Session 1 - Introduction Flashcards

1
Q

What is an infection?

A

Invasion of a host’s tissues by micro-organisms and disease caused by microbial multiplication, toxins and host response

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2
Q

How do people get infections from microbiota?

A

Micro-organisms carried on skin and mucosal surfaces are normally harmless, but when transferred to other sites can be harmful

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3
Q

What is an example of a infection spread via physical contact?

A

Sexually transmitted infection

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4
Q

What is one example of infections spread via airborne spread?

A

Chickenpox

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5
Q

What is one example of infections that need vector to be spread?

A

Mosquito for malaria

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6
Q

What are the 2 main types of transmission?

A

Horizontal and vertical

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7
Q

What are the 3 forms of horizontal transmission?

A

Contact, inhalation and ingestion

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8
Q

What is vertical transmission?

A

Infection spread from mother to child, before or at birth

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9
Q

What are the 5 processes micro-organisms undergo to cause disease?

A
Exposure to host 
Adherence to mucosal membranes 
Invasion into tissues or interstitial space  
Multiplication of microorganism 
Dissemination into bloodstream
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10
Q

What are virulence factors?

A

Chemicals that enhance survival of microorganisms and their reproduction within the host

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11
Q

What are the 5 disease determinants of how serious the infection is?

A
Virulence factors
Inoculum size
Antimicrobial resistance 
Site of infection 
Co-morbidities
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12
Q

What is inoculum size?

A

Amount of microorganism present

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13
Q

What are the 3 things you need to know if patients have an infection?

A

History
Examination
Investigation

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14
Q

What are the 4 things to ask about history when deciding whether a patient has infection?

A

Focal or systemic symptoms
Severity of symptoms
Duration of symptoms
Potential exposure

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15
Q

What are the 2 types of investigations?

A

Specific and supportive

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16
Q

What are specific investigations?

A

To identify causative organism of infection

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17
Q

What are supportive investigations?

A

Prove that patient is suffering from infection

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18
Q

What are 5 tests to do when doing supportive investigations?

A
Full blood count 
Liver function test
Kidney function test
Imaging 
Histopathology
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19
Q

What does a high value of neutrophils mean?

A

Bacterial infection possible

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20
Q

What does a high value of lymphocytes mean?

A

Viral infection possible

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21
Q

What does high amounts of C-reactive protein suggest?

A

Prove there is an inflammatory process

22
Q

Why do we do liver and kidney function tests?

A

To find out how body manages infections and also affects dosage of medicine to give

23
Q

What kind of infection is histopathology good at showing?

24
Q

What are the 4 things we have to do to find out if patient has a bacterial infection?

A

Collect specimen
Microscopy
Culture
Antibiotic susceptibility test

25
What are the 3 things we can do to find out if patient has viral infection?
Antigen detection Antibody detection Detecting viral nucleic acid through PCR
26
What are the 4 types of micro organisms causing human disease?
Virus Bacteria Fungi Parasites
26
What are 2 special features of viruses?
Protein coat to protect virus | Spikes for attaching to specific cell surfaces
27
What are the ways that viruses can be classified?
DNA or RNA Single or double strand Enveloped or not Shape (RNA - icosahedral or helical)
28
What are 4 special features of structure of bacteria?
Capsule Cell wall Plasmid Flagellum
29
What are plasmids in bacteria?
Smaller circles of transferable DNA, carries resistance genes
30
What are 3 types of bacterial shapes
Coccus Spirillus Bacillus
31
What are 2 arrangements of cocci?
Clusters and chains
32
What are 2 ways that bacteria can be classified?
Gram+ and gram- | Aerobes and anaerobes
33
What are 2 differences between gram+ and gram-bacteria?
Peptidoglycan layer in gram+ is thicker so it retains stain while thinner in gram- so doesn’t retain stain Outer membrane present in gram- but not present in gram+
34
What are aerobes?
Bacteria that can survive in the presence of oxygen
35
What are obligate aerobes?
Bacteria that absolutely require oxygen for survival
36
What are anaerobes?
Bacteria that can survive in the absence of oxygen
37
What are obligate anaerobes?
Bacteria that requires oxygen-free environment for survival unless they are able to form spores
39
What are 3 examples of gram+ cocci bacteria?
Staph aureus Coagulate negative staph Alpha-haemolytic streptococci
40
What are 3 examples of gram+ bacilli bacteria?
Listeria monocytogenes Bacillus anthracis Bacillus cereus
41
What are 3 examples of gram- cocci?
Neisseria meningitidis Neisseria gonorrhoeae Moraxella catarrhalis
42
What are 3 examples of gram- bacilli bacteria?
Escherichia coli Klebsiella pneumoniae Proteus species
43
What are 4 virulence factors for bacteria pathogenesis?
Host entry Adherence to host cells Invasiveness Iron sequestration
44
What are kinds of toxins that bacteria release?
Exotoxins and endotoxins
45
What are 6 differences between prokaryotes and eukaryotes?
Circular single chromosome in pro / multiple chromosomes in eu No nucleus in pro / nucleus present in eu No membrane bound organelles in pro / present in eu Cell wall present in pro / only present in plants for eu 70S ribosome in pro / 80S ribosome in eu
46
What are 2 types of fungi?
Single called yeasts | Multicellular molds
47
What are 3 examples of yeasts?
Candida albicans Cryptococcus neoformans Pneumocystis jiroveci
48
What are 2 examples of molds?
Aspergillosis species | Dermatophytes
49
What are 2 types of parasites?
Single celled protozoa | Multicellular helminths
50
What are 3 examples of protozoa?
Giardia lamblia Cryptosporidium parvum Plasmodium falciparum
51
What are 3 examples of helminths?
Roundworms Tapeworms Flukes