondary virus)
Indirect: transmission of pathogen AS they feed (malaria (protozoa) by mosquito bite)
Term
what types of things can mosquitos transmit
Definition
protozoa, viruses and worms. can cause filariasis (worms) and malaria (protozoa)
Term
what types of things can ticks transmit
Definition
bacterium, fleas and mites. bacterium (plague)
Term
what do kissing bugs transmit and what does it cause
Definition
protozoa, chagas' disease
Term
Host
Definition
provides environment for another organism. usually vertebrates are hosts (fish, amphibians, reptiles, mammals birds etc)
Term
pathogen
Definition
exploits environment of host for nutrients (viruses, bacteria, fungi, protozoans, worms and arthropods)
Term
immune system defense
Definition
recognize foreigners, respond to restrain growth/spread, eliminate foreigner. TIME IS CRUCIAL
Term
commensalistic symbiosis
Definition
relationship of convenience. one benefits while other is unaffected. (bacteria ferment to digest food)
Term
utualistic symbiosis
Definition
relationship w/mutual benefits, both parties benefit (ex lactobacillum aerophilus ferments glycogen for food and pH prevents overgrowth of others)
Term
parasitic symbiosis
Definition
relationship where only one benefits and other is harmed (protozoa feed on mucosa which leads to ulcers in the GI)
Term
normal flora that exists in human body
Definition
Skin (staph. epidermidis and aures), Nose and Mouth (anaerobes), Teeth (streptococcus mutans), pharynx and trachea (strep. viridans, pyogenes, pneumonia; anaerobes; staph. epidermidis, neisseria ssp.; lungs, mostly sterile; stomach and upper intestine (few b/c of PH; ilium, streptococci, lactobacilli, enterobacteraiaceae, bacteroides; large intestine (mostly anaerobes and protozoans; urethra (light colonization; lactobacillus aerophilus)
Term
advantages for normal human flora
Definition
skin- fatty acids produced discourage other bacterial invasion; Gut- release factors and waste products that prevent other species from invading; vaginal lactrobacilli- acidic pH stops growth of other bacteria; intestine- ecologic niches al exhausted by current bacteria so out-compete other invaders; w/o "GERMS" we would have less immune adaptation and be more vulnerable
Term
disadvantages of normal human flora
Definition
bacteria can go where not wanted
Term
ways that pathogens invade hosts
Definition
attach/penetrate body surface, biting arthropod, enter through existing wound/bite, wait until host defense is down,
Term
Robert Koch
Definition
founded "germ theory" which says disease caused by one species of microbe. bacteria associated w/particular disease. 1st to grow bacteria in colonies on potato slices, created gelatin media
Term
Koch's postulates rules
Definition
1.) microbe must be present in every case of disease
2.) microbe must be isolated from diseased host and grown in pure culture
3.) disease must be reproduced when a pure culture is introduced inot a non-diseased susceptible host
4.) microbe must be recoverable from an expeimentally infected host
Term
exceptions to koch's rule
Definition
viral diseases can't be cultured, can't always find equivalent experimental host, some pathogenic diseases are co-infections, bacteria hard to culture/grow in experimental host
Term
empiric antibiotic therapy
Definition
broad spectrum antibiotic therapy. not sure of actual infection so cover multiple bases
Term
difinitive antibiotic therapy
Definition
know what infection is and treat w/specific antibiotic that targets the infection
Term
3 stages of cell wall synthesis
Definition
1.) production of basic building block, UDP-acetylmuramylpentapeptide. Occurs inside cell! [cycloserine inhibits this] 2.)second sugar added and links in w/other sugar then carried from inside cell membrane outside. many modifications occur in chem structure of basic repeating unit. [vancomycin and bacitracin act here]. 3.) reactions cause cross-link and modify wall components [penicillins and cephalosporins act here], takes place OUTSIDE CELL MEMBRANE.
Term
Blocking transpeptidase enzymes
Definition
building blocks synthesized in cytoplasm. 1st action is breaking autolysines (breaks bridges), then building block gets in between parts of origional cell wall structure. transpeptidases close/link peptides and once that peptide bridge forms it makes the cell rigid and insoluble
Term
Function of uvula
Definition
drops/covers oral pharynx when we sneexze to push out air through nasal cavity and expel germs from body
Term
flow of air into body
Definition
into nares--> nasopharynx (nasal portion of throat)--> larynx--> trachea--> bronchii--> bronchioles--> alveoli
Term
2 mechanisms that clense upper respiratory tract
Definition
mucociliary action (mucus and cilia) and swallowing (bring bacteria to stomach instead of making you more sick)
Term
How is the cold spread
Definition
nasal/oral transmission and fomites (anything that carries bacteria or pathogens and transmites to someone ex. inanimate object like pen or money). MOST COMMON INFECTIOUS DISEASE
Term
Types of cold
Definition
rhinoviruses (50%), coronavirus (20%), incidences dec w/age. get ammunity based on ratio of IgA antibodies to single stereotypes
Term
Pharyngitis and tonsillitis
Definition
microbes that cause pharyngitis can cause tonsilitis, causes sore throat b/c of infection/inflammatory and immune responses. effects Tcells and Bcells.
Term
B cells
Definition
antibody production
Term
T cells
Definition
protect and defend body
Term
exotoxins
Definition
toxic proteins produced by some bacteria (mostly gram-positive) and secreted/released after lysis. specific for pathogen and where it's released. (possible fever, weakness usually breakdown w/high heat)
Term
Endotoxins
Definition
part of outer portion of cell wall of most GRAM NEGATIVE bacteria, released on destruction of cell. fever and weakness
Term
streptococcal pharyngitis (strep throat)--> streptococcus pyrogenes
Definition
GRAM + coccus (chains), FACULTATIVE anaerobe. S. pyrogenes can infect other areas of URT, skin kidneys etc. produces exotoxins and enzymes. causes 95% bacterial sore throats. can cause rheumatic fever if it spreads
Term
Cytomegalovirus (CMV)(pharyngitis)
Definition
enlarges the cell it infects. acquired from bodily secretions and blood. oritinally called salivary gland virus.
Term
Epstein barr virus
Definition
herpesvirus, transmitted in saliva and replicates in B-cells. T-cells respond to infected B-cells and become hyperlastic. infectious mononucleosis: inc number T-cells b/c responding to infected Bcells
Term
parotitis: MUMPS
Definition
paramyxoviridae- airborne or salivary secretion transmission; lytic infection. lifelong resistance to reinfection, affects PAROTID GLANDS near salivary glands, respiratory infection, orchitis or oophoritis is side effect that can lead to infertility
Term
Otitis externa (swimmer's ear)
Definition
inflammation of mucus membrane outlining external ear. Could be caused by pseudomonas aerugiosa (gram neg bacillus, aerobic) produces exotoxin and endotoxin. can also be caused by staphylococcus aureus and candida albicans (all found in normal flora of skin)
Term
Otitis media (middle ear infection)
Definition
caused by: streptococcus pneumonia (gram + facultative anaerobe), haemophilus influenza (gram - facultative anaerobe), RSV, strep pyrogenes. Signs include: fever, dilated vessles, buldging eardrum, more common in infants b/c eustacian tubes shorter and less agnled so not as good drainage
Term
Sinusitis
Definition
sinuses have mucous membrane continuous w/nasal cavity. pathogenesis much like otitis media. facial pain/pressure and sinus headaches are symptoms. treat w/tetracycline can stain teeth in children .
Term
parts of larynx:epiglottis
Definition
elastic cartilage that seperates trachea from esophagus. most threatening when swollen b/c can't breathe
Term
parts of larynx
Definition
epiglottis, vocal cord, thyroid cartilage, cricoid cartilage
Term
laryngitis, tracheitis
Definition
usually parainfluenza virus, strep pyogens or S. pneumoniae causes it. pain during inhailation/exhalation and hoarseness .
Term
Acute lower respiratory tract infections
Definition
Bronchitis, respiratory syncytial virus infection, bacterial pneumonia, pleurisy, influenza virus infection, whooping cough, misc. viruses.
Term
upper respiratory tract infections
Definition
common cold, pharyngitis/tonsillitis, strep pharyngitis/pyrogenes, cytomegalovirus (pharyngitis), epstein-barr virus, parotitis (mumps), otitis media and externa, sinusitis, laryngitis/tracheitis
Term
# 1 cause of bronchitis
Definition
smoking/second hand smoke
Term
bronchitis
Definition
cough due to irritation of bronchii, excess mucus impairs cilia. can be caused by rhinoviruses and coronaviruses, influenza virus and allergies/smoking
Term
RSV
Definition
paramyxovirus(like mumps), omst common cause of bronchiolitis and pnemonia in children under 2. inflames bronchioles and restricts air to alveoli. have fusion protein to help bind to host cell.
Term
Pneumonia
Definition
acute inflammation of lung where air spaces become filled w/inflammatory exudates. most common cause of infection related death in US and europe. bacterial more common than viral in adults. children mainly viral b/c of RSV.
Term
Bacterial pneumonia
Definition
infect lobar pneumonia. causes chest pain, cough with sputum and dyspnea.
Term
when is best time to get test sputum for pnemonia culture
Definition
MORNING: less chance for bacteria in lungs from other sources (like food) and greater concentration buildup overnight
Term
pneumoccoccal pneumonia streptococcus pneumonia
Definition
typical or lobar pneumonia; involves bronchi and alveoli, high fever, chest pain and bloody sputum
Term
mycoplasmal pneumonia
Definition
no cell wall, aerobic, WALKING/ATYPICAL pneumonia. weak and lethargic. since no cell wall hard to treat w/antibiotic. self limiting if pt can rest a lot.
Term
other atypical pnemonias
Definition
haemophilus influenzae pneumonia, legionnaire's disease, chlamydial pneumonia, Q fever, pneumocystis, pneumonia from protozoans and RSV pneumonia
Term
Pleurisy (pleuritis)
Definition
inflammation of pleural membranes from pneumonia or tuberculosis (usually viral pathogen)painful when u breath.
Term
what type of virus is influenza virus
Definition
orthomyxovirus, can cause endemic, epidemic and pandemic influenza
Term
endemic
Definition
localized in certain area, regional (easier to control)
Term
eidemic
Definition
spreads quickly like pandemic but not world wide
Term
pandemic
Definition
world wide, usually animal hosts
Term
influenza A
Definition
epidemics, pandemics w/animal reservoirs
Term
influenza B
Definition
epidemics, no animal hosts
Term
ifluenza C
Definition
mild
Term
H spikes
Definition
on the influenza virus, allow viral recognition to host and attachment
Term
N spikes
Definition
on influenza virus, allow virus to exit the infected host cell
Term
Whooping ough (pertussis)
Definition
caused by: bordetella pertussis which is a gram negative coccobacillius, aerobic respiration. attaches/multiplies in ciliated tracheal cells, have many toxins and cytoxins
Term
rdetella pertussis
Definition
gram negative aerobic
Term
parainfluenza virus infection
Definition
orthomyxovirus, similar to RSV in action. effects mostly children
Term
aenovirus infection
Definition
mostly children
Term
Chronic lower resp infections
Definition
tuberculosis, aspergillosis, histoplasmosis, cystic fibrosis
Term
TB (mycobacterium tuberculosis)
Definition
GRAM +, aerobic. waxy outter coat prevents from treating it, grows slow and hangs out w/macrophages
Term
Fungal aspergillus
Definition
most harmless, but can cause allergic bronchopulmonary aspergillosis
Term
Histoplasmosis
Definition
aka spelunker's disease, get it by inhailing it. found in feces of starlings, pigeons, chickens and bats and soil high in nitrogen. spread by blood and lymphatics but resembles TB lesions in lungs, usually asymptomatic but can be severe, bird feces allow spores to proliferate, bats are the carriers b/c lower body temp
Term
Cystic fibrosis
Definition
kills more children than any other inherited disorder. DISEASE OF EXOCRINE GLANDS and RESP structures. abnormal prodcution of mucus, lungs and bile ducts, BLOCKED w/mucus. pancreas secretes digestive enzymes so if mucus sereted there will have a hard time absorbing nutrients b/c of blockade of enzyme release into GI. AUTOSOMAL RECESSIVE DISORDER (if both parents carriers then child has 25% chance if have 4 kids)
Term
Diarrhea
Definition
inc in fluid in feces, increase in volume, requency and elimination of feces, causes dehydration and loss of electrolytes.
Term
dysentary
Definition
disease characterized by frequent watery stools containing blood and mucus
Term
enterocolitis
Definition
inflammation of lining of SI and LI
Term
Gastroenteritis
Definition
inflammation of epithelial lining of stomach and intestines
Term
types of exotoxins
Definition
cytotoxin, neurotoxin and enterotoxin
Term
cytotoxin
Definition
exotoxin that kills host cell or affects function
Term
neurotoxin
Definition
exotoxin that interferes w/nerve function
Term
enterotoxin
Definition
exotoxin that effects lining in GI tract
Term
Intoxiacation
Definition
refers to ingestion of pre-formed toxins. Over-abundance of bacteriotoxins in the GI
Term
Defense mechanisms of GI tract
Definition
lysozymes are bacteriostatic enzymes in mouth, AI produces antibodies, pockets of lymphoid tissue (peyer's patch) proptect from toxins entering boddy, lining can replicate itself fast and shed bacteria,
Term
Escherichia Coli
Definition
GRAM NEGATIVE, FACULTATIVE anaerobe, motile. Normal gut inhabitant and endotoxin cause diarrhea. 5 groups in ecoli. (get from undercooked ground beef)
Term
Enterohemorrhagic
Definition
Ecoli that affects LI, happens in more developed countries. produces sever toxin similar to shigella
Term
Enteroinvasive
Definition
infects LI, envades epithelial lining. endocytosis and disrupts cell function, can breakdown lining of epithelium and cause dysentary
Term
Enteropathogenic
Definition
infects SI and affects reabsorption, stays on surface and interrupts absorption does NOT produce endotoxins
Term
Enterotoxigenic
Definition
affects SI and reabsorption, have fimbrae around layer of toxins released. releases a lot of endotixins. increases peristalsis to try to get rid of it. causiung diarrhea
Term
Enteroaggregative
Definition
Affects SI, surface of SI is destroyed. makes lining make a lot of mucus which interferes w/absorption
Term
Campylobacter jejuni
Definition
GRAM NEGATIVE, MICROaerophilic, flagellar motility. mostly from undercooked chickens. causes bloody stool b/c of damage of jejunum. body can rid itself if not immune compromised. most common bacterial GI in us
Term
Salmonella spp.
Definition
GRAM NEGATIVE, facultative anaerobe. most common food-borne diarrhea in developed countries. get it from poultry meat eggs and milk. self limiting except if old or young. Ruffles gut SI surface and causes diarrhea
Term
Vibro cholera
Definition
GRAM NEGATIVE, faculatative anaerobe. single flagellum and secrete enterotoxin. cause CHOLERA--> bad drinking water/sewage or fish. causes rice water stools. colonization of SI enterotoxin causes the rice water stools. person gets mroe sick b/c drinks contaminated water agian.
Term
Shigella spp
Definition
bacillary dysentary, GRAM NEG, FACT anerobe, non motile. invades ileum, colon, epithelial cells, rarely invade blood stream. EXOTOXIN secreted in large amounts. transmitted w/poor sanitation/overcrowding. stays in SI and LI and invades macrophages and causes apoptosis of immunce cells.
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