CPA #15 Questions Flashcards

1
Q

explain: hygiene hypothesis

A

exposure to everything can reduce infections; fewer childhood illnesses and increased personal hygiene have reduced children’s exposure to microbes so that when they do, the immune system overreacts and causes allergies

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2
Q

what infectious agent does sterilization not apply to?

A

prions; standard sterilization techniques do not destroy them

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3
Q

is commercially canned food free of microbes?

A

no; the commercial sterilization technique does not kill hyperthermophilic microbes because they do not cause disease and do not cause food to spoil at normal temp

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4
Q

define: degerming

A

removal of microbes from a surface by scrubbing, such as when you wash your hands; the action of scrubbing is more important than the chemicals

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5
Q

define: -stasis/-static

A

chemical agent that inhibits microbial growth/metabolism, but does not kill them

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6
Q

define: -cide/-cidal

A

refer to agents that destroy or permanently inactivate microbe

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7
Q

what are the two categories of antimicrobials?

A
  1. those that disrupt the integrity of cells by adversely altering their cell walls or cytoplasmic membranes
  2. those that interrupt cellular metabolism and reproduction by interfering with the structures of proteins and nucleic acids
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8
Q

what are the 3 characteristics of ideal antimicrobials?

A

inexpensive, fast-acting, stable during storage

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9
Q

what are the 3 factors when selecting a microbial control method?

A
  1. relative susceptibility of microbes
  2. environmental conditions
  3. site to be treated
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10
Q

define: high-level germicide

A

kill all pathogens (excluding prions), including bacterial endospores; healthcare professionals use them to sterilize invasive instruments

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11
Q

define: intermediate-level germicide

A

kill fungal spores, protozoan cysts, viruses, and pathogenic bacteria, but not endospores

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12
Q

define: low-level germicides

A

eliminate vegetative bacteria, fungi, protozoa, and some viruses; used to disinfect items that contact only the skin of patients (furniture, electrodes)

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13
Q

what agency established the biosafety levels?

A

Center for Disease Control and Prevention (CDC)

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14
Q

define: biosafety level-I (BSL-I)

A

suitible for handling microbes, such as E. coli, not known to cause disease in healthy humans; precautions are minimal; include hand-washing with antibacterial soap and disinfecting surfaces

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15
Q

define: BSL-II

A

designed for handling moderately hazardous agents, such as hepatitis and influenza viruses, methicillin-resistant S. aureus; precautions taken with contaminated sharps and aerosol producing procedures

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16
Q

define: BSL-III

A

all manipulations be done inside safety cabinets with HEPA filters; TB, yellow fever, Rocky Mountain Spotted Fever, anthrax

17
Q

define: BSL-IV

A

“space suits”; separate buildings for testing; fatal diseases; ebola, smallpox, lassa fever viruses

18
Q

why is heat used for microbial control?

A

high temps denature proteins, interfere with integrity of cytoplasmic membrane/cell walls, and disrupt the function of nucleic acids

19
Q

define: moist heat

A

commonly used to disinfect, sanitize, sterilize, pasteurize; more effective than dry heat because water is a better conductor of heat than air

20
Q

define: autoclave

A

pressure chamber; pipes introduce and evacuate steam; valves remove air and control pressure

21
Q

define: pasteurization

A

thermoduric and thermophilic prokaryotes survive; combination of time and temperature, varies by product;

22
Q

how is cold used to control microbial growth?

A

halts/slows down growth for mesophiles

23
Q

does freezing eliminate bacteria?

A

no, because it just slows down the metabolism, does nothing to inactivate the pathogen

24
Q

define: desiccation

A

aka drying; preserves foods such as fruits, beans, grains, etc; inhibits growth because metabolism requires liquid water

25
Q

define: lyophilization

A

combines freezing and drying; preserves microbes for many years; liquid nitrogen or frozen carbon dioxide; vacuum removes frozen water; prevents the formation of large, damaging ice crystals

26
Q

passage of fluid through a sieve to trap microbes and separate them from the fluid; used to sterilize heat-sensitive materials

A

Filtration

27
Q

how do hypertonic solutions inhibit microbe growth?

A

high concentrations of salt/sugar in foods; osmotic pressure (area of high conc. to an area of low conc.); removal of water inhibits cellular metabolism

28
Q

define: ionizing radiation

A

electron beams, gamma rays, some x-rays; wavelength shorter than 1 nm; they have sufficient energy to eject electrons from atoms, creating ions; ions disrupt hydrogen bonds, oxidize double covalent bonds, and create highly reactive hydroxyl groups; these ions denature other molecules, particularly DNA, causing fatal mutations and death

29
Q

define: nonionizing radiation

A

electromagnetic radiation with a wavelength greater than 1 nm; does not have enough energy to force electrons out of orbit and cause new covalent bonds effecting 3D shape; UV, visible light, infrared radiation, radio waves

30
Q

dips several metal cylinders into broth cultures and briefly dries them at 37C; immerses each container into different dilution of the disinfectant; after 10 minutes, each cylinder is removed, rinsed, and placed into a sterile medium for 48 hours

A

use-dilution

31
Q

add a suspension of bacterium to a suitable concentration of the chemical being tested; at predetermined times, samples are moved into a growth medium containing disinfectant deactivator; after 48 hours, turbidity in medium determines effectiveness of treatment and bacteria survival

A

kelsey-sykes capacity test

32
Q

time consuming and realistic; swabs are taken from actual objects before and after a disinfectant treatment; swabs are inoculated into appropriate growth media

A

in-use test

33
Q

explain Paul Ehrlich

A

arsenic compounds to fight syphyllis; chemotherapy

34
Q

explain Alexander Fleming

A

penicillin

35
Q

explain Gerhard Domagk

A

sulfanilamide; treats wide array of bacterial infections

36
Q

define: selective toxicity

A

effective microbial agent must be more toxic to a pathogen than to the pathogen host