Pathogenicity Flashcards

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1
Q

What are the 3 important clinical elements in microbiology

A
  1. Detection
  2. Treatment
  3. Prevention
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2
Q

What is a pathogen?

A

An organism capable of causing disease

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3
Q

What is a commensal microorganism?

A

An organism that is part of the normal flora

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4
Q

What does the term ‘pathogenicity’ refer to?

A

The ability to cause disease

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5
Q

What does the term ‘virulence’ refer to?

A

The ability to cause severe disease

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6
Q

Describe the life cycle of a parasite

A
  1. Enter
  2. Attach
  3. Colonise
  4. Evade host immunity
  5. Produce harmful proteins
  6. Release from host
  7. Disseminate
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7
Q

What are the 5 classes of microorganisms?

A
  1. Viruses
  2. Bacteria
  3. Fungi
  4. Prions
  5. Parasites
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8
Q

What is the term used to describe when microbes find a new host and start to multiply?

A

Colonisation

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9
Q

What is an infection?

A

If a microbe causes disease

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10
Q

If the source of microbe in an infection is from the patient’s own flora, what type of infection is this?

A

Endogenous infection

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11
Q

If the source of microbe in an infection is from flora outside the patient’s body, what type of infection is this?

A

Exogenous infection

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12
Q

Which enzyme is in tears that kills bacteria?

A

Lysozyme

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13
Q

What are the 4 Koch’s Postulates (The Germ Theory of Disease)?

A
  1. The microbe must be present in every case of the disease
  2. The microbe must be isolated from the diseased host and grown in culture
  3. The disease must be reproduced when a pure culture is introduced into a susceptible host
  4. The microbe must be recovered from an experimentally infected host
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14
Q

Give examples of routes of microbial entry into host

A
  1. Ingestion
  2. Inhalation
  3. Injection
  4. Across mucous membranes
  5. Into the ear
  6. Transplacental
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15
Q

What is a problem with Koch’s postulates in determining the microorganism responsible for a specific disease?

A

Most diseases are polymicrobial - have lots of microorganisms associated with them
e.g. gingivitis - lots of bacteria in the oral cavity. Difficult to determine which causes gingivitis

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16
Q

What percentage of women develop a U.T.I in their lifetime?

A

50%

17
Q

What is the main defence against U.T.Is?

A

Flushing action of urine

18
Q

What is the Tamm-Horsfall protein?

A

A protein in humans that binds specific E. Coli strains. Protects against U.T.Is

19
Q

What are UPECs?

A

UroPathogenic Escherichia Coli - a stain of E. Coli that cause most (90%) urinary tract infections

20
Q

Give some examples of encapsulated infections

A

Meningitis, pneumonia, otitis media and sinusitis

21
Q

Give some examples of encapsulated bacteria

A

Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitidis, Group B Streptococcus

22
Q

What are the functions of the bacterial capsule?

A
  1. Mediate adhesion
  2. Immune system evasion
  3. Protects from desiccation
  4. Reserves of carbohydrate
23
Q

What is an endotoxin?

A
  • LPS - lipopolysaccharide
  • On Gram - bacteria
  • Part of the outer portion of the cell wall
  • Induce the immune response
24
Q

What is an exotoxin?

A
  • A toxin released by bacteria into the surrounding environment
  • Produced mostly inside Gram + bacteria
  • Secreted following lysis
25
Q

Describe how endotoxin shock can happen during elective surgery

A
  • Contents of gut perforated
  • Gram - bacteria enter the bloodstream
  • LPS mediate mast cells, neutrophils, macrophages
  • Endothelium of blood vessels dilate
  • Fever
  • Vascular permeability
  • Vascular hypertension
  • Causes shock
26
Q

What is the most lethal toxin in the world?

A

Botulinum

27
Q

Which bacterium produces botulinum?

A

Clostridium botulinum

28
Q

What does botulinum cause?

A
  • Flaccid paralysis

- Stops nerve conduction by blocking acetylcholine transmission

29
Q

What effect does tetanus have on the body?

A
  • Overacts nerve endings

- Leads to painful muscle contractions /uncontrolled muscle spasms

30
Q

Which bacterium produces tetanus?

A

Clostridium tetanus

31
Q

Which are more potent: endotoxins or exotoxins?

A

Exotoxins are more potent

They are more specific