ch 24 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Diarrhea that occurs as a complication of taking antimicrobial medications.

A

Antibiotic-Associated Diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Fluid produced by the liver that aids in the digestion and absorption of fats.

A

Bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Causes dental caries (tooth decay).

A

Cariogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Scarring of the liver that interferes with normal liver function.

A

Cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A serious form of diarrhea characterized by blood, pus, and mucus in the feces.

A

Dysentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Acute inflammation of the stomach and intestines; the syndrome of nausea, vomiting, diarrhea, and abdominal pain.

A

Gastroenteritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Inflammation of the gums.

A

Gingivitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A severe condition characterized by red blood cell breakdown and kidney failure.

A

Hemolytic Uremic Syndrome (HUS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Inflammation of the liver.

A

Hepatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tiny extensions from the surfaces of cells such as those lining the intestinal villi; they increase the surface area of the mucosa.

A

Microvilli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A treatment used to replace fluid and electrolytes lost due to diarrheal disease.

A

Oral Rehydration Therapy (ORT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Short finger-like projections from the intestinal mucosa that slow the movement of food and increase the surface area of the intestinal lumen.

A

Villi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

a route, administered or occurring elsewhere in the body than the mouth and alimentary canal: parenteral nutrition. Often contrasted with enteral.

A

parenteral route

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

an inflamed blister in or near the mouth, caused by infection with the herpes simplex virus.

A

cold sores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

a single-celled microscopic animal of a group of phyla of the kingdom Protista, such as an amoeba, flagellate, ciliate, or protozoan.

A

protozoan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— Gastroenteritis, caused by many serotypes of salmonella bacterium, typically caused by animal fecal or poultry contaminating food or water.

A

salmonellosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of salmonellosis.

The two species of ๐„๐ง๐ญ๐ž๐ซ๐จ๐›๐š๐œ๐ญ๐ž๐ซ๐ข๐š๐œ๐ž๐š๐ž, the S. enterica and S. bongori are both identified using ______ ______ method.

A

DNA sequence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of salmonellosis.

The ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ strains are subdivided based ______, found on the soma, flagella, and capsule.

A

antigens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Salmonellosis.

In naming, due to the antigens, the serotype is often included and replaced by the ______ name.

Ex: ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ (๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚) ๐ƒ๐ฎ๐›๐ฅ๐ข๐ง

A

subspecies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Causative Agent of salmonellosis.

Most cases of salmonellosis are caused by food infected with ______, which often infects cattle and poultry, though other animals such as domestic cat and hamsters

A

๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚.

It is a Gram (-) rod and the most studied member of the ______ genus.

A

๐„๐ง๐ญ๐ž๐ซ๐จ๐›๐š๐œ๐ญ๐ž๐ซ๐ข๐š๐œ๐ž๐š๐žโ€‹

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚.

It is caused by Ingestion of food contaminated by animal feces, especially _____.

A

poultry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚.

Medication increase susceptibility to _____, like ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’†๐’๐’•๐’†๐’“๐’Š๐’„๐’‚.

A

pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of salmonellosis.

They vary depending on strains. The _____ strain causes bloody diarrhea, headaches, fever and *HUS.

A

๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š strains are named ______ _____ ______:______.

A

E coli O157:H7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

They cause _____ ______ ______ marked by anemia due to lysis of red blood cells and kidney failure, similar to *cholera.

A

hemolytic uremic syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— infectious bacterial fever with an eruption of red spots on the chest and abdomen and severe intestinal irritation.

A

typhoid fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of typhoid fever is characterized by high fever, headache, and abdominal pain. Maybe followed by intestinal rupture causing internal _______ then shock, and death.

A

bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of typhoid fever.

This member of Enterobacteriaceae grows both in the intestine and blood, it is a ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ serotype, Gram (-) and found in humans.

A

๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

The strain crosses ______ intestinal membrane and invades the bloodstream. This causes the life-threatening enteric-fever.

A

Mucous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

The strain also crosses the _______ intestinal

A

epithelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

The strain is then taken up by ______ cell where within it multiplies.

A

macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

After invading M-cells, multiplying in macrophages it then travels throughout the body by this ______.

A

bloodstream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

If ______ of patches are destroyed, then the intestine ruptures and hemorrhages.

A

Peyerโ€™s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

The source of infection is caused by ______ of mammal.

A

Humans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

Transmission from person to person is by _____ method.

A

fecal-oral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

โ„™๐•ฃ๐•–๐•ง๐•–๐•Ÿ๐•ฅ๐•š๐• ๐•Ÿ & ๐•‹๐•ฃ๐•–๐•’๐•ฅ๐•ž๐•–๐•Ÿ๐•ฅ of ๐‘บ๐’‚๐’๐’Ž๐’๐’๐’†๐’๐’๐’‚ ๐’•๐’š๐’‘๐’‰๐’Š.

Although there are antimicrobial medications, the ______ typhoid vaccine helps prevent the typhoid fever.

A

Inactivated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— both infectious and often fatal bacterial disease of the small intestine, typically contracted from infected water supplies, causing severe vomiting and diarrhea.

A

Cholera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Cholera.

It causes a classical symptom of ______ when the toxins of the bacteria act on the small intestinal epithelium.

A

Watery-diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Cholera.

The symptoms include diarrhea, vomiting, and cramps which have ______ onset.

A

Abrupt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Cholera.

In 1883, Robert Koch isolated _____ that is both alkali and salt tolerant, curved, Gram (-) rod.

A

๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— Rapid test for stool specimens from ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’† revealed the ______ ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

A

toxicogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

In general, the toxin causes secretion of chloride, electrolytes, and water out of the intestinal epithelium and into the _____. Without rehydration, shock happens.

A

lumen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

It enters through by ______ transmission of food or drink.

A

oral-fecal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

They attach to the ______ of cells in the small intestine.

A

epithelial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

Inside the epithelial cells, the bacterium releases a toxin substance, causing the cells to continuously ______ chloride ions, then electrolytes and water.

A

secrete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

The secreted liquids from the _____ cells travel to lumen intestinal region, causing watery diarrhea.

A

epithelial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

After causing dehydration, the bacteria use the ______ route to exit the body with fluids.

A

Feces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

โ„™๐•ฃ๐•–๐•ง๐•–๐•Ÿ๐•ฅ๐•š๐• ๐•Ÿ & ๐•‹๐•ฃ๐•–๐•’๐•ฅ๐•ž๐•–๐•Ÿ๐•ฅ of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

The main treatment consists of oral and ______ therapy, which rehydrates fluid and electrolytes.

A

Intravenous

50
Q

โ„™๐•ฃ๐•–๐•ง๐•–๐•Ÿ๐•ฅ๐•š๐• ๐•Ÿ & ๐•‹๐•ฃ๐•–๐•’๐•ฅ๐•ž๐•–๐•Ÿ๐•ฅ of ๐‘ฝ๐’Š๐’ƒ๐’“๐’Š๐’ ๐’„๐’‰๐’๐’๐’†๐’“๐’‚๐’†.

Although a vaccine is available in some countries, handwashing and _______ water limit the disease.

A

purifying

51
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— infection by a bacterium that causes peptic ulcers in the stomach and the uppermost part of the small.

A

H. pylori infection

52
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of H. pylori infection.

They are often asymptomatic, but ______ ulcers can cause abdominal pain, tenderness, and bleeding.

A

peptic

53
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of H. pylori infection.

Infection may occur if _____ is introduced into the layer of mucus that overlies the stomach epithelium.

A

tube

54
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of H. pylori infection.

It is a microaerophilic bacterium that withstands stomach acid by producing urease.

A

๐‘ฏ๐’†๐’๐’Š๐’„๐’๐’ƒ๐’‚๐’„๐’•๐’†๐’“ ๐’‘๐’š๐’๐’๐’“๐’Š

55
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’๐’Š๐’„๐’๐’ƒ๐’‚๐’„๐’•๐’†๐’“ ๐’‘๐’š๐’๐’๐’“๐’Š.

They thrive in stomach acidity by producing ______, an enzyme. They infect when burrowed within stomachโ€™s mucus coating.

A

urease

56
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’๐’Š๐’„๐’๐’ƒ๐’‚๐’„๐’•๐’†๐’“ ๐’‘๐’š๐’๐’๐’“๐’Š.

The ______ of the layer is damaged by bacterial products and inflammatory response.

This may lead to peptic ulcers.

A

mucosal

57
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’๐’Š๐’„๐’๐’ƒ๐’‚๐’„๐’•๐’†๐’“ ๐’‘๐’š๐’๐’๐’“๐’Š.

Most stomach cancers are due to H. pylori, but it causes cancer ______.

A

Rarely

58
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’๐’Š๐’„๐’๐’ƒ๐’‚๐’„๐’•๐’†๐’“ ๐’‘๐’š๐’๐’๐’“๐’Š.

The most probable route is ______ transmission. Incidence do increases with age.

A

Oral-fecal

59
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— Gastroenteritis from the consumption of contaminated raw foods, raw vegetables and most notable, undercooked ground beef.

A

Escherichia coli Gastroenteritis

60
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of E. coli Gastroenteritis.

Varies per strain, most are ______, and cause brief diarrhea.

A

harmless

61
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of E. coli Gastroenteritis.

The _______ is a type of gram (-) rod, most strains ferment lactose which distinguishes them from the similar Shigella family.

A

๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š

62
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Toxic E. coli Gastroenteritis.

This ๐‘ฌ. ๐’„๐’๐’๐’Š strain produces types of Shiga toxins, and even make other toxins as well. Most identified in outbreaks.

A

๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ. ๐’„๐’๐’๐’Š

63
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of the ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

It causes severe diarrhea, stomach cramps, diarrhea, vomiting and ______ ______ ______.

A

HUS

(hemolytic uremic syndrome)

64
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

The Shiga toxin strains are encoded by various prophages, a great example ______ conversion.

A

lysogenic

65
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

It typically colonizes _______ ________, where it infects effector proteins that cause attaching and effacing (A/E) lesions.

A

large intestine

66
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

The colonization damage results in diarrhea which becomes bloody due to the ______ _____ on the local blood vessels.

A

Shina Toxins

67
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

About ______% develop the hemolytic uremic syndrome.

A

5-10

68
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

They are easily spread by ______ _______ transmission in addition to food-borne.

A

direct contact

69
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘บ๐’‰๐’Š๐’ˆ๐’‚ ๐’•๐’๐’™๐’Š๐’-๐’‘๐’“๐’๐’…๐’–๐’„๐’Š๐’๐’ˆ ๐‘ฌ๐’”๐’„๐’‰๐’†๐’“๐’Š๐’„๐’‰๐’Š๐’‚ ๐’„๐’๐’๐’Š.

The initial source typically originates from untreated manure from _______.

A

cow

70
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— infection, that is caused by a form of viral hepatitis transmitted by fecal contamination of hands, food, or water.

A

Hepatitis-A-Infection

71
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Hepatitis-A-Infection.

It usually causing fever and jaundice with no _____ carriers. Its preventable by vaccination.

A

chronic

72
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Hepatitis-A-Infection.

The _______ is non-enveloped, ssRNA picornavirus family.

A

๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”

73
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”.

Following ingestion, the virus reaches the _______, by an unknown route.

A

liver

74
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”.

The liver is the only tissue damaged, this is the organ which _____ occurs.

A

replication

75
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”.

The virus is released into the bile and eliminated by ______.

A

feces

76
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of HAV.

It spreads by the ______ route, mostly by fecal-contaminated hands, food, or water.

A

fecal-oral

77
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”.

The ______ group is at high risk, also elderly at nursing homes, travelers and sexual active contact.

A

children

78
Q

โ„™๐•ฃ๐•–๐•ง๐•–๐•Ÿ๐•ฅ๐•š๐• ๐•Ÿ & ๐•‹๐•ฃ๐•–๐•’๐•ฅ๐•ž๐•–๐•Ÿ๐•ฅ of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’” ๐‘จ ๐’—๐’Š๐’“๐’–๐’”.

The _____ vaccine prevents and immune globulin treatment.

A

Inactivated

79
Q

๐”ธ ๐•‹๐•ช๐•ก๐•–-๐• ๐•— severe form of viral hepatitis transmitted in infected blood and semen, causing fever, debility, and jaundice.

A

Hepatitis B Infection

80
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Hepatitis B Infection.

Unlike Hep-A, it is more _____ and this-type of disease which leads to cirrhosis and cancer. It also can cross the placenta.

A

severe

81
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Hepatitis B Infection.

It is the _______, an enveloped, double-stranded DNA hepadnavirus.

A

๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”

(HBV)

82
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

It first infects the _____ cell.

A

liver

83
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

In the liver, it uncaots and is transported to _____, a site of the cell.

A

nucleus

84
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

RNA polymerase transcribes the ______, generating mRNA and then pgRNA.

A

cccDNA

85
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

The mRNA is translated, producing the virally encoded proteins, then viral particles assemble and HBV-encoded -reverse-transcriptase packages into ______.

A

pgRNA

86
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

After assembling, the virus acquires its _____ and it exits from the cell.

A

envelope

87
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ฉ-๐’—๐’Š๐’“๐’–๐’”.

It spread by _______ and or products containing, also by semen if sex.

A

blood

88
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— form of viral hepatitis transmitted in infected blood, possibly semen, causing chronic liver disease. It was formerly called non-A, non-B hepatitis.

A

Hepatitis C Infection

89
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Hepatitis C Infection.

Typically, few or no symptoms but the progression of the ______ damage cause cirrhosis and cancer in chronic carriers.

A

Liver

90
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Hepatitis C Infection.

The ______ is an enveloped, single-stranded RNA flavivirus.

A

๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ช-๐’—๐’Š๐’“๐’–๐’”

91
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ช-๐’—๐’Š๐’“๐’–๐’”.

Within the host cell, the viral genome is translated as a single _____ that is then cleaved by HCV protease into multiple proteins.

A

polyprotein

92
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ช-๐’—๐’Š๐’“๐’–๐’”.

The virus infects the _____ and triggers inflammatory and immune responses.

A

liver

93
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ช-๐’—๐’Š๐’“๐’–๐’”.

After that, the disease process starts and stopsโ€”at times the liver seems to return to normal, then weeks or months later shows marked ______.

A

inflammation

94
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ฏ๐’†๐’‘๐’‚๐’•๐’Š๐’•๐’Š๐’”-๐‘ช-๐’—๐’Š๐’“๐’–๐’”.

Most acquire the disease by sharing of syringes, others by tattoos, infected objects. Risk from blood transfusion is now extremely ______.

A

low

95
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— Gastroenteritis caused by a virus, most common in infants and children.

A

Rotaviral Gastroenteritis

96
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Rotaviral Gastroenteritis.

Vomiting, abdominal cramps, diarrhea, lasting 5 to _____ days

A

8

97
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Rotaviral Gastroenteritis.

Double-walled capsid virus, ds-segmented-RNA genome

A

๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”

98
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”.

It infects the epithelial cells that line the upper part of the _____ intestine.

A

small

99
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”.

The infection causes epithelial cell death and decreased the production of _____ enzymes.

A

digestive

100
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”.

The damaged lining _____ to absorb fluids, leading to watery diarrhea.

A

fails

101
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”.

In addition, one of the viral proteins appears to function as an enterotoxin, causing fluid secretion in a manner somewhat similar to _____ toxin.

A

cholera

102
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘น๐’๐’•๐’‚๐’—๐’Š๐’“๐’–๐’”.

Most common cause of viral gastroenteritis in _____ and children in the United States;

A

infants

103
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— viral gastroenteritis, most common originally called โ€œNorwalk viruses,โ€ The viruses are designated a category B bioterrorism agent because they spread easily.

A

Norovirus Gastroenteritis

104
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Norovirus gastroenteritis.

Typically causes nausea, vomiting, and watery diarrhea, but _____ in teenagers and adults.

A

severe

105
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Norovirus gastroenteritis.

The ______ is a non-enveloped, ssRNA virus.

A

๐‘ต๐’๐’“๐’๐’—๐’Š๐’“๐’–๐’”๐’†๐’”

106
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ต๐’๐’“๐’๐’—๐’Š๐’“๐’–๐’”๐’†๐’”.

Noroviruses infect the epithelium of the upper small intestine, causing epithelial cell death and decreased the production of _____ enzymes.

A

digestive

107
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ต๐’๐’“๐’๐’—๐’Š๐’“๐’–๐’”๐’†๐’”.

For reasons that are not understood, _____ to noroviruses is only short-term, lasting just several months.

A

immunity

108
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ต๐’๐’“๐’๐’—๐’Š๐’“๐’–๐’”๐’†๐’”.

Transmission of noroviruses is primarily by the _____ route

A

fecal-oral

109
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— intestinal infection caused by a parasite. It is a common cause of travelerโ€™s diarrhea.

A

Giardia

110
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Giardia.

They include _____, flatulence, nausea.

A

indigestion

111
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Giardia.

It is a flagellated pear-shaped protozoan with two nuclei.

A

๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚

112
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚.

the _____ survive in chlorinated water but can be removed by filtration.

A

cysts

113
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚.

The Cysts enter the mouth, Ingested cysts survive _____, then to the lower small intestine.

A

stomach

114
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚.

The Trophozoites are released from cysts in the small intestine, where dehydration in _____ intestine stimulates cyst development.

A

large

115
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚.

Mature cysts or trophozoites are eliminated in the _____ to contaminate soil, water, hands, and food.

A

feces

116
Q

๐”ผ๐•ก๐•š๐••๐•–๐•ž๐•š๐• ๐•๐• ๐•˜๐•ช of ๐‘ฎ๐’Š๐’‚๐’“๐’…๐’Š๐’‚ ๐’๐’‚๐’Ž๐’ƒ๐’๐’Š๐’‚.

Ingestion of focally _____ water; low infectious dose; person-to-person spread

A

contaminated

117
Q

๐”ธ-๐•‹๐•ช๐•ก๐•–-๐• ๐•— diarrheal disease caused by microscopic parasites, that can live in the intestine of humans and animals and is passed in the stool of an infected person or animal.

A

Cryptosporidiosis

118
Q

๐•Š๐•š๐•˜๐•Ÿ๐•ค & ๐•Š๐•ช๐•ž๐•ก๐•ฅ๐• ๐•ž๐•ค of Cryptosporidiosis.

Fever, loss of _____, nausea, abdominal cramps, watery diarrhea

A

appetite

119
Q

โ„‚๐•’๐•ฆ๐•ค๐•’๐•ฅ๐•š๐•ง๐•– ๐”ธ๐•˜๐•–๐•Ÿ๐•ฅ of Cryptosporidiosis.

The _____ _____ is a protozoan parasite, apicomplexan.

A

๐‘ช๐’“๐’š๐’‘๐’•๐’๐’”๐’‘๐’๐’“๐’Š๐’…๐’Š๐’–๐’Ž ๐’‘๐’‚๐’“๐’—๐’–๐’Ž

120
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ช๐’“๐’š๐’‘๐’•๐’๐’”๐’‘๐’๐’“๐’Š๐’…๐’Š๐’–๐’Ž ๐’‘๐’‚๐’“๐’—๐’–๐’Ž.

It is ______ due to animal models for the disease

A

unknown

121
Q

โ„™๐•’๐•ฅ๐•™๐• ๐•๐• ๐•˜๐•ช of ๐‘ช๐’“๐’š๐’‘๐’•๐’๐’”๐’‘๐’๐’“๐’Š๐’…๐’Š๐’–๐’Ž ๐’‘๐’‚๐’“๐’—๐’–๐’Ž.

Analysis of biopsies from infected patients confirms these protozoans are both present in the ______ epithelium.

A

intestinal

122
Q
A