Principles 1.1 - Exam I Flashcards
Microorganisms of the human body include:
- bacteria
- viruses
-fungi - protozoa
- helminths
A collection of microbial organisms that are present within the human body:
microbiome
Components of the human body microbiome include:
- bacteria
- viruses
- fungi
- protozoa
Why are helminths not necessarily considered microbes?
due to their size
Makes up the vast majority of the human microbiome:
bacteria
List three examples of the various shapes of bacteria:
Cocci- round
Bacilli- rod
Spirilla- corkscrew
Eukaryotic microbes include:
protozoa & fungi
Prokaryotic microbes include:
bactreia
Describe the relationship of parasitic organisms:
not considered a benign relationship
Symbionts that harm or live at the expense of their host:
parasitic organisms
Organisms that live within or on us:
symbionts
Normal microbiota would be considered ____ organisms
commensal organisms
Microbes frequently found on or within the bodies of healthy persons:
normal microbiota
Growth or multiplication of parasite on or within the host:
infection
disease resulting from infection
infectious diseases
Overgrowth of Candida albicans due to changes in homeostasis would be an example of:
endogenous infection
any parasitic organisms that causes infection disease:
pathogen
causes disease by DIRECT interaction with the host:
primary pathogen (frank pathogen)
causes diseases ONLY under certain circumstances
opportunistic pathogen
Give an example of an opportunistic pathogen:
candida albicans
ability of a parasite to cause disease:
pathogenicity
Pathogenicity is often mediated by:
virulence factors
Any component of a pathogenic microbe that is required for or that potentiates its ability to cause disease:
virulence factor
Give two examples of virulence factors:
- a toxin that a pathogen produces
- tropism for certain tissue types
List the steps in an infectious disease:
- encounter
- entry
- spread
- multiplication
- damage
- outcome
What are three types of encounters that may lead to an infectious disease?
- exogenous
- endogenous
- congenital
When the pathogen is encountered from the outside environment:
Give example!
exogenous encounter; inhalation of someones sneeze
When the pathogen is encountered from the internal environment (within us):
Give example!
endogenous encounter; pneumococcal pneumonia
When the pathogen is encountered in utero or during birth:
Give example!
congenital encounter; HIV
What are the 3 endogenous sources that may lead to pneumococcal pneumonia?
- imparted natural protection/clearance system allowing for increased colonization of nasopharynx
- Colonized oropharynx and gastric fluid pool along tube in neonates
- Colonized tracheal secretions
What are the two mechanisms leading to pneumococcal pneumonia?
- aspiration of colonized fluids from endogenous sources into the lungs
- hematogenous source seeding the lungs (rare)
What are some manifestations that may occur in response to congenital infections? (3)
- growth retardation
- congenital malformation
- fetal loss
List the microbes that may cause congenital infections:
- rubella
- CMV
- HIV
- Toxoplasma
- T. Pallidum
- Parvovirus
- VZV
What are the two mechanisms of entry in contraction of an infectious disease:
- ingress
- penetration
Describe the entry mode “ingress”:
inhalation or ingestion
The mechanism of entry that occurs when microbes pass through epithelia DIRECTLY (via attachment and internalization)
penetration
Insect bites, cuts & wounds, organ transplants, and blood transfusions would all be considered ____ form of entry
penetration
Movement of pathogen within the human body:
spread
List the three components of spread of an infectious disease:
- lateral propagation vs. dissemination
- anatomical factors
- active participation by microbes
When the pathogen is spread far distant from the site of initial infection. Can give rise to systemic infection or complications :
dissemination
When spread of infection occurs from site of initial infection to adjacent tissue
lateral propagation
Separation but related to spread of infection; cell division/replication:
multiplication
What are the two components of multiplication?
- environmental factors
- subversion of host defences
When a virus encounters an increased body temperature this will turn on different genes within the microbe and allow for pathogenic factors to be expressed by the microbe which can further the infectious disease
This is an example of:
Environmental factors aiding in multiplication
Describe subversion of host defenses:
Pathogens don’t typically infect us without a defensive response from the immune system, and overtime pathogens have evolved and have many ways to conquer our host defenses
Fungal infection in rhino cerebral form, almost always with hyperglycemia and metabolic acidosis:
mucormycosis
A direct consequence of the actual pathogens replication:
direct damage
Damage that occurs as a result of the host defenses
immune response
What are two forms of damage due to an infectious disease:
- direct damage
- Immune response
List the outcomes of an infectious disease:
- microbe wins
- host wins
- coexistence
Microbes frequently found on or with the bodies of healthy persons:
normal microbiota
The normal microbiota is created by:
commensal organisms
colonization of bacterial rapidly after birth leads to:
our normal microbiota
The collection of all the microorganisms living in association with the human body:
the human microbiome
Components of the human microbiome include:
eukaryotes, archaea, bacteria & viruses
Describe the amount of bacteria in the human body relative to the human body cells:
bacteria are at an average of ten times more than the number of cells
Number of bacterial genes that are present in the human body due to bacteria:
1000 more genes than human genome
Percent of body mass comprised by bacteria:
1-3%
Bacteria in the microbiome are essential for producing:
- vitamins that we do not have the genes to make
- helpful anti-inflammatory compounds
Bacteria in the microbiome are essential for breaking down:
food to extract nutrients that we need to survive
Bacteria in the microbiome are essential for teaching:
our immune system how to recognize dangerous invaders
Bacteria in the microbiome are essential for occupying:
space to crowd out disease-causing microbes
Bacteria in the microbiome are essential for detoxification of:
carcinogens but sometimes are the source of carcinogen production
Changes in the composition of our microbiomes correlate with:
numerous disease states
What is a source of infection related to our microbiome:
changes in the composition of our microbiomes
manipulation of our microbiomes can be used to:
treat disease
List the locations in the body with the largest amounts of bacteria:
- skin (especially moist areas)
- respiratory tract (nose and oropharynx)
- digestive tract (mouth and large intestine)
- urinary tract (anterior parts of urethra)
- genital system (vagina)
List the locations of the body that are sterile:
- blood
- cerebrospinal fluid
- synovial fluid
- deep tissues
Whether a microbe gives rise to disease depends on: (2)
- inoculating number
- host organism
pathogenicity/virulence depend on the:
host & microbe
Give three examples where the normal flora are the source of infection:
- periodontitis
- pneumonia
- catheter-associated infections
Caused by overgrowth of particular bacteria in gingival crevices:
periodontitis
Occurs when defenses are lowered and microaspirations of pneumococci
pneumonia
Catheter-associated infections are commonly due to:
staphylococci
Oral flora include:
- bacteria (and archaea)
- fungi
- protozoa (eukaryotes)
- viruses
How many types of Bactria are usually present in the oral cavity?
~700 different species
Because the oral habitats each have different properties, this will promote the growth of:
different bacteria
List the different oral habitats:
- buccal mucosa
- dorsum of tongue
- tooth surfaces
- crevicular epithelium
- dental appliances
List the issues microbial cells may encounter:
- nutritional fluxes
- maintaining occupancy
- resistance to damage
Describe nutritional fluxes experienced by microbial cells:
nutrients are not constantly available & being metered out to microbes
Describe why it may be a challenge for microbial cells to maintain occupancy:
specifically a challenge along the alimentary canal due to constant flux of movement of fluids and foods that can create environments in which it is difficult to maintain occupancy
microbial cells in the human body must have the ability to resist:
damage brought on by immune response/host defenses
Factors modulating oral microbial growth include _____ that create areas that are ____.
anatomical features that are difficult to clean
List some anatomical features that create areas that are difficult to clean aiding in oral microbial growth:
- shape and topography of teeth (fissures)
- malalignment of teeth
- poor quality of restorations
- non-keratinized sulcular epithelium
List the two components of saliva:
inorganic ions & organic constituents
What makes up the organic constituents in saliva:
- proteins
- glycoproteins
Promotes adhesion of bacteria on tooth surfaces
saliva
organic components of saliva that form a coating on tooth surfaces:
salivary pellicle
Saliva is a source of ___ for oral microbial growth
food
Saliva promotes ____, facilitating their clearance from mouth
aggregation of bacteria
saliva inhibits growth of ___ by ____.
microbes; non-specific defense factors
Saliva allows for the maintenance of:
pH
fluid within the gingival crevice that has a different composition than saliva; a bit more like serum
gingival crevicular fluid
List the roles of gingival crevicular fluid:
- flushing microbes out of crevice
- source of nutrients for microbes
- maintains pH
- specific and non-specific defense factors
- phagocytosis
What is the main phagocyte in GCF
neutrophils
- competition for adhesion receptors
- toxin production
- metabolic end products
- coaggregation
These are all ___
microbial factors modulating oral microbial growth
List the microbial factors modulating oral microbial growth:
- competition for adhesion receptors
- toxin production
- metabolic end products
- coaggregation
The ability of a microbe to provide binding sites for other microbes:
coaggregation
List the factors modulating oral microbial growth:
- anatomical features creating hard to clean areas
- saliva
- gingival crevicular fluid
- microbial factors
- local pH
- redox potential
- antimicrobial therapy
- diet
- iatrogenic factors
varies with diet as a result of bacterial metabolism which in turn modulates oral microbial growth
local pH
A measure of the oxygen levels in locality that serves to modulate oral microbial growth:
redox potential
Dental scaling is an example of ____ which is a factor modulating oral microbial growth:
iatrogenic factors
3 domains of life include:
- bacteria
- archaea
- Eucarya
prokaryotic but distinct from true bacteria:
archaea
The word “extremophiles” can be used to refer to:
archaea
Life is presumed to have diverged from a common ancestor on Earth ~4 billion years ago and is based on the scientific deduction of the:
genetic structure of highly conserved genes within all cells
Life is presumed to have diverged from a common ancestor on Earth ~4 billion years ago and is based on the scientific deduction of the genetic structure of highly conserved genes within all cells, specifically:
ribosomes
A capsule of material surrounded by a plasma membrane that is reinforced by a cell wall:
prokaryotic cells
____ are an absolute requirement for all living organisms (prokaryotes & eukaryotes)
membranes