finals - fungal Flashcards

1
Q

method under the molecular diagnosis with that particular
matter we can determine what type or what specific
organisms that would invade to a specific hosts.

A

RT PCT test

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1
Q

___ are microorganisms that survive by living off of other organisms, referred to as hosts.

A

Parasites

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2
Q

if we are dealing with a specific parasite, we
need to consider their ___

A

life cycle

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3
Q

Three types of organisms may cause parasitic
infections:

A

protozoa, helminths, and ectoparasites

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4
Q

the criteria to differentiate bacteria to parasite is

A

parasite is multicellular organisms

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5
Q

It is described that general concepts need to be considered in relation to host immune responses to
parasites:

A

Heterogeneity with respect to life cycles and
antigenic expression is a key feature of parasitic agents

Many parasitic infections are chronic in nature.

The mechanisms of immune evasion are
significantly different from those of bacterial
infections.

Many parasites develop significant genetic and
antigenic variation in a relatively short period.

The innate immunity in the natural hosts may be genetically determined

Humans, as well as animals, differ widely in their ability to handle the complex antigens found in parasites

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6
Q

___ with respect to life cycles and
antigenic expression is a key feature of parasitic agents.

A

Heterogeneity

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7
Q

Defenses to parasitic infection involve what type of immunity?

A

both innate and acquired (adaptive) immune mechanisms

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8
Q

the ___ immunity are preventing the establishment of a parasitic infection

A

innate

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9
Q

The nonspecific immune defenses can include activation of cells that may destroy the parasite by phagocytosis,
release of cytokines such as:

A

TNF-α, IL-1, IL-10, IL-12,
type I interferons, and chemokines

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10
Q

aside from phagocytosis and releasing of cytokines, it will be activatd as well to combat parasites to enhance immunity to recognized foreign materials

A

activation of complement system

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11
Q

if the innate immunity didn’t work to combat parasites, what will happen?

A

adaptive immunity will take place - producing antibodies

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12
Q

humoral branch of adaptive immunity

A

production of antibodies

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13
Q

Another feature that we have under the adaptive immunity would be the cell mediated response which composed of

A

t cells

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14
Q

potential outcome of host and parasite interactions

level 1

A

natural resistance - no invasion of the parasites

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15
Q

potential outcome of host and parasite interactions

level 2

A

symbiosis

colonization of host with parasite with benefit to both

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16
Q

potential outcome of host and parasite interactions

level 3

A

commensalism

colonization of host with parasite with no benefit or harm

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17
Q

potential outcome of host and parasite interactions

level 4

A

sterilizing immunity

parasite invades host and causes disease; host develops immunity and is cured

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18
Q

potential outcome of host and parasite interactions

level 5

A

concomitant immunity

parasite invades host and causes disease; host develops an immune response and has some resistance to the parasite but is not cured

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19
Q

potential outcome of host and parasite interactions

level 6

A

ineffective immunity

parasite invades host and causes disease; host does not develop resistance to the parasite and is not cured

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20
Q

which antibodies are best known for their role in allergic reactions.

A

IgE

21
Q

IgE, Aside from parasitic infection, this will be in line with the _____

A

allergic reaction.

22
Q

IgE antibodies, play an important role in the defense against parasites
such as ___, which are too large to be phagocytized.

A

helminths

23
Q

mechanism of IgE, Killing of the parasites is accomplished by ___

A

ADCC (Antibody-dependent cellular cytotoxicity).

24
Q

In ADCC, In this mechanism, the ____ portions of the parasite-specific
IgE antibodies bind to specific receptors on the surface of ___, which are then stimulated to release ENZYMES from their granules that destroy the parasite.

A

Fc ; eosinophils

25
Q

SEROLOGY INDICATED - useful ang serology to detect the following parasitic infection

A

amebiasis (extraintestinal)
chagas disease
clonorchiasis
cysticercosis
hydatidosis
filariasis (lymphatic; suspect cases when microfilariae cannot be identified in blood)
leishmaniasis (cutaneous and visceral)
schistosomiasis (ectopic cases, chronic cases when eggs cannot be demonstrated in feces or urine)
toxocariasis (visceral and ocular)
trichenellosis

26
Q

SEROLOGY MAY BE USEFUL

A

amebiasis
amebic meningoencephalitis (caused by free living amebae)
anaplasmosis/ehrlichiosis
babesiosis
lyme disease
paragonimiasis (eggs not detectable in sputum or feces)

27
Q

SEROLOGY NOT INDICATED

A

anisakiasis
ascariasis
capillariasis
cryptosporidiosis
hookworm
malaria
trichuriasis

28
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic concealment

A

nature of response - intracellular survival within macrophages

29
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic concealment

example

A

leismania donovani

30
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic variation

A

nature of response
- random mutation
- genetic recombination
- gene switching
- multistage parasitic life cycle

31
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic variation

example

A

plasmodium species
trypanosoma cruzi, gambiense, rhodesiense
leishmania species

32
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic mimicry

A

nature of response - incorporation of host “self” antigens into parasite surface

33
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic shedding

example

A

entamoeba histolytica

34
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic shedding

A

nature of response - shedding of surface antigens or components

35
Q

escape mechanisms of parasites from protective host responses

escape mechanism - antigenic mimicry

example

A

schistosoma species

36
Q

escape mechanisms of parasites from protective host responses

escape mechanism - immunologic subversion

A

nature of response - immunosuppresion

37
Q

escape mechanisms of parasites from protective host responses

escape mechanism - immunologic subversion

example

A

schistosoma mansoni

38
Q

escape mechanisms of parasites from protective host responses

escape mechanism - immunologic diversion

A

nature of response - polyclonal b cell activation

39
Q

escape mechanisms of parasites from protective host responses

escape mechanism - immunologic diversion

example

A

plasmodium species

40
Q

___ represent a large heterogeneous group of
eukaryotic organisms that are ubiquitous in the environment

A

Fungi

41
Q

Fungi can either be considered as ___, deriving their
nutrition from living matter, or more commonly as
____, living off of dead and decaying matter

A

parasites; saprophytes

42
Q

If the fungi penetrate the physical barriers, there are a variety of innate mechanisms for recognizing the organism. Innate immune cells express various ____that recognize
specific structures and molecules present on bacteria and fungi

A

pattern-recognition receptors (PRRs)

43
Q

the structure of microorganisms that are recognized by the prr

These structures and molecules of the organism, called
___ are conserved among microbial species

A

pathogen-associated molecular patterns (PAMPs),

44
Q

> particular fungus found in the urine of
diabetic patient.

A

Candida albicans

45
Q

representative agers for superficial mycotic infection

A

malassezia furfur
phaeoellomyces werneckii
piedraia hortae
trichosporon species

46
Q

representative agents for cutaneous mycotic infection

A

trichophyton species
microsporum species
epidermophyton floccosum

47
Q

representative agents for subcutaneous mycotic infection

A

sporothrix schenckii
fonsecaea pedrosoi
pseudallesscheria boydii

48
Q

representative agents for systemic mycotic infection

A

histoplasma capsulatum
coccidiodes immitis
paracoccidioides brasiliensis
blastomyces dematitidis
penicillium marneffei
cryptococcus neoformans

49
Q

representative agents for opportunistic mycotic infection

A

candida albicans
aspergillus species
rhizopus species

50
Q

representative agents for commensalistic mycotic infection

A

candida albicans
malassezia furfur

51
Q
A