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Week 3 I&I
UC MED 2015
272
Medical
Graduate
03/12/2012

Additional Medical Flashcards

 


 

Cards

Term
What means the presence of microbes on our body?
Definition
Infection
Term
If you have an infection does that mean the disease is present?
Definition
Not always
Term
What means the potential to cause disease?
Some microbes inherently virulent, their presence is always a medical issue
Definition
Pathogenicity (Virulence)
Term
What are microbes of low pathogenic potential, able to cause disease only in hosts with compromised defenses. Often members of our normal flora?
Definition
Opportunists
Term
Of the normal flora what is the term for always there?
Definition
Residents
Term
Of the normal flora what is the term for come and go?
Definition
Transients
Term
What are the 3 types of Host/Pathogen Relationships?
Definition
1) Symbiotic (mutualistic)
2) Commensalism
3) Pathogenic (Parasitic)
Term
Of the types of Host/Pathogen Relationships which describe for our relationship with normal flora?
Definition
Commensalism
Term
What thins affect which which bacteria associate with human body?
Definition
1) age
2) diet
3) lifestyle
4) geography
Term
Normal flora influences what aspects of us?
Definition
PASM

1) physiology
2) anatomy
3) susceptibility to pathogens
3) morbidity
Term
What are the three main sites of microbes on the body?
Definition
-Mouth
-Skin
-Colon
Term
What are the sterile sites of the body?
Definition
1) Trachea
2) Lungs
3) Heart- Blood
4) Tissues
5) Organs
6) Bladder
7) Stomach
8) Upper intestinal tract
9) Fets
Term
What 2 main types of innate defenses maintain sterility?
Definition
Chemical and mechanical
Term
What are the main chemical and mechanical defenses in the trachea and lungs?
Definition
-Mucociliary escalator
-Antimicrobials
Term
What are the main chemical and mechanical defenses in the stomach?
Definition
-acid pH
Term
What are the main chemical and mechanical defenses in the Small Intestine?
Definition
-antimicrobials (such as bile)
Term
What are the main chemical and mechanical defenses in the Bladder?
Definition
-sheer stress urine flow
Term
What are the main chemical and mechanical defenses in the Urine?
Definition
-antimicrobials and anti-pH
Term
What are the main chemical and mechanical defenses in the Skin?
Definition
-Physical barrier/ secretions(salt)
Term
Normal flora is important?
Definition
**maintaing sterility**
Term
Normal flora of the Teeth...
Definition
Streptococcus mutans
Bacteroides
Fusobacterium
Streptococcus
Actinomycetes
Term
Normal flora of the Conjunctiva...
Definition
Staph. epidermidis
Propionibacteria
Term
Normal flora of the Mouth...
Definition
Streptococci
Term
Normal flora of the Throat...
Definition
Streptococci
Neisseria ssp.
Staphylococci
Hemophilus
Term
Normal flora of the Nose...
Definition
Staphylococci
(S. aureus and S. epidermidis)
Corynebacteria
Streptococci
Term
Normal flora of the Skin...
Definition
Corynebacteria
Propionibacteria
Staphylococci (S. epidermidis)
Term
What are some keys of Antibiotic Misuse?
Definition
-Given when they are not needed (viral infections)
-Continued when they are no longer necessary
-Given at the wrong dose
-Broad spectrum agents are used to treat very susceptible bacteria
-The wrong antibiotic is given to treat an infection
Term
Vagina has which organism and how does it attract this microorganism?
Definition
-Lactobacillus and attract with glycogen secretion
Term
What does MRSA stand for?
Definition
Methicillin Resistant
Staphylococcus aureus
Term
Where is MRSA normally found?
Definition
Nares not skin
Term
Is the fetus sterile in uterus?
Definition
yes
Term
How many chromosomes in a prokaryote?
Definition
Single, circular
Term
Describe the nucleus/nucleoid in a prokaryote?
Definition
No nuclear membrane
No nucleoli
Term
Is there membrane bound organelles in a prokaryote?
Definition
Not present
Term
Is there a cell wall in a prokaryote?
Definition
Usually present
Many have PG
Term
Describe the plasma membrane in a prokaryote?
Definition
No carbohydrates, most lack sterols
Term
What size ribosome in a prokaryote?
Definition
70S
Term
How many chromosomes in a eukaryote?
Definition
Multiple
Term
Describe the nucleus/nucleoid in a eukaryote?
Definition
Membrane-bound nucleus
Nucleoli present
Term
Is there membrane bound organelles in a eukaryote?
Definition
Present (e.g. mitochondria, RER, Glog)
Term
Is there a cell wall in a eukaryote?
Definition
Present in plants
No PG
Term
Describe the plasma membrane in a eukaryote?
Definition
Sterols and carbohydrates present
Term
hat size ribosome in eukaryote?
Definition
80S
Term
What is the best way to describe a spherical or oval forms?
Definition
cocci; or coccus
Term
What is the best way to describe a rod-like forms?
Definition
bacilli or bacillus
Term
What is the best way to describe a spiral and curved forms that is helical?
Definition
spirilla
Term
What is the best way to describe a spiral and curved forms that is comma like?
Definition
vibrio
Term
What is defined as the ability of a microorganism to cause disease?
Definition
pathogenicity
Term
What refers to the extent of pathogenicity?
Definition
Virulence
Term
What are the functions of the cell membrane?
Definition
1) Permeability membrane
2) Contains proteins for selective and active transport

a. Assumes many of the functions associated with mitochondria (electron transport and energy production) and contains certain enzymes of the tricarboxylic acid cycle.
b. Contains the enzymes for complex lipid and cell wall synthesis.
c. Acts as a primitive mitotic apparatus.
d. Involved in secretion to exterior of exoproteins such as toxins and hydrolytic enzymes.
e. Site of sensor proteins
Term
Why do bacteria have cell walls?
Definition
• Provides rigidity to cell; helps to maintain shape.
• Is needed to protect the organism from the environmental stresses it faces, such as low osmotic pressure or presence of detergents. Think of intestinal bacteria that are exposed to bile salts that would dissolve an unprotected cell membrane.
• Limits penetration of molecules.
• Provides receptor sites for bacteriophages.
• Is unique to bacteria and is the target of many antibiotics.
Term
What is a genus of bacteria that lacks a cell wall?
Definition
Mycoplasma
Term
Gram-positive is what color?
Definition
blue
Term
Gram-negative is what color?
Definition
red
Term
What bacteria have a thick, multi-layered peptidoglycan cell wall that is exterior to the cytoplasmic (plasma) membrane?
Definition
Gram-positive
Term
The peptidoglycan in most gram-positive organisms is linked to which acids?
Definition
Teichoic acid and lipoteichoic acid. Lipoteichoic acid may play a role in pathogenesis of at least some gram-positive bacteria. Some lipoteichoic acids may induce an inflammatory response.
Term
What negative bacteria have two membranes – an outer membrane and an inner (called the cytoplasmic, plasma or cell) membrane. The outer membrane is chemically distinct from the usual biological membranes?
Definition
Gram-negative
Term
The outer leaflet contains a unique component called?
Definition
LPS
Term
This dual membrane system creates a compartment called ...
Definition
the periplasmic space or periplasm
Term
Where do you find the PG layer in gram-negative bacteria?
Definition
periplasmic space
Term
LPS is an example of a?
Definition
endotoxin- Small amounts in the circulation during a gram-negative infection can produce fever, vasodilation and inflammation
Term
High levels of LPS can lead to
Definition
High levels can lead to shock (endotoxic or gram-negative shock) or death
Term
LPS causes the release of which acute phase cytokines?
Definition
IL-1, Il-6 TNF-alpha and platelet activating factor
Term
Is the Outer Membrane found in gram-positive or gram-negative or both?
Definition
Gram-negative only
Term
Is the Cell wall found in gram-positive or gram-negative or both?
Definition
Both
+ thicker
- thinner
Term
Is LPS found in gram-positive or gram-negative or both?
Definition
Gram-negative only
Term
Are endotoxins found in gram-positive or gram-negative or both?
Definition
gram-negative only
Term
Is Teichoic acid found in gram-positive or gram-negative or both?
Definition
Gram-positive often present
Gram-negative is absent
Term
Is sporulation found in gram-positive or gram-negative or both?
Definition
Gram-positive for some strains

other is none known
Term
Is the Capsule found in gram-positive or gram-negative or both?
Definition
Sometime present in BOTH
Term
Is Lysozyme sensitive or resistant in gram-positive or gram-negative or both?
Definition
Gram-positive are SENSITIVE

Gram-negative are RESISTANT
Term
Is Antibacterial activity of PCN sensitive or resistant in gram-positive or gram-negative or both?
Definition
Gram-positive are MORE SUSCEPTIBLE

Gram-negative are MORE RESISTANT
Term
Is endotoxin production found in gram-positive or gram-negative or both?
Definition
Some strains for BOTH
Term
Many bacteria secrete a sticky, viscous material that forms a coating external to the cell wall (and outer membrane). If the material is tightly bound to the cell, it is called a ___________. If the material is loosely bound and amorphous, it is called a ________ or _________. Almost all bacteria can make such material to some degree.
Definition
-capsule
-slime layer or glycocalyx
Term
Most capsule are made of?
Definition
polysaccharide, while a few are polypeptides or proteins
Term
What is the function of the capsule?
Definition
-Pathogenicity
-Protection from phagocytosis
-Antigenic
-No metabolic or real structural purposes
Term
Are capsule associated with pathogenicity?
Definition
Yes
Encapsulated= virulent
Non-encapsulated= avirulent
Term
What are long helical filaments that are involved in motility. Many successful pathogens are motile, which may aid them in the environment and perhaps in the host?
Definition
flagella
Term
What are shorter protein structures that are involved in the attachment of bacteria to cells and to other surfaces?
Definition
pili
Term
What is the protein subunit of flagella?
Definition
flagellin
Term
The flagellum consists of three morphological parts:
Definition
filament, hook and basal body.
The basal body anchors the flagellum to the bacterial cell body. The hook is a short curved structure that connects the basal structure to the filament.
Term
What are the main functions of flagella?
Definition
-Locomotion
-Chemotaxis
Term
What is another name for pili?
Definition
fimbriae
Term
Are pili essential for growth?
Definition
No
Term
What is the protein structure of pili?
Definition
pilin
Term
What are the functions of common pili?
Definition
1) adherence(loss can cause avirulence and think E. coli in bladder wall attachment)
2) Anti-phagocytic (due to negative charge)
3) Antigenic
4) highly changeable
Term
hat is the vegatative stage of the cell?
Definition
endosome
Term
What is a mechanism to ensure survival during adverse conditions; it is not a reproductive stage?
Definition
Spore formation
Term
What are the most resistant life forms known?
Definition
spores
Term
What are proteins that are produced by bacteria and that usually are released into the surrounding medium?
Definition
Endotoxins
Term
Damage by exotoxins usually involves a two-step process...
Definition
-First the toxin binds to specific receptors on the host (target) cell and delivers the toxic part of the molecule to the appropriate cellular compartment.
-Second, the toxin causes a specific alteration in the target cell that results in damage.
Term
What component of an exotoxin binds to a receptor on the surface of the target cell?
Definition
B (for binding)
Term
What part of the endotoxin is delivered into the cell and what doe sit do?
Definition
A component (A for enzymatically active)
Term
The A portion of many – but definitely not all - A/B toxins catalyzes a reaction called...
Definition
adenosine-diphosphate (ADP) ribosylation, in which it removes the ADP-ribosyl group from NAD and attaches it to a host cell (target) protein
Term
What are modified toxins that retain immunogenicity but have lost toxicity?
Definition
toxoids
Term
Which toxin is this?

Stops protein synthesis
B domain binds to receptor on susceptible cell
Toxin internalized
A domain ADP-ribosylates elongation factor 2
End result – protein synthesis stops, cell dies
Definition
Diphtheria toxin
Term
Which toxin is this?

ADP-ribosylates GTP binding proteins in intestinal epithelial cell; end result = constant production of cAMP, resulting in outpouring of fluid into intestinal lumen, i.e. diarrhea
Definition
Cholera toxin
Term
Which toxins alter vesicle trafficking?

They are metalloproteases that proteolytically cleave proteins required for vesicle fusion with host cell membranes. Block release of neuro-transmitters (e.g. botulinum toxin blocks release of acetylcholine).
Definition
-Tetanus toxin
-Botulinum toxin
Term
What are antibodies directed against a toxin?
Definition
Antitoxin
Term
What type of toxin digest structural components of host cell membrane?
Definition
Lipases
Term
Some toxins help bacteria spread in tissues...
Definition
Hyaluronidase, collagenases, elastase, DNAse
Term
What toxin insert self into host cell membrane, form channels; cell eventually lyses?
Definition
Non-enzymatic cytolytic toxins
Term
Require viable host cell to replicate; will not grow on cell-free laboratory medium. Includes all viruses and a few bacteria (e.g. Chlamydia, Rickettsia)
Definition
Obligate intracellular pathogens
Term
What can exist as free living microorganisms or survive/multiply within a host cell; important in pathogenesis (e.g. Shigella, Mycobacteria)?
Definition
Facultative intracellular bacteria
Term
How do extracellular pathogens evade phagocytosis?
Definition
Capsule (most common)
Kill the phagocyte
Inhibit chemotaxis of PMNs
Term
How do extracellular pathogens avoid imune recognition?
Definition
Antigenic variation
Non-immunologic surface
Term
What bind to the T-cell receptor and cause T cell proliferation and over-production of cytokines?
Definition
superantigen
Term
What is an infection that is acquired or transmitted within a hospital?
Definition
Nosocomial infection
Term
What is an infection caused by member(s) of one’s own normal flora?
Definition
endogenous infection
Term
This term applies when signs and symptoms result from infection and its associated damage or altered physiology
Definition
Infectious disease
Term
What usually is defined as a microorganism that has the capacity to cause disease?
Definition
Pathogen
Term
What provides a quantitative measure of pathogenicity or the likelihood of causing disease. ?
Definition
virulence
Term
What regularly cause disease in some proportion of susceptible individuals with apparently intact defense systems?
Definition
"Principal" pathogens
Term
Not highly pathogenic, but can cause disease if host defenses are impaired (i.e. in a “compromised” individual).
Definition
Opportunistic microorganism
Term
What allow organism to establish an infection?
Definition
colonization factors
Term
What are microbial surface molecules that foster attachment to host cells (usually mucosal epithelium) by binding to specific receptors on host cells?
Definition
adhesins
Term
What have been shown to act as adhesins?
Definition
pili and outer membrane proteins
Term
What shield the bacteria from immune and phagocytic responses?
Definition
capsules or surface molecules
Term
The pathway from infection by a few microorganisms to initiation of disease symptoms follows a similar course for most diseases. These steps include:
Definition
1. Attachment +/- entry into the body of the host
2. Growth and spread in the host by one of two mechanisms:
Extracellular pathogens grow on cellular surfaces
Intracellular pathogens enter intact cells and grow within them
3. Evasion of host defenses
4. Shedding (exit from body)
5. Finally a pathogen must damage the host

Steps 1 – 4 are carried out by members of the normal bacterial flora
Steps 1 – 5 are carried out by pathogenic microorganisms
Steps 2 – 5 differ for extracellular and intracellular pathogens
Term
RNA containing several genes for several proteins, this tends to be specific to prokaryotes is called?
Definition
polycistronic
Term
What capture and transport iron into cells and bacteria require?
Definition
siderophores
Term
Are siderophores an important virulence factor?
Definition
Yes for pathogenic bacteria
Term
What media (e.g. sheep blood agar- clearing out when lyses RBCs), is used for better diagnosis of the bacteria?
Definition
differential media
Term
What media can only grow certain bacteria(CNA-agar-only grows Gram+ not -)?
Definition
selective media
Term
Can you have a media that is both selective and differential?
Definition
Yes
Term
What are 3 broad classes of bacteria based on oxygen requirement?
Definition
aerobic bacteria (aerobes)- requires O2
facultative anaerobes= can use, but not required
anaerobic bacteria-no need
Term
Aerobic bacteria use what to detoxify oxygen to prevent damage?
Definition
-SOD
-catalase (peroxidases)
Term
Which bacteria lack SOD and peroxidases so that
molecular oxygen will kill them?
Definition
obligate anaerobes
Term
What can be used as a treatment for anaerobic infection in the hospital?
Definition
hyperbaric oxygen
Term
Anaerobes acquired from outside sources: environment or food
Definition
Exogenous
Infection
Term
Anaerobes acquired from the patient’s own microbial flora
Definition
Endogenous
Infection
Term
In our intestinal tract what type of bacteria is more common?
Definition
anaerobes by over a factor of 1000
Term
Bacteria grow by?
Definition
binary fission (doubles)
Term
What limits bacteria growth?
Definition
not enough nutrients
Term
What are the 4 basic phases of bacteria growth?
Definition
1) Lag phase
2) Log (exponential) phase
3) stationary phase
3) death phase
Term
What can some bacteria do in the stationary phase in response to loss of nutrients?
Definition
sporulation
Term
What is called when bacteria sense each other and turn on certain genes based on what is required in that situation?
Definition
Quorum sensing (some bacteria make bio films to increase resistance to antibacterials)
Term
What viruses that infect bacteria?
Definition
bacteriophages
Term
What are some of the morphologies of bacteriophages?
Definition
Icosahedral
Filamentous
Others
Term
What is the integrated phage?
Definition
prophage
Term
What is the bacteria with the prophage?
Definition
Lysogenic bacteria
Term
Can virulence factors such as diptheria toxin be encoded on prophages?
Definition
Yes
Term
What is an independent piece of DNA in the bacteria and has its own origin of replication?
Definition
plasmid, some have antibiotic genes on them
Term
What are Plasmids that integrate into chromosome e.g. F+ factor?
Definition
Episomes
Term
What do not have an orgin of replication, i.e. must
be integrate into plasmid or chromosome?
Definition
Transposons
Term
What are the 4 mechanisms for genetic exchange in bacteria?
Definition
-Transformation
-Transduction
-Conjugation
-Transposition
Term
What is Phospholipid bilayer with embedded proteins, glycoproteins; provides a barrier and houses transport and signaling systems?
Definition
Plasma membrane
Term
What is Exterior to the plasma membrane(high carbohydrate content- hence why its stains with PAS), often used for attachment and to establish a microenvironment?
Definition
glycocalyx
Term
What is Semiliquid solution of ions, proteins, carbohydrates; contents maintained at a gradient to outside by membrane?
Definition
Cytoplasm
Term
What is Microfilaments and microtubules that suspend organelles and allow their movement through the cytoplasm, give the cell shape, allow cellular motion?
Definition
cytoskeleton
Term
What is Double membrane surrounding chromosomes and nucleolus and why are they surrounded by pores?
Definition
nucleus and they are for communication with the cytoplasm
Term
What is the site of ribosome synthesis?
Definition
nucleolus
Term
Do mitochondria have their own genome?
Definition
yes of course, remember they are for energy production and in case they ask they are AT rich as opposed to GC
Term
Stacked endomembrane involved in protein folding, secretion and delivery, via vesicles, to membrane.
Definition
Golgi apparatus
Term
What is involved in protein (rough) and lipid (smooth) synthesis?
Definition
Endomembrane system
-RER (protein synthesis)
-SER (detox)
Term
Cell walls occur in which two things other than plant cells in eukaryotes?
Definition
fungi and some parasites
Term
Some anti-fungals target what in some cases?
Definition
cell wall synthesis
Term
Yeasts divide via?
Definition
budding
Term
What are round-to-oval unicellular organisms?
Definition
yeasts
Term
Molds grow as thread-like strands called? and via?
Definition
hyphae via apical extension
Term
What is still the primary way that fungi are identified in the lab?
Definition
culture
Term
What organism responsible for passing the parasite, often an insect, “helps” the parasite breech the integument?
Definition
vector
Term
What harbors the parasite, may be in an intermediate form, to help maintain the parasite population?
Definition
Reservoir
Term
What type of parasite is unicellular and microscopic?
Definition
protozoa
Term
What type of parasite is multicellular and usually visible to the eye in adult form?
Definition
Helminths
Term
What type of helminth is a round worm?
Definition
nematode
Term
What type of helminth is a tapeworm?
Definition
cestode
Term
What type of helminth flatworm?
Definition
trematode
Term
What type of bacteria tolerate oxygen but grow best in reduced oxygen tension?
Definition
Microaerophilic
Term
The two major mechanisms for the generation of energy by pathogenic bacteria are called?
Definition
-Aerobic respiration
-Fermentation
Term
This describes...
pyruvate is formed via glycolysis. Under aerobic conditions this is further oxidized in the TCA cycle. High levels ATP are produced from electron transport. Molecular oxygen is the terminal electron acceptor.
Definition
Aerobic respiration
Term
This is called...
Pyruvate is formed, ATP generated though substrate phosphorylation. Organic molecules are the final electron acceptors generating fermentative end products (e.g. ethanol in yeasts, lactic acid common for bacteria, plus many others). These end products may be used as tools for distinguishing between different bacteria.
Definition
Fermentation
Term
Many medically relevant bacteria grow best at what temp?
What temp is it inhibited?
Definition
-37
-4
Term
What bacterial growth phase does this describe?

Little or no cell division. Freshly inoculated bacteria are adapting to growth in a new environment by adjusting cellular constituents (e.g. synthesis of new enzymes). Variable in time from minutes to several hours.
Definition
Lag phase
Term
What bacterial growth phase does this describe?

Bacteria are dividing logarithmically as defined by the equation on the previous page. Many antibiotics are most effective at this stage of bacterial growth.
Definition
Log phase
Term
What bacterial growth phase does this describe?

Eventually cell growth will slow down and cease due to the depletion of nutrients, oxygen, or the accumulation of waste products. For those bacteria that form spores, sporulation often occurs in this phase.
Definition
Stationary phase
Term
What bacterial growth phase does this describe?

After a period of time in stationary phase cell viability will decline. This varies with organism and culture conditions.
Definition
Death phase (decline phase)
Term
What involves the production of diffusible signal molecules termed autoinducers, which allow the bacterium to monitor its own cell population density.
Definition
Quorum sensing
Term
The bacterial genome is typically what in terms of ploidy?
Definition
haploid
Term
What phase of a virus is this...

The virus infects a bacterium, replicates and assembles new phage particles. Progeny phages are released by lysis of the host cell
Definition
Lytic phase (virulent)
Term
What phase of a virus is this...

These phage infect a host cell (bacterium) and can integrate into the host chromosome. The site of integration is not random. The integrated virus is called a prophage that replicates along with the host cell DNA. Much of the phage genome is turned off by a repressor protein which inhibits the genes required for lytic growth. A prophage can be induced by DNA damage to excise from the chromosome and replicate in a lytic cycle. Bacteria that carry a prophage are termed lysogenic and the terms lysogeny and lysogenize are also used to describe this state. λ phage is an example of a temperate phage in E. coli. Diphtheria toxin in Corynebacterium diphtheriae is encoded by a prophage.
Definition
Temperate phase
Term
The intergrated virus into the host chromosomes is called?
Definition
prophage
Term
Bacteria that carry a prophage are termed?
Definition
Lysogenic
Term
What plasmid have the capability of transferring their DNA into another bacterium that does not contain the plasmid?
Definition
Conjugate plasmids
Term
What conjugative plasmids have the ability to integrate into the host chromosome similar to prophage?
Definition
Episome
Term
What DNA elements that are capable of mediating their own transfer from one position to another along a genome or between different chromosomes (or plasmids)?
Definition
Transposons
Term
Plasmids can encode regions for antibiotic resistance can transposons do the same?
Definition
Yes
Term
What involves the direct uptake of naked DNA fragments into bacteria followed by recombination into the bacterial chromosome. Circular plasmid DNA can also be introduced into bacteria by this method.
Definition
Transformation
Term
The ability for bacteria to take up DNA requires a specific physiologic state (__________) that occurs under certain conditions .
Definition
competence
Term
What is Gene transfer from donor cell to recipient mediated by bacteriophages called?
Definition
Transduction
Term
What are the two types of transduction?
Definition
-Generalized transduction
-Specialized transduction
Term
What type of transduction...

This occurs during infection with lytic phage. Viral DNA is packaged into a viral capsid during phage assembly. A random segment of the bacterial host DNA can also be accidentally packaged in a small percent of the phage. These transducing phage particles deliver the bacterial DNA into another cell during subsequent infection. The donor DNA can then recombine with the recipient’s genome. Note that the donor DNA can be derived from any part of the host genome.
Definition
Generalized transduction
Term
What transduction occurs when a prophage excises itself from the host genome and picks up some of the adjacent DNA from the host. This becomes packaged into the phage particles that can further infect recipient cells. This is called specialized transduction because the genes in close proximity to the site of prophage integration are transduced.
Definition
Specialized transduction
Term
What is one concept of transduction that you need to know?
Definition
host DNA genetic material can be transferred to new recipients by phage (transduction)
Term
What is mediated by the presence of conjugative plasmids that are either extrachromosomal or episomal. Requires cell-cell contact between the donor and recipient cell and a conjugation bridge encoded by the plasmid to transfer the DNA. In contrast to transduction, conjugation is a highly efficient process.
Definition
Conjugation
Term
Some pathogenic bacteria contain large mobile genetic elements that contain multiple virulence genes. These can be 30 – 100 kb clusters of virulence genes that can transform a nonpathogenic bacterium into a pathogenic one in a single step. These clusters of genes, referred to as ...
Definition
pathogenicity islands
Term
What exotoxins are from soil, lakes, rivers and sewage?
Definition
Think spores...


tetanus (Clostridium tetani)
gas gangrene (C. perfringens)
wound botulism (C. botulinum)
cellulitis from various species
Term
What exotoxins are food bourne?
Definition
botulism (Clostridium botulinum)
gastroenteritis (C. perfringens)
Term
Bacterial Adaptation is so good based on what 4 factors?
Definition
1) Streamlined gene expression
2) Diverse metabolism
3) Rapid growth
4) High numbers
Term
The most beneficial environment is when a microbe has a warm nutrient rich environment and the host also benefits, this relationship is called?
Definition
Symbiotic (mutualistic)
Term
What relationship is good fo the microbe, but is neutral for the host?
Definition
Commensalism
Term
What microbials do the Lactobacillus in the vagina produce?
Definition
-Lactic acid (pH= 4.5)
-H2O2
Term
What is the microbial zoo of the body?
Definition
colon
Term
What bacteria produces acid that destroys are enamel if we eat too much sugar? aka tooth decay
Definition
Streptococcus mutans
Term
What causes peridontal disease?
Definition
Streptococcus
Actinomycetes
Term
What is found in the nose but not the skin?
Definition
Staphylococcus aureus
Term
The fetus is sterile where does it get its flora if vaginally delivered?
Definition
organisms from mother's vagina
Term
The fetus is sterile where does it get its flora if C-section?
Definition
organisms from first hands that touch the baby
Term
microbes of breast fed infants change when...
Definition
solid food introduced, fever or antibiotics
Term
Can normal flora cause opportunistic infections?
Definition
Yes
Term
What happens when normal flora of the brain, tissues, or GI tract escape their barriers?
Definition
Abscesses
Term
What happens if normal flora get into the hear?
Definition
endocarditis
Term
Can normal flora in the wrong place cause sepsis?
Definition
yes
Term
What happens if we get normal flora in the lungs?
Definition
pneumonia
Term
What are some common disease from normal flora escaping the GI tract?
Definition
-Gastroenteritis
-Peritonitis
Term
What are some the beneficial effects of the normal flora?
Definition
Produce: Vitamins (B12 and K)
Detoxify compounds / Generate nutrients

Simulate Immune System
Promote development of intestinal lymphatic system
Induce production of cross-reactive antibodies

Protect from pathogens
Produce Anti-microbial compounds
Competition
Term
What are 3 normal functions of the normal flora?
Definition
1) Physical exclusion
2) Antimicrobial products
3) Immune stimulation
Term
The normal flora and mucosa can be damaged by?
Definition
1) Chemical/ Physical Damage
2) Irradiation
3) Immune suppression
Term
Antibiotics are the only drug where use in one patient can...
Definition
impact the effectiveness in another
Term
Antibiotics can be described as...
Definition
-shared resource
-scarce resource
-(perhaps) non-renewal resource
Term
What are some of the harmful effects of normal flora?
Definition
Nutrient competition - Ex. farm animals given antibiotics in their feed grow faster, have larger litters.

Synergistic protection – antibiotic destruction,
resistant bacteria degrade antibiotics, protects sensitive bacteria

Toxic metabolites – produced by gut bacteria can cause cancer

Low grade toxemia
Term
What are some common diseases that allow OPPORTUNISTS to breach barriers?
Definition
1) Malnutrition
2) Diabetes
3) Immunodeficiency (AIDS, chemotherapy,
transplant patients, leukemia)
4) Radiation damage
5) Trauma/Surgery/Burns
Term
Which Phylum is characterized as being Gram +, Low G+C?
Definition
Firmicutes
e.g. Staphylococcus, Enterococcus, Streptococcus, Clostridia. Listeria
Term
Which Phylum is characterized as being Gram +, High G+C?
Definition
Actinobacteria
e.g. Mycobacterium, Corynebacterium, Nocardia
Term
Which Phylums is characterized as being Gram -?
Definition
Proteobacteria (Gram Negatives)
e.g. Escherichia, Salmonella, Vibrio, Helicobacter

Verrucomicrobia (Gram Negatives)
Term
Which Phylum is characterized as being Gram -, anaerobes?
Definition
Bacteroidetes (Gram Negatives - anaerobes)
e.g. Bacteroides, Porphyromonas
Term
Which Phylum is characterized as being Gram -, obligate anaerobes?
Definition
Fusobacteria (Gram-Negatives – obligate anaerobes)
e.g. Fusobacterium necrophorum and F. nucleatum
Term
What is one of the more common Fungi seen in humans?
Definition
Canidida (in gut)
Term
What does it mean by saying our body is an ecosystem?
Definition
Similar organisms are present in similar niches.

So armpits and forearm and penis are all vastly different niches with varying ranges of microbiota
Term
What dominates in the oily, sebaceous (alar crease) areas?
Definition
Propionibacteria (mostly) /Staphylococci (next most)
Term
What dominates in the moist (armpit) areas?
Definition
Corynebacteria
Term
What dominates in the dry (forearm) areas?
Definition
Mixed flora
Term
What bacteria lipases breakdown lipids in sweat form butyric acid etc.?
Definition
Corynebacterium
Term
What bacteria make propionic acid from amino acids (similar to acetic acid gives sour, vinegar-like smell)?
Definition
Propionibacteria
Term
What bacteria produce isovaleric acid (3-methyl butanoic acid) cheesy smell?
Definition
Staphylococcus epidermidis
Term
What might be one of the functions of appendix?
Definition
'A safe house' to store
and protect good flora for your gut.

When intestinal flora are purged by diarrhea (cholera or dysentery) or antibiotics the appendix repopulates the digestive track with protective flora

Important in less hygienic societies, less so in industrialized societies

However - individuals without an appendix were four times more likely to have a recurrence of Clostridium difficile
Term
Where can you find transposon's?
Definition
-plasmid
-chromosomes
-NEVER as a free element
Term
What are the two types of plasmid?
Definition
-Extrachromosomal
-Episome (integrated into chromosome)
Term
What are the two types of Phages?
Definition
-Lytic (enter and then replicate and leave cell via lysis)
-Temperate (enter into and enter into chromsome during prophage, then in the Lysogeny phase, the DNA leaves the chromome, replicates and the forms new virions before lysing and killing the cell to reinfect more)
Term
Transformation is when...
Definition
free DNA enters into a bacteria and is either successfully or unsuccessfully integrated into the bacteria
Term
Transduction is when...
Definition
the DNA from an infectious phage is injected then integrated into the chromosome, so similar to the temperate phage, sometimes there is a mistake and some bacterial DNA is integrated into the phage
Term
Conjugation is done by...
Definition
subset of plasmids with this capability
Term
Conjugation is when...
Definition
a bacteria with a F+ plasmid conjugates or connects with another bacteria via a SEX PILUS, then via synthesis each bacteria ends up a F+ plasmid
Term
Hfr stands for...
Definition
High frequency of recombination
Term
An Hfr does what?
Definition
It is when an F+ plasmid is integrated into the host's chromosome forming an episome, then via the sex pilus a conjugation is made some of the host's chromosome enters the recipient cell and its chromosome has now been changed to include some of the donor's DNA
Term
What are some consequences of transposition of transposons (aka transposable elements)?
Definition
1) Insertion can inactivate gene at site of insertion
2) Can transport a gene for drug resistance
3) Can move around sets of genes required for function (e.g.- pathogenicity islands for virulence)
Term
Phages replicates via...
Definition
transduction
Term
Plasmids replicate via...
Definition
-Conjugation
-Sex pilus
-Hfr
Term
Transposition can happen between which pairs?
Definition
-plasmid and chromosome
-plasmid and plasmid
-chromosome and chromosome
Term
Transformation the free DNA comes from...
Definition
-chromosome
-plasmid
Term
What are major classes of Fungi?
Definition
-Yeasts
-Molds
Term
What are major classes of Parasites?
Definition
-Worms
-Protozoans
Term
Cell walls tend to be most made of?
Definition
polysaccharides
Term
What fungi is important in brewing and bread making? What is its function?
Definition
Saccharomyces
-converts sugar to ethanol
Term
Yeast grow similar to what other microorganism?
Definition
grow on agar in bacteria-like colonies
Term
Molds (type of fungi) are uni- or multi- cellular organisms?
Definition
multicellular
Term
Mold colonies would be described as being...
Definition
-filamentous
-mycelial (he vegetative part of a fungus, consisting of a mass of branching, thread-like hyphae)
Term
Hyphae are divided into two groups and can tell the physician about different treatment paths, he should choose. These two types are?
Definition
-Septate (divided by septa)
-Coenocytic (non-septate)
Term
Fungi reproduce by making...
Definition
Conidia
Term
What are the two types of Conidia?
Definition
-Sexual
-Asexual (majority of what is looked at in labs for identification)
Term
Spores reproduce via sexual or asexual reproduction?
Definition
sexual, if only tests were this easy
Term
Sexual reproductive cells are...
Definition
spores
Term
General VIRULENCE properties of fungi include (3)...
Definition
1) Thermotolerance – must be able to grow well at 37°C.
2) Dimorphism – some grow in completely different morphological forms in nature and in vivo.
3) Resistance to host defenses – Size, composition (cell wall or capsule), exoenzymes.
Term
What is the person, animal, or insect that harbors the parasite called?
Definition
host
Term
What is unique about the definitive host?
Definition
It is the host where the parasite undergoes sexual reproduction
Term
What is organism responsible for passing the parasite, often an insect, “helps” the parasite breech the integument?
Definition
Vector
Term
What harbors the parasite, may be in an intermediate form, to help maintain the parasite population?
Definition
Reservoir
Term
Intracellular bacteria have devised several means to subvert the normal killing mechanisms of macrophages.
Definition
-Escape lysosome and multiplies in macrophage cytoplasm.
-Induce apoptosis and kill macrophage.
-Inhibit lysosomal fusion so not exposed to toxic lysosomal contents.
-Resist the antibacterial action of the lysosome and multiplies in lysosome.
Term
Which toxin blocks vesicle fusion?
Definition
Tetanus toxin
Term
Which toxin blocks protein synthesis?
Definition
Diphtheria toxin
Term
Which toxin acts on GTP binding proteins?
Definition
Cholera toxins
Term
Which toxin non-specifically stimulates T cells?
Definition
Superantigens
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