W10 Medical Microbiology Flashcards

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1
Q

definition of opportunistic pathogens

A

microbes that don’t normally cause disease but can be harmful if given the chance such as during weakened immune system

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2
Q

how are cavities formed

A

bacteria colonise tooth surfaces by attaching to glycoproteins deposited by saliva

extensive growth of oral microbes results in a thick bacterial layer > anaerobic species grow > produce high concentrations of acid that decalcifies tooth enamel

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3
Q

how much microbes are in the gastrointestinal cells

A

stomach: very little as most microbes killed by acidic conditions (some survive if pass through very quickly or survive in food particles)

small intestine: few organisms

large intestine: largest population in body (10^13 - 10^14 microbial cells)

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4
Q

how are microbes removed from large intestine

A

by peristalsis, desquamation and movement of mucus

replaced rapidly due to rapid doubling times

most microbes are anaerobes

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5
Q

biochemical/metabolic contributions of intestinal microorganisms

A

vitamin synthesis

gas production

odor production

organic acid production

glycosides reactions

steroid metabolism

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6
Q

what are bacteroides

A

bacteria found in large intestines

colonises exfoliated host cells, food particles and sloughed mucus

rapidly eliminated if not attached

adheres to particles in the gut, not the gut itself

degrades complex carbohydrates along either methanogens

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7
Q

relationship between bacteroides and obesity

A

bacteroides and firmicutes are the main microorganisms that break down food

obese people have less bacteroides and more firmicutes than slim people

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8
Q

why do obese people have more fimicutes

A

firmicutes have numerous enzymes that break down indigestible carbohydrates

additional nutrients absorbed by intestine

leads to higher caloric intake from food

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9
Q

transmission routes of diseases

A

person-to-person: airborne, direct contact or sexually transmitted

zoonotic and vector borne

soil borne

waterborne

foodborne

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10
Q

major adherence factors used to facilitate attachment of microbial pathogens to host tissues

A

capsule/slime layer

adherence proteins

lipoteichoic acid

pili

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11
Q

definition of LD50

A

indication of how much of a substance is expected to cause death in 50% of a population

lower LD50 > more virulent

little difference between LD50 and LD100 > highly virulent

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12
Q

how do certain enzymes enhance virulence in pathogens

A

by breaking down other altering host tissue to provide access to nutrients

protect pathogen by interfering with normal host defence mechanisms

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13
Q

what are exotoxins

A

proteins released from pathogenic organisms as it grows

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14
Q

what are cytolytic toxins

A

work by degrading cytoplasmic membrane integrity > host cell lysis and death

eg: hemolysins > break down RBC

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15
Q

what are AB toxins

A

consists of A and B subunits

work by binding to host cell receptor (B subunit) and transfer a damaging agent (A subunit) across cell membrane

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16
Q

what is diphtheria toxin

A

catalyses ADP-ribosylation of elongation factor 2 > prevents transfer of amino acids to growing peptide chain in ribosome

17
Q

what is botulinum toxin

A

blocks release of acetylcholine to muscle tissue > permanent relaxed state

18
Q

what are super antigen toxins

A

stimulate large number of immune cells > extensive inflammation and tissue damage

19
Q

what are endotoxins

A

lipopolysaccharide portion of cell wall of certain gram negative bacteria is a toxin when solubilised

generally less toxic than exotoxins

20
Q

risk factors for infection

A

compromised host: one or more resistance mechanisms are inactive > increased risk of infection

age: very young and very old more susceptible to infection

stress: predisposes healthy individuals to disease

diet and lifestyle choices

genetic conditions can compromise a host