Week 7: Microbes & Infection Flashcards

1
Q

T/F: The coat of a virus consists of protein.

A

True

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2
Q

T/F: A “bacillus” is a spiral-shaped bacterium.

A

False

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3
Q

T/F: A bacterial cell wall contains chitin.

A

False

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4
Q

T/F: A prokaryotic cell is identified by the presence of ribosomes.

A

False - Ribosomes are found in both prokaryotic and eukaryotic cells.

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5
Q

T/F: Viruses can transform host cells into tumor cells.

A

True

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6
Q

T/F: Fungi are eukaryotic cells whose cell wall contains peptidoglycan.

A

False - The cell wall of fungi contains chitin. Peptidoglycan is found in bacterial cell walls.

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7
Q

T/F: Bacteria feed off living matter only.

A

False

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8
Q

T/F: The most common type of viral infection is lytic.

A

True

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9
Q

T/F: Prokaryotic cells contain a nucleus but no membrane-bound organelles.

A

False - The nucleus is a membrane-bound organelle and thus is not present in prokaryotes.

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10
Q

T/F: Fungi generally only cause mild, superficial infections in healthy hosts.

A

True

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11
Q

In which symbiotic relationship does one partner benefit while the other is unaffected?

a Infection

b Parasitic

c Commensal

d Mutualistic

A

c Commensal

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12
Q

What benefits do the normal flora receive from the host?

Nutrition
Prevent colonisation and infection of the host by pathogens
Provide nutrients such as vitamins B and K
Living space

A

Nutrition
Living space

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13
Q

The normal flora can be found in/on which of the following:

upper respiratory tract (i.e. nose, pharynx)
lungs and uterus
urinary bladder
warmer, more damp areas of the skin
mouth and stomach
the upper reprodcutive tract
large, but not the small, intestine

A

upper respiratory tract (i.e. nose, pharynx)
warmer, more damp areas of the skin
mouth and stomach

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14
Q

T/F: Transient microbes are unable to colonise body surfaces.

A

True

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15
Q

A pathogen has a _____ relationship with the host.

a mutualistic

b transient

c commensal

d parasitic

A

d parasitic

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16
Q

T/F: Infectious disease is transmissible disease.

A

False - “Infectious” refers to tissue damage caused by a pathogen, not an ability to be transmitted.

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17
Q

Which terms have been correctly identified?

Infection = invasion of a body surface by a pathogen
Infectious disease = invasion of a body surface by a pathogen involving tissue damage
Colonisation = establishment and growth of a microbe on a body surface involving tissue damage
Infection = establishment and growth of a microbe on a body surface
Colonisation = establishment and growth of a microbe on a body surface

A

Infection = invasion of a body surface by a pathogen
Infectious disease = invasion of a body surface by a pathogen involving tissue damage
Colonisation = establishment and growth of a microbe on a body surface

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18
Q

The normal flora can cause an opportunistic infection when:

their own defences are compromised
their ecological balance is upset and a specific population multiplies to high numbers
host defences are compromised
they penetrate a body surface and colonise deeper tissues
they are relocated to body areas they are normally excluded from
they colonise a body surface different to their usual location
they turn to the dark side

A

their ecological balance is upset and a specific population multiplies to high numbers
host defences are compromised
they penetrate a body surface and colonise deeper tissues
they are relocated to body areas they are normally excluded from

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19
Q

T/F: Compromised surface barriers increase host susceptibility to infection.

A

True

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20
Q

Opportunistic pathogens, that do not usually cause disease in otherwise healthy hosts, include:

transient microbes
conventional pathogens
environmental microbes
normal flora

A

transient microbes
environmental microbes
normal flora

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21
Q

T/F: A more virulent microbe has a high infectious dose.

A

False - A more virulent microbe can establish an infection with a low number of organisms.

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22
Q

T/F: A symptom is an objective change in a patient that can be observed and measured.

A

False - A symptom is the subjective patient experience.

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23
Q

T/F: If a host has memory lymphocytes that recognise a particular pathogen they are likely to experience an asymptomatic or subclinical infection the next time they encounter that pathogen.

A

True - Memory lymphocytes will mediate a secondary immune response that prevents, or reduces the severity of, an infection.

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24
Q

T/F: Whether an infection occurs depends on host susceptibility, pathogen virulence and environmental conditions.

A

True

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25
Q

T/F: A major cause of tissue damage by the host can be the process of inflammation.

A

True

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26
Q

T/F: Viruses generally kill a host cells upon exit, causing tissue damage and promoting inflammation.

A

True

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27
Q

T/F: Most pathogens can use multiple portals of entry into the body.

A

False - Most pathogens have a preferred portal of entry.

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28
Q

The most common portal of entry is the:

a respiratory tract

b urinary tract

c gastrointestinal tract

d skin

A

a respiratory tract

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29
Q

In order to establish an infection, a pathogen must first

a be able to use the host as a food resource

b avoid host defences

c attach to a body surface

d multiply to a critical population size

A

c attach to a body surface

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30
Q

Pathogens can overcome host INNATE defences by:

  • using enzymes to break though surface barriers
  • using enzymes to destroy host anitbodies
  • killing phagocytes with toxins
  • changing their surface proteins
  • degrading phagocyte digestive enzymes with their own enzymes
A
  • using enzymes to break though surface barriers
  • killing phagocytes with toxins
  • degrading phagocyte digestive enzymes with their own enzymes`
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31
Q

Damage to the host can be caused:

  • indirectly by the activity of the pathogen
  • directly by the activity of the host defences
  • by perforins and granzymes from cytotoxic T cells or NK cells
  • through the lytic activity of viruses
  • by enzymes dervied from the pathogen or from host phagocytes
  • by toxins that kill host cells
A
  • by perforins and granzymes from cytotoxic T cells or NK cells
  • through the lytic activity of viruses
  • by enzymes dervied from the pathogen or from host phagocytes
  • by toxins that kill host cells
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32
Q

Pathogens most commonly exit the host via the:

a respiratory or gastrointestinal tracts

b secretions from the eyes and nose

c urine and faeces

d skin

A

a respiratory or gastrointestinal tracts

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33
Q

T/F: Viruses, but not bacteria, can overcome host defences by changing their surface antigens.

A

False- Both viruses and bacteria can undergo antigenic variation.

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34
Q

T/F: Bacteria release enzymes that can kill phagocytes.

A

True

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35
Q

T/F: In an acute infection, host defences are never able to clear the pathogen.

A

False

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36
Q

T/F: Pathogens cannot be transmitted during the incubation period of an infection.

A

False - Pathogens can be transmitted during any period, as long as the pathogen is multiplying.

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37
Q

T/F: During the latent period of a chronic infection, the pathogen does not multiply and cannot be transmitted and the host is asymptomatic.

A

False - A chronic infection does not have a latent period.

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38
Q

The phases of an acute infection occur in the following order:

a disease, incubation, prodromal, recovery
b recovery, prodromal, disease, incubation
c prodromal, recovery, incubation, disease
d incubation, prodromal, disease, recovery

A

d incubation, prodromal, disease, recovery

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39
Q

A chronic infection generally results in:

a no tissue damage after a chronic period of time

b a dormant period when the pathogen does not multiply or cause tissue damage

c ongoing, long-term tissue damage

d recurrent periods of acute, symptomatic disease

A

c ongoing, long-term tissue damage

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40
Q

T/F: Herpes viruses cause latent infections and cannot be transmitted in the latent period becasue the virus is not multiplying.

A

True

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41
Q

Define:

Microbes

A

Microorganisms, including bacteria, viruses, fungi, and protozoa, that can live in and on the human body, influencing health in both positive and negative ways.

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42
Q

Define:

Microbes

A

Microscopic organisms, including bacteria, fungi, viruses, protozoa, and algae, that can only be seen with a microscope. They make up a significant portion of Earth’s biomass.

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43
Q

Define:

Bacteria

A

Single-celled prokaryotic organisms that lack membrane-bound organelles. They are found in various environments, including the human body.

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44
Q

Define:

Fungi

A

Eukaryotic organisms that can exist as single cells or multicellular forms, such as molds and yeasts. They can produce toxins and antibiotics, like penicillin.

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45
Q

Define:

Viruses

A

Acellular microbes that do not have all the components necessary for independent cell function and metabolism. They are not considered living organisms outside of a host.

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46
Q

Define:

Protozoa

A

Single-celled eukaryotic organisms that can live alone or in colonies, typically found in water. Examples include amoebas.

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47
Q

Define:

Algae

A

Photosynthetic eukaryotic organisms that can be single-celled or multicellular, found mainly in aquatic environments.

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48
Q

Define:

Eukaryotic cells

A

Cells with membrane-bound organelles, including a nucleus, Golgi apparatus, lysosomes, and mitochondria. Found in animals, plants, fungi, protozoa, and algae.

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49
Q

Define:

Prokaryotic cells

A

Simpler cells that lack membrane-bound organelles and a nucleus. All bacteria are prokaryotes.

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50
Q

Define:

Bacilli

A

Rod-shaped bacteria. The term is used in the names of rod-shaped bacterial species.

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51
Q

Define:

Cocci

A

Spherical-shaped bacteria. The term is used in the names of spherical bacterial species.

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52
Q

Define:

Spirilla

A

Spiral-shaped bacteria. This term is used for bacteria with a spiral shape.

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53
Q

Define:

Spirochete

A

A specific type of spiral-shaped bacteria with a unique corkscrew motion.

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54
Q

Define:

Vibrio

A

A comma-shaped or curved rod-shaped bacteria.

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55
Q

Define:

Cell envelope

A

The outer layers surrounding a bacterial cell, including the cell membrane and cell wall.

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56
Q

Define:

Peptidoglycan

A

A glycoprotein consisting of protein and carbohydrate groups that forms a mesh-like layer in the bacterial cell wall, targeted by certain antibiotics.

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57
Q

Define:

Capsule

A

An additional outer layer found in some bacteria, which can be sticky or slippery and aids in host colonization.

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58
Q

Define:

Pili

A

Hair-like structures on the surface of bacteria used for genetic material exchange and adherence to surfaces.

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59
Q

Define:

Flagellum (Plural: Flagella)

A

A whip-like structure used by bacteria for locomotion and sometimes as a receptor for environmental changes.

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60
Q

Define:

Nucleoid

A

A region within a bacterial cell where the genetic material, a single circular DNA chromosome, is located.

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61
Q

Define:

Binary fission

A

The process of bacterial reproduction where a single bacterium divides into two identical daughter cells after DNA replication.

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62
Q

Define:

Obligate parasites

A

Organisms that can only reproduce inside a host cell, relying on the host’s cellular machinery for replication.

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63
Q

Define:

Naked viruses

A

Viruses that have a protein coat called a capsid surrounding their genetic material but lack an outer lipid envelope.

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64
Q

Define:

Enveloped viruses

A

Viruses that have a phospholipid bilayer derived from the host cell’s plasma membrane surrounding their capsid, which may contain embedded proteins for host cell attachment.

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65
Q

Define:

Capsid

A

A protein coat surrounding the genetic material of a virus. It helps protect the viral genome and facilitates attachment to host cells.

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66
Q

Define:

Envelope

A

An outer lipid bilayer surrounding some viruses, derived from the host cell’s membrane, which may contain viral proteins that assist in infection.

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67
Q

Define:

Lytic infection

A

A type of viral infection that results in the destruction (lysis) of the host cell, releasing new viral particles.

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68
Q

Define:

Endocytosis

A

A process by which cells take in external substances, such as viruses, by engulfing them in a vesicle.

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69
Q

Define:

Fusion

A

The process by which an enveloped virus merges its lipid envelope with the host cell membrane to gain entry into the cell.

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70
Q

Define:

Exocytosis

A

The process by which viruses exit the host cell, often involving the budding off of new viral particles from the cell membrane.

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71
Q

Define:

SARS-CoV-2

A

The virus responsible for COVID-19, characterized as an enveloped virus with spike proteins that facilitate attachment and entry into host cells.

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72
Q

Define:

Spike proteins

A

Surface proteins on some viruses, such as SARS-CoV-2, that enable the virus to bind to specific receptors on the host cell, facilitating infection.

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73
Q

Define:

Chronic or persistent infection

A

A type of viral infection where the virus is released slowly from the host cell without killing it, leading to a prolonged presence in the host.

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74
Q

Define:

Latent state

A

A condition in which a virus remains dormant inside a host cell without replicating, potentially becoming reactivated later.

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75
Q

Define:

Chitin

A

A carbohydrate derivative of glucose that forms a tough, protective shell around fungal cells, similar to the exoskeletons of insects and crustaceans.

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76
Q

Define:

Yeast

A

Single-celled fungi that reproduce by budding. They are oval-shaped and can be found in various environments.

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77
Q

Define:

Budding

A

A form of asexual reproduction in yeast where a new cell develops from an outgrowth or bud on the parent cell.

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78
Q

Define:

Molds

A

Multicellular fungi that form a network of cells known as mycelium. They often appear as fuzzy or thread-like structures and are commonly seen on spoiled food.

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79
Q

Define:

Mycelium

A

A network of fungal cells that forms the vegetative part of a fungus, such as mold. It helps in nutrient absorption and growth.

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80
Q

Define:

Tinea

A

A type of fungal infection commonly known as athlete’s foot, which affects the skin between the toes.

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81
Q

Define:

Candidiasis

A

A fungal infection caused by Candida species, which can occur in areas such as the mouth (thrush) or other mucosal surfaces.

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82
Q

Define:

Immunocompromised

A

Individuals with weakened immune systems, such as those with HIV/AIDS, undergoing immunosuppressive treatments, or having chronic conditions like cancer or diabetes, who are more susceptible to severe fungal infections.

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83
Q

Define:

Symbiosis

A

A relationship between two organisms living together in close association. In the context of microbes and humans, it refers to how microbes interact with humans, either beneficially, neutrally, or harmfully.

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84
Q

Define:

Normal flora

A

Also known as resident flora, microbiota, or the microbiome. These are the microorganisms that regularly inhabit various parts of the human body and usually benefit the host by outcompeting harmful pathogens and assisting in various bodily functions.

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85
Q

Define:

Transient microbes

A

Microorganisms that temporarily inhabit the body but do not establish a permanent presence. They may be picked up from the environment and do not necessarily contribute to the body’s normal flora.

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86
Q

Define:

Commensalism

A

A type of symbiotic relationship where the microbe benefits from the interaction, while the host is unaffected (neither helped nor harmed).

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87
Q

Define:

Mutualism

A

A symbiotic relationship where both the microbe and the host benefit from the interaction.

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88
Q

Define:

Parasitism

A

A symbiotic relationship where the microbe benefits at the expense of the host, potentially causing harm or disease to the host.

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89
Q

Define:

Communicable

A

Refers to diseases that can be transmitted from one person to another. Infectious diseases are not always communicable, as some, like tooth decay, do not spread between individuals.

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90
Q

Define:

Lactobacillus

A

A type of bacteria found in the gastrointestinal tract and vagina. They metabolize glycogen to produce lactic acid, which maintains an acidic environment that inhibits the growth of harmful microbes.

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91
Q

Define:

Escherichia coli (E. coli)

A

A bacterium commonly found in the large intestine. It helps with the metabolism of waste products and the production of essential vitamins, such as B-group vitamins and vitamin K, which are crucial for various bodily functions.

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92
Q

Define:

Vitamin K

A

A vitamin produced by intestinal bacteria, essential for normal blood clotting. Infants are often given a injection at birth to ensure proper clotting until their gut flora is established.

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93
Q

Define:

Butyrate

A

A fatty acid produced by intestinal microbes that serves as an energy source for epithelial cells in the large intestine. It supports cell health and reduces the risk of colon cancer by enhancing blood flow and immune function.

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94
Q

Define:

Innate immune defenses

A

The body’s initial, non-specific defense mechanisms that respond quickly to pathogens. It includes physical barriers like skin and mucous membranes, as well as various immune cells and proteins.

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95
Q

Define:

Adaptive immune defenses

A

The part of the immune system that develops a specific response to pathogens and improves its response with each exposure. It involves specialized cells and antibodies.

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96
Q

Define:

Sign

A

An objective change in the body that can be observed or measured by a healthcare provider, such as a fever.

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97
Q

Define:

Symptom

A

A subjective experience reported by the patient, such as pain or fatigue, which cannot be directly measured but indicates an underlying condition.

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98
Q

Define:

Subclinical disease

A

An infection or disease that does not produce noticeable symptoms, often because the immune system has successfully contained the pathogen.

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99
Q

Define:

Virulence

A

The capacity of a microbe to cause disease. It measures how harmful the microbe is and affects the severity of the disease it can cause.

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100
Q

Define:

Infectious dose

A

The minimum number of pathogens required to cause an infection. A lower infectious dose indicates higher virulence.

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101
Q

Define:

Conventional pathogens

A

Microbes that cause disease in individuals with normal immune defenses. Examples include viruses like the measles virus and bacteria like Neisseria gonorrhoeae.

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102
Q

Define:

Opportunistic pathogens

A

Microbes that usually do not cause disease in healthy individuals but can lead to infections when the host’s immune defenses are compromised or when they colonize an unusual body site.

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103
Q

Define:

Ecological imbalance

A

A disruption in the normal balance of microbes, allowing opportunistic pathogens to overgrow. For instance, the reduction of Lactobacillus bacteria can lead to the overgrowth of Candida albicans.

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104
Q

Define:

Relocation

A

When normal flora microbes move to a part of the body where they are not typically found, potentially causing infections. For example, E. coli from the large intestine causing a urinary tract infection.

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105
Q

Define:

Compromised host defenses

A

When the immune system or physical barriers are weakened, making the host more susceptible to infections. Factors include preexisting conditions, age, and compromised immune systems.

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106
Q

Define:

Aspergillus

A

A genus of fungus found in various environments, such as damp hay, which can cause respiratory infections in immunocompromised individuals.

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107
Q

Define:

Primary immune response

A

The initial reaction of the immune system to a pathogen, aimed at eliminating it and leading to recovery.

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108
Q

Define:

Secondary immune response

A

A faster and more effective immune response that occurs upon subsequent exposure to a pathogen, often preventing disease or reducing its severity.

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109
Q

Define:

Portal of Entry

A

The site through which a pathogen enters the body. Different pathogens may have preferred entry points for effective infection.

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110
Q

Define:

Skin and Mucous Membranes

A

Physical barriers of the body that act as the first line of defense against pathogens. Pathogens may enter through openings in the skin or mucous membranes.

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111
Q

Define:

Glycocalyx

A

A sticky substance secreted by some bacteria that helps them adhere to body surfaces and can contribute to the formation of biofilms, such as dental plaque.

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112
Q

Define:

Viral Attachment

A

The process by which viruses bind to specific molecules on the surface of target cells to facilitate infection.

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113
Q

Define:

Extracellular pathogens

A

Microbes that obtain nutrients from extracellular fluids and do not need to enter host cells to cause disease.

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114
Q

Define:

Intracellular pathogens

A

Microbes that obtain nutrients from within host cells, causing disease by infecting and replicating inside these cells.

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115
Q

Define:

Virulence factors

A

Traits or abilities of a pathogen that enable it to evade host defenses, cause damage, or persist within the host.

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116
Q

Define:

Surface Barriers

A

Physical and chemical defenses of the body, such as the skin and mucous membranes, that prevent microbial entry and infection.

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117
Q

Define:

Antigenic Variation

A

A mechanism by which pathogens alter their surface proteins to evade recognition by the immune system, leading to ongoing or repeated infections.

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118
Q

Define:

Cytopathic Effects

A

Direct damage caused by pathogens, particularly viruses, which leads to the death of host cells.

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119
Q

Define:

Fibrosis

A

Formation of excess fibrous connective tissue in response to chronic inflammation, leading to scarring and loss of function.

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120
Q

Define:

Portal of Exit

A

The route through which a pathogen exits the host’s body to spread to new hosts, commonly through respiratory or digestive tracts.

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121
Q

Define:

Acute Infection

A

An infection characterized by a rapid onset of symptoms and a relatively short duration, typically resolved once the pathogen is eliminated.

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122
Q

Define:

Chronic Infection

A

An infection that begins acutely but persists over a long period, often with slow multiplication of the pathogen and progressive tissue damage.

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123
Q

Define:

Latent Infection

A

An infection where the pathogen remains dormant within the host after an initial acute phase, not causing symptoms or being transmissible until reactivation.

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124
Q

Define:

Prodromal Period

A

The phase of an infection characterized by mild or nonspecific symptoms that precede the onset of more severe symptoms.

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125
Q

Define:

Disease Period

A

The phase of an infection marked by the peak of symptoms and tissue damage, defining the disease’s impact on the host.

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126
Q

Define:

Recovery Period

A

The phase following the peak of an infection where symptoms decrease as the host’s defenses overcome the pathogen.

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127
Q

Define:

Immune Complex

A

A combination of antigens and antibodies that can deposit in tissues, activating complement proteins and attracting phagocytes.

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128
Q

Define:

Complement Proteins

A

Proteins in the blood that assist in the immune response by marking pathogens for destruction and attracting phagocytes.

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129
Q

Define:

Flaccid Paralysis

A

A condition where muscles become weak and limp due to the inability to contract, often caused by toxins affecting neuromuscular junctions.

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130
Q

Define:

Tetany

A

Sustained muscle contractions due to a disruption in normal nervous system function, often caused by certain toxins.

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131
Q

Define:

Shingles

A

A reactivation of the varicella-zoster virus that causes a painful rash, usually along the path of a spinal nerve.

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132
Q

Define:

Herpes Viruses

A

A group of viruses that can cause latent infections and reactivate later, such as varicella-zoster virus which causes both chickenpox and shingles.

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133
Q

What is…

Microorganisms, including bacteria, viruses, fungi, and protozoa, that can live in and on the human body, influencing health in both positive and negative ways.

A

Microbes

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134
Q

What is…

Microscopic organisms, including bacteria, fungi, viruses, protozoa, and algae, that can only be seen with a microscope. They make up a significant portion of Earth’s biomass.

A

Microbes

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135
Q

What is…

Single-celled prokaryotic organisms that lack membrane-bound organelles. They are found in various environments, including the human body.

A

Bacteria

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136
Q

What is…

Eukaryotic organisms that can exist as single cells or multicellular forms, such as molds and yeasts. They can produce toxins and antibiotics, like penicillin.

A

Fungi

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137
Q

What is…

Acellular microbes that do not have all the components necessary for independent cell function and metabolism. They are not considered living organisms outside of a host.

A

Viruses

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138
Q

What is…

Single-celled eukaryotic organisms that can live alone or in colonies, typically found in water. Examples include amoebas.

A

Protozoa

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139
Q

What is…

Photosynthetic eukaryotic organisms that can be single-celled or multicellular, found mainly in aquatic environments.

A

Algae

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140
Q

What is…

Cells with membrane-bound organelles, including a nucleus, Golgi apparatus, lysosomes, and mitochondria. Found in animals, plants, fungi, protozoa, and algae.

A

Eukaryotic cells

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141
Q

What is…

Simpler cells that lack membrane-bound organelles and a nucleus. All bacteria are prokaryotes.

A

Prokaryotic cells

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142
Q

What is…

Rod-shaped bacteria. The term is used in the names of rod-shaped bacterial species.

A

Bacilli

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143
Q

What is…

Spherical-shaped bacteria. The term is used in the names of spherical bacterial species.

A

Cocci

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144
Q

What is…

Spiral-shaped bacteria. This term is used for bacteria with a spiral shape.

A

Spirilla

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145
Q

What is…

A specific type of spiral-shaped bacteria with a unique corkscrew motion.

A

Spirochete

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146
Q

What is…

A comma-shaped or curved rod-shaped bacteria.

A

Vibrio

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147
Q

What is…

The outer layers surrounding a bacterial cell, including the cell membrane and cell wall.

A

Cell envelope

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148
Q

What is…

A glycoprotein consisting of protein and carbohydrate groups that forms a mesh-like layer in the bacterial cell wall, targeted by certain antibiotics.

A

Peptidoglycan

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149
Q

What is…

An additional outer layer found in some bacteria, which can be sticky or slippery and aids in host colonization.

A

Capsule

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150
Q

What is…

Hair-like structures on the surface of bacteria used for genetic material exchange and adherence to surfaces.

A

Pili

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151
Q

What is…

A whip-like structure used by bacteria for locomotion and sometimes as a receptor for environmental changes.

A

Flagellum (Plural: Flagella)

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152
Q

What is…

A region within a bacterial cell where the genetic material, a single circular DNA chromosome, is located.

A

Nucleoid

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153
Q

What is…

The process of bacterial reproduction where a single bacterium divides into two identical daughter cells after DNA replication.

A

Binary fission

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154
Q

What is…

Organisms that can only reproduce inside a host cell, relying on the host’s cellular machinery for replication.

A

Obligate parasites

155
Q

What is…

Viruses that have a protein coat called a capsid surrounding their genetic material but lack an outer lipid envelope.

A

Naked viruses

156
Q

What is…

Viruses that have a phospholipid bilayer derived from the host cell’s plasma membrane surrounding their capsid, which may contain embedded proteins for host cell attachment.

A

Enveloped viruses

157
Q

What is…

A protein coat surrounding the genetic material of a virus. It helps protect the viral genome and facilitates attachment to host cells.

A

Capsid

158
Q

What is…

An outer lipid bilayer surrounding some viruses, derived from the host cell’s membrane, which may contain viral proteins that assist in infection.

A

Envelope

159
Q

What is…

A type of viral infection that results in the destruction (lysis) of the host cell, releasing new viral particles.

A

Lytic infection

160
Q

What is…

A process by which cells take in external substances, such as viruses, by engulfing them in a vesicle.

A

Endocytosis

161
Q

What is…

The process by which an enveloped virus merges its lipid envelope with the host cell membrane to gain entry into the cell.

A

Fusion

162
Q

What is…

The process by which viruses exit the host cell, often involving the budding off of new viral particles from the cell membrane.

A

Exocytosis

163
Q

What is…

The virus responsible for COVID-19, characterized as an enveloped virus with spike proteins that facilitate attachment and entry into host cells.

A

SARS-CoV-2

164
Q

What is…

Surface proteins on some viruses, such as SARS-CoV-2, that enable the virus to bind to specific receptors on the host cell, facilitating infection.

A

Spike proteins

165
Q

What is…

A type of viral infection where the virus is released slowly from the host cell without killing it, leading to a prolonged presence in the host.

A

Chronic or persistent infection

166
Q

What is…

A condition in which a virus remains dormant inside a host cell without replicating, potentially becoming reactivated later.

A

Latent state

167
Q

What is…

A carbohydrate derivative of glucose that forms a tough, protective shell around fungal cells, similar to the exoskeletons of insects and crustaceans.

A

Chitin

168
Q

What is…

Single-celled fungi that reproduce by budding. They are oval-shaped and can be found in various environments.

A

Yeast

169
Q

What is…

A form of asexual reproduction in yeast where a new cell develops from an outgrowth or bud on the parent cell.

A

Budding

170
Q

What is…

Multicellular fungi that form a network of cells known as mycelium. They often appear as fuzzy or thread-like structures and are commonly seen on spoiled food.

A

Molds

171
Q

What is…

A network of fungal cells that forms the vegetative part of a fungus, such as mold. It helps in nutrient absorption and growth.

A

Mycelium

172
Q

What is…

A type of fungal infection commonly known as athlete’s foot, which affects the skin between the toes.

A

Tinea

173
Q

What is…

A fungal infection caused by Candida species, which can occur in areas such as the mouth (thrush) or other mucosal surfaces.

A

Candidiasis

174
Q

What is…

Individuals with weakened immune systems, such as those with HIV/AIDS, undergoing immunosuppressive treatments, or having chronic conditions like cancer or diabetes, who are more susceptible to severe fungal infections.

A

Immunocompromised

175
Q

What is…

A relationship between two organisms living together in close association. In the context of microbes and humans, it refers to how microbes interact with humans, either beneficially, neutrally, or harmfully.

A

Symbiosis

176
Q

What is…

Also known as resident flora, microbiota, or the microbiome. These are the microorganisms that regularly inhabit various parts of the human body and usually benefit the host by outcompeting harmful pathogens and assisting in various bodily functions.

A

Normal flora

177
Q

What is…

Microorganisms that temporarily inhabit the body but do not establish a permanent presence. They may be picked up from the environment and do not necessarily contribute to the body’s normal flora.

A

Transient microbes

178
Q

What is…

A type of symbiotic relationship where the microbe benefits from the interaction, while the host is unaffected (neither helped nor harmed).

A

Commensalism

179
Q

What is…

A symbiotic relationship where both the microbe and the host benefit from the interaction.

A

Mutualism

180
Q

What is…

A symbiotic relationship where the microbe benefits at the expense of the host, potentially causing harm or disease to the host.

A

Parasitism

181
Q

What is…

Refers to diseases that can be transmitted from one person to another. Infectious diseases are not always communicable, as some, like tooth decay, do not spread between individuals.

A

Communicable

182
Q

What is…

A type of bacteria found in the gastrointestinal tract and vagina. They metabolize glycogen to produce lactic acid, which maintains an acidic environment that inhibits the growth of harmful microbes.

A

Lactobacillus

183
Q

What is…

A bacterium commonly found in the large intestine. It helps with the metabolism of waste products and the production of essential vitamins, such as B-group vitamins and vitamin K, which are crucial for various bodily functions.

A

Escherichia coli (E. coli)

184
Q

What is…

A vitamin produced by intestinal bacteria, essential for normal blood clotting. Infants are often given a injection at birth to ensure proper clotting until their gut flora is established.

A

Vitamin K

185
Q

What is…

A fatty acid produced by intestinal microbes that serves as an energy source for epithelial cells in the large intestine. It supports cell health and reduces the risk of colon cancer by enhancing blood flow and immune function.

A

Butyrate

186
Q

What is…

The body’s initial, non-specific defense mechanisms that respond quickly to pathogens. It includes physical barriers like skin and mucous membranes, as well as various immune cells and proteins.

A

Innate immune defenses

187
Q

What is…

The part of the immune system that develops a specific response to pathogens and improves its response with each exposure. It involves specialized cells and antibodies.

A

Adaptive immune defenses

188
Q

What is…

An objective change in the body that can be observed or measured by a healthcare provider, such as a fever.

A

Sign

189
Q

What is…

A subjective experience reported by the patient, such as pain or fatigue, which cannot be directly measured but indicates an underlying condition.

A

Symptom

190
Q

What is…

An infection or disease that does not produce noticeable symptoms, often because the immune system has successfully contained the pathogen.

A

Subclinical disease

191
Q

What is…

The capacity of a microbe to cause disease. It measures how harmful the microbe is and affects the severity of the disease it can cause.

A

Virulence

192
Q

What is…

The minimum number of pathogens required to cause an infection. A lower infectious dose indicates higher virulence.

A

Infectious dose

193
Q

What is…

Microbes that cause disease in individuals with normal immune defenses. Examples include viruses like the measles virus and bacteria like Neisseria gonorrhoeae.

A

Conventional pathogens

194
Q

What is…

Microbes that usually do not cause disease in healthy individuals but can lead to infections when the host’s immune defenses are compromised or when they colonize an unusual body site.

A

Opportunistic pathogens

195
Q

What is…

A disruption in the normal balance of microbes, allowing opportunistic pathogens to overgrow. For instance, the reduction of Lactobacillus bacteria can lead to the overgrowth of Candida albicans.

A

Ecological imbalance

196
Q

What is…

When normal flora microbes move to a part of the body where they are not typically found, potentially causing infections. For example, E. coli from the large intestine causing a urinary tract infection.

A

Relocation

197
Q

What is…

When the immune system or physical barriers are weakened, making the host more susceptible to infections. Factors include preexisting conditions, age, and compromised immune systems.

A

Compromised host defenses

198
Q

What is…

A genus of fungus found in various environments, such as damp hay, which can cause respiratory infections in immunocompromised individuals.

A

Aspergillus

199
Q

What is…What is…

The initial reaction of the immune system to a pathogen, aimed at eliminating it and leading to recovery.

A

Primary immune response

200
Q

What is…

A faster and more effective immune response that occurs upon subsequent exposure to a pathogen, often preventing disease or reducing its severity.

A

Secondary immune response

201
Q

What is…

The site through which a pathogen enters the body. Different pathogens may have preferred entry points for effective infection.

A

Portal of Entry

202
Q

What is…

Physical barriers of the body that act as the first line of defense against pathogens. Pathogens may enter through openings in the skin or mucous membranes.

A

Skin and Mucous Membranes

203
Q

What is…

A sticky substance secreted by some bacteria that helps them adhere to body surfaces and can contribute to the formation of biofilms, such as dental plaque.

A

Glycocalyx

204
Q

What is…

The process by which viruses bind to specific molecules on the surface of target cells to facilitate infection.

A

Viral Attachment

205
Q

What is…

Microbes that obtain nutrients from extracellular fluids and do not need to enter host cells to cause disease.

A

Extracellular pathogens

206
Q

What is…

Microbes that obtain nutrients from within host cells, causing disease by infecting and replicating inside these cells.

A

Intracellular pathogens

207
Q

What is…

Traits or abilities of a pathogen that enable it to evade host defenses, cause damage, or persist within the host.

A

Virulence factors

208
Q

What is…

Physical and chemical defenses of the body, such as the skin and mucous membranes, that prevent microbial entry and infection.

A

Surface Barriers

209
Q

What is…

A mechanism by which pathogens alter their surface proteins to evade recognition by the immune system, leading to ongoing or repeated infections.

A

Antigenic Variation

210
Q

What is…

Direct damage caused by pathogens, particularly viruses, which leads to the death of host cells.

A

Cytopathic Effects

211
Q

What is…

Formation of excess fibrous connective tissue in response to chronic inflammation, leading to scarring and loss of function.

A

Fibrosis

212
Q

What is…

The route through which a pathogen exits the host’s body to spread to new hosts, commonly through respiratory or digestive tracts.

A

Portal of Exit

213
Q

What is…

An infection characterized by a rapid onset of symptoms and a relatively short duration, typically resolved once the pathogen is eliminated.

A

Acute Infection

214
Q

What is…

An infection that begins acutely but persists over a long period, often with slow multiplication of the pathogen and progressive tissue damage.

A

Chronic Infection

215
Q

What is…

An infection where the pathogen remains dormant within the host after an initial acute phase, not causing symptoms or being transmissible until reactivation.

A

Latent Infection

216
Q

What is…

The phase of an infection characterized by mild or nonspecific symptoms that precede the onset of more severe symptoms.

A

Prodromal Period

217
Q

What is…

The phase of an infection marked by the peak of symptoms and tissue damage, defining the disease’s impact on the host.

A

Disease Period

218
Q

What is…

The phase following the peak of an infection where symptoms decrease as the host’s defenses overcome the pathogen.

A

Recovery Period

219
Q

What is…

A combination of antigens and antibodies that can deposit in tissues, activating complement proteins and attracting phagocytes.

A

Immune Complex

220
Q

What is…

Proteins in the blood that assist in the immune response by marking pathogens for destruction and attracting phagocytes.

A

Complement Proteins

221
Q

What is…

A condition where muscles become weak and limp due to the inability to contract, often caused by toxins affecting neuromuscular junctions.

A

Flaccid Paralysis

222
Q

What is…

Sustained muscle contractions due to a disruption in normal nervous system function, often caused by certain toxins.

A

Tetany

223
Q

What is…

A reactivation of the varicella-zoster virus that causes a painful rash, usually along the path of a spinal nerve.

A

Shingles

224
Q

What is…

A group of viruses that can cause latent infections and reactivate later, such as varicella-zoster virus which causes both chickenpox and shingles.

A

Herpes Viruses

225
Q

What role do microbes play in our lives?

A

Microbes influence our health by having both beneficial and harmful effects. They are crucial for understanding infection processes and disease prevention in clinical settings.

226
Q

What are microbes?

A

Microbes are microscopic organisms, including bacteria, fungi, and viruses, that can only be seen with a microscope.

227
Q

What percentage of Earth’s biomass is made up of microbes?

A

Microbes make up 90% of the Earth’s biomass.

228
Q

What types of organisms are included in the term “microbes”?

A

Microbes include bacteria, fungi, protozoa, algae, and viruses.

229
Q

Why are viruses not considered living organisms when outside a host?

A

Viruses lack the components necessary for cell function and independent metabolism.

230
Q

What distinguishes eukaryotic cells from prokaryotic cells?

A

Eukaryotic cells have membrane-bound organelles and a nucleus, while prokaryotic cells do not.

231
Q

Which cells are considered prokaryotic?

A

All bacteria are prokaryotic cells.

232
Q

What is the size range of typical bacteria?

A

Bacteria range from 1 to 5 micrometers in diameter.

233
Q

How do viruses compare in size to bacteria?

A

Viruses are much smaller than bacteria, falling in the nanometer range and requiring an electron microscope to be seen.

234
Q

What system is used to name microbes?

A

The binomial nomenclature system, which includes a genus name and a species name.

235
Q

What is the scientific name for “golden staph”?

A

The scientific name is Staphylococcus aureus.

236
Q

What shape is indicated by the term “bacilli”?

A

“Bacilli” refers to rod-shaped bacteria.

237
Q

What does the term “cocci” describe?

A

“Cocci” describes spherical bacteria.

238
Q

How do bacteria obtain nutrients?

A

Bacteria release enzymes to digest organic material extracellularly and then absorb the nutrients in dissolved form.

239
Q

What is the cell envelope of a bacterium composed of?

A

The cell envelope includes the cell membrane (phospholipid bilayer) and, in many cases, a cell wall made of peptidoglycan.

240
Q

Why are antibiotics like penicillin effective against bacteria?

A

Penicillin targets peptidoglycan in the bacterial cell wall, disrupting cell wall formation and leading to bacterial death.

241
Q

What is the function of a bacterial capsule?

A

A capsule helps bacteria adhere to hosts and can be sticky or slippery.

242
Q

What is the role of pili in bacteria?

A

Pili are used for the exchange of genetic material between bacteria.

243
Q

What is the function of a bacterial flagellum?

A

A flagellum aids in locomotion and can function as a receptor for detecting external chemicals or temperature changes.

244
Q

Where is bacterial genetic material located?

A

The genetic material is located in the nucleoid, a region containing a single circular chromosome.

245
Q

What is the process of bacterial reproduction called?

A

Bacterial reproduction is called binary fission.

246
Q

How quickly can E. coli reproduce under optimal conditions?

A

E. coli can divide every 20 minutes under optimal conditions.

247
Q

What are viruses made of?

A

Viruses are packets of genetic material, either DNA or RNA, surrounded by a protein coat called a capsid.

248
Q

What distinguishes a naked virus from an enveloped virus?

A

A naked virus has only a protein capsid surrounding its genetic material, while an enveloped virus has an additional outer phospholipid bilayer derived from the host cell’s plasma membrane.

249
Q

Why are viruses considered obligate parasites?

A

Viruses are obligate parasites because they must infect a host cell to reproduce, as they lack the necessary machinery to reproduce on their own.

250
Q

How do naked viruses typically enter a host cell?

A

Naked viruses usually enter a host cell via endocytosis.

251
Q

How do enveloped viruses typically enter a host cell?

A

Enveloped viruses can fuse their envelope with the host cell membrane to enter more easily.

252
Q

What is a lytic infection?

A

A lytic infection is one where the virus attaches to the host cell, enters, uses the host’s machinery to replicate, and eventually causes the cell to lyse and die, releasing new viral particles.

253
Q

What is an example of a virus that causes a lytic infection?

A

SARS-CoV-2, which causes COVID-19, is an example of a virus that causes a lytic infection.

254
Q

How does SARS-CoV-2 facilitate its entry into host cells?

A

SARS-CoV-2 uses spike proteins on its envelope to bind to receptors on epithelial cells, facilitating fusion with the host cell membrane.

255
Q

What happens during the maturation of enveloped viruses?

A

Enveloped viruses assemble their nucleic acids and capsid proteins inside the host cell, then bud off from the host cell membrane, taking part of the plasma membrane with them to form their envelope.

256
Q

What are the four possible outcomes of a viral infection?

A

Lytic infection
Chronic or persistent infection
Latent infection
Transformation of host cells into tumor cells

257
Q

What is a chronic or persistent viral infection?

A

A chronic or persistent infection occurs when the virus is released slowly from the host cell without killing it, and the infection can last for months, years, or even a lifetime.

258
Q

What characterizes a latent viral infection?

A

In a latent infection, the virus remains dormant inside the host cell without replicating or causing damage, and it can be reactivated later to cause a lytic infection.

259
Q

What is an example of a virus that can transform normal cells into tumor cells?

A

Papillomavirus is an example that can cause benign tumors like skin warts or malignant tumors like cervical cancer.

260
Q

What is the primary component of a fungal cell wall?

A

The primary component of a fungal cell wall is chitin.

261
Q

How do yeast cells reproduce?

A

Yeast cells reproduce by budding.

262
Q

What are molds, and how do they differ from yeast?

A

Molds are multicellular fungi that form a network of cells called mycelium, whereas yeast are single-celled fungi.

263
Q

What types of infections can fungi cause?

A

Fungi can cause superficial infections like athlete’s foot and thrush, as well as more serious infections in immunocompromised individuals.

264
Q

Which organization has prioritized fungal pathogens and why?

A

The World Health Organization (WHO) has prioritized fungal pathogens due to their increasing incidence and the limited treatment options available.

265
Q

What are the three types of relationships between humans and microbes?

A

Commensalism
Mutualism
Parasitism

266
Q

What is commensalism?

A

In commensalism, the microbe benefits from the relationship without affecting the host.

267
Q

What is mutualism?

A

In mutualism, both the microbe and the host benefit from the relationship.

268
Q

What is parasitism?

A

In parasitism, the microbe benefits at the expense of the host, potentially causing harm.

269
Q

What does the term “normal flora” refer to?

A

Normal flora refers to the variety of microbes that establish a population on body surfaces, such as the skin and gastrointestinal tract.

270
Q

How are microbes colonized on the body?

A

Microbes colonize the body surfaces by establishing a population and growing there after birth, coming from sources like the maternal vagina, diet, and the environment.

271
Q

Where are normal flora typically found on the skin?

A

Normal flora are usually found in warm, moist areas of the skin, such as the groin and armpits.

272
Q

What role do commercial deodorants play in managing body odor?

A

Deodorants work by inhibiting microbial metabolic activity or by keeping the skin dry to prevent microbial growth and body odor.

273
Q

How does the digestive tract support microbial growth?

A

The digestive tract is warm, moist, and filled with food sources, making it an ideal environment for microbes.

274
Q

What is the microbial density like in the mouth compared to the stomach and intestines?

A

The mouth has about 100 billion bacteria per gram of wet tissue, the stomach has fewer microbes due to low pH, and the number of microbes increases in the small and large intestines.

275
Q

What are some benefits of microbes in the large intestine?

A

Microbes in the large intestine help digest certain fibers, produce vitamins B and K, and create fatty acids that are used for energy.

276
Q

Why are the bronchi and lungs relatively free of microbes?

A

The bronchi and lungs are relatively free of microbes due to the mucociliary escalator and the presence of macrophages.

277
Q

Are the upper regions of the urinary tract sterile?

A

Yes, the upper regions of the urinary tract, including the kidneys, ureters, and bladder, are typically sterile.

278
Q

What types of microbes are found in the urethra?

A

The urethra, which connects the bladder to the outside, can contain microbes in both males and females, but the number is low due to the flushing action of urine.

279
Q

Where are microbes found in the reproductive tracts?

A

In females, microbes are commonly found in the vagina, while the ovaries and higher areas of the reproductive tract are sterile. In males, the urethra contains some microbes.

280
Q

What is the proportion of microbial cells to human cells on our body surfaces?

A

There are about 10 times as many microbial cells on our body surfaces as there are human cells.

281
Q

How do normal flora maintain ecological balance with the host?

A

Normal flora live, reproduce, and feed in place on body surfaces, maintaining a stable ecosystem with relatively constant numbers and types of microbes.

282
Q

How can the composition of normal flora change over time?

A

The composition can change due to factors like the emergence of a baby’s teeth creating a new ecological niche.

283
Q

What is commensalism in the context of normal flora?

A

In commensalism, one partner benefits (the microbe) while the other (the host) remains unaffected.

284
Q

How does mutualism benefit both the normal flora and the host?

A

In mutualism, both the microbe and the host benefit, such as when normal flora prevent pathogens from colonizing or produce beneficial compounds like vitamins.

285
Q

How does Lactobacillus bacteria benefit the host in the vagina?

A

Lactobacillus bacteria metabolize glycogen into lactic acid, which helps maintain an acidic environment and prevents overgrowth of harmful microbes.

286
Q

What is the role of E. coli in the large intestine?

A

E. coli helps metabolize waste products and produce essential vitamins like B-group vitamins and vitamin K.

287
Q

Why are babies given a vitamin K injection at birth?

A

Babies are given vitamin K injections because their gut flora are not fully developed yet to produce sufficient vitamin K for normal blood clotting.

288
Q

What is butyrate and why is it important?

A

Butyrate is a fatty acid produced by intestinal microbes that serves as an energy source for epithelial cells in the large intestine and helps reduce the risk of colon cancer.

289
Q

What is parasitism in relation to microbes?

A

Parasitism is a relationship where one partner (the parasite) benefits at the expense of the host, causing tissue damage and activating host defenses.

290
Q

What type of pathogens are also considered parasites?

A

Pathogens that cause infectious diseases and use the host as a resource for growth are also considered parasites.

291
Q

What must a microbe do to establish an infection?

A

It must attach to a body surface, colonize that surface by multiplying while avoiding host defenses, and then invade deeper tissues.

292
Q

What is the difference between a sign and a symptom of disease?

A

A sign is an objective change that can be observed or measured, such as a fever, while a symptom is subjective and relates to the patient’s experience, like a headache.

293
Q

What is the primary cause of tissue damage in infectious disease?

A

Tissue damage is primarily due to the activities of the pathogen, although host defenses may also contribute.

294
Q

What happens during a primary immune response?

A

The primary immune response is triggered by an infection, aiming to combat the pathogen and lead to recovery.

295
Q

What is asymptomatic disease?

A

Asymptomatic disease occurs when an infection is present but shows no symptoms.

296
Q

What is subclinical disease?

A

Subclinical disease refers to an infection with very minor symptoms.

297
Q

What factors influence whether an infectious disease occurs and is transmitted?

A

Three factors include the pathogen’s pathogenicity, the host’s susceptibility, and the environment’s suitability for the microbe’s survival and transmission.

298
Q

What is virulence?

A

Virulence is a measure of how harmful a microbe is, with more virulent microbes causing more severe disease.

299
Q

What is an infectious dose?

A

The infectious dose is the minimum number of pathogens required to cause disease.

300
Q

Name a highly virulent pathogen and its impact.

A

Smallpox has killed approximately 300 million people in the 20th century alone.

301
Q

How can preexisting poor health affect susceptibility to infection?

A

Conditions like malnutrition or diabetes can impair immune function and increase the risk of infection.

302
Q

How does immune status affect susceptibility to infection?

A

Vaccination status and treatments that compromise immune defenses can significantly affect susceptibility.

303
Q

Why are extremities of age a risk factor for infection?

A

Young babies have immature immune systems, and the elderly may have waning immune defenses, both affecting their ability to combat pathogens.

304
Q

What role do environmental conditions play in infection risk?

A

Environmental conditions affect individual health, the reservoir of infection, and how easily pathogens are transmitted, influencing the likelihood of infection.

305
Q

What are conventional pathogens?

A

Conventional pathogens are microbes that cause disease in individuals with normal defenses, such as the measles virus and Neisseria bacteria.

306
Q

What are opportunistic pathogens?

A

Opportunistic pathogens are microbes that usually do not cause disease in healthy individuals but can do so under certain conditions.

307
Q

What is an example of an opportunistic infection caused by ecological imbalance?

A

Candidiasis or thrush caused by Candida albicans overgrowing when normal flora like Lactobacillus are reduced.

308
Q

How can relocation of normal flora lead to opportunistic infection?

A

Normal flora can cause infections if they move to areas of the body where they are normally excluded, such as E. coli causing a urinary tract infection.

309
Q

What is an example of an opportunistic infection due to compromised host defenses?

A

Pneumonia caused by Streptococcus bacteria in individuals with impaired mucociliary escalator function or severe immunocompromised patients, like those with AIDS.

310
Q

What is an opportunistic infection?

A

An opportunistic infection is caused by microbes that typically have low pathogenicity but can cause disease in individuals with reduced immune defenses.

311
Q

Give an example of a fungus that can cause opportunistic infections in compromised individuals.

A

Aspergillus, a common fungus found in damp hay and straw, can lead to chronic respiratory infections in compromised individuals.

312
Q

What are the two possible outcomes when a microbe attaches to the body?

A

The microbe may be quickly dislodged, resulting in a transient association.
The microbe may multiply and colonize the body surface.

313
Q

What happens when a microbe establishes a stable relationship with the host?

A

It can become part of the normal flora, where the relationship is commensal or mutualistic, and the host is not harmed or may benefit.

314
Q

What is the difference between an asymptomatic and a subclinical infection?

A

An asymptomatic infection has no symptoms or tissue damage, while a subclinical infection has minor symptoms and tissue damage.

315
Q

List the steps involved in an infectious disease.

A

Entry
Multiplication
Damage
Exit
Evade Host Defenses

316
Q

What is the portal of entry for most pathogens?

A

The portal of entry is the site where a pathogen enters the body, such as the respiratory tract or gastrointestinal tract.

317
Q

How can pathogens enter the body through the skin?

A

Pathogens can enter through openings like hair follicles or sweat glands, or through compromised skin due to injury or puncture.

318
Q

What is the role of adhesions in pathogen attachment?

A

Adhesions are surface molecules that help pathogens bind to receptors on target cells.

319
Q

What is glycocalyx and how does it assist bacteria?

A

Glycocalyx is a sticky substance secreted by some bacteria that cements them to body surfaces, forming biofilms like dental plaque.

320
Q

Give an example of a pathogen that adheres to specific surface molecules on target cells.

A

HIV adheres to CD4 and CCR5 molecules on helper T cells and macrophages.

321
Q

Why do pathogens need to multiply to a critical population size?

A

To cause disease, pathogens need to reach a critical population size during the incubation period to overcome host defenses and spread throughout the body.

322
Q

What distinguishes extracellular pathogens from intracellular pathogens?

A

Extracellular pathogens obtain nutrients from extracellular fluids, while intracellular pathogens obtain nutrients from inside host cells.

323
Q

How do some pathogens overcome host defenses?

A

By penetrating barriers, avoiding or inactivating host defenses, or producing virulence factors.

324
Q

What is the role of collagenase produced by Streptococcus bacteria?

A

Collagenase breaks down collagen in the skin, allowing bacteria to invade deeper tissues.

325
Q

How does Bordetella pertussis contribute to disease development?

A

It secretes toxins that inactivate the mucociliary escalator, allowing the bacteria to reach deeper lung tissue.

326
Q

How do some bacteria resist phagocytes?

A

By having slippery capsules or glycocalyx that prevent phagocytes from adhering and engulfing them, or by producing leukocidins that kill phagocytes.

327
Q

What is the function of IgA proteases produced by some pathogens?

A

IgA proteases destroy IgA antibodies, preventing them from neutralizing microbes and allowing infection to occur.

328
Q

What is antigenic variation and how does it affect pathogen recognition?

A

Antigenic variation is the process by which pathogens alter their surface molecules, making them unrecognizable to previously generated antibodies and evading immune responses.

329
Q

Why can people get COVID-19 multiple times?

A

Due to antigenic variation in the spike protein of coronaviruses, antibodies from a primary infection may not effectively block subsequent infections.

330
Q

How do mutations in the spike protein of coronaviruses affect vaccine effectiveness?

A

Mutations can impact how the virus binds to and enters cells, potentially reducing the effectiveness of vaccines and treatments.

331
Q

What type of damage can pathogens cause directly?

A

Pathogens can cause damage directly through the secretion of enzymes or toxins, killing host cells, or consuming host resources.

332
Q

How do toxins produced by pathogens cause harm?

A

Toxins can kill phagocytes, induce high fevers, affect the cardiovascular system leading to shock, or cause diarrhea. They can sometimes be a major factor in the host’s death.

333
Q

What is an example of a toxin that affects the nervous system?

A

Tetanus toxin affects the central nervous system, causing sustained muscle contractions and potentially leading to respiratory failure.

334
Q

What does botulinum toxin do to the neuromuscular junction?

A

Botulinum toxin blocks the release of acetylcholine at the neuromuscular junction, causing flaccid paralysis.

335
Q

What are cytopathic effects?

A

Cytopathic effects refer to direct damage caused by a pathogen, leading to the death of host cells.

336
Q

Which virus is known for causing poliomyelitis and its associated effects?

A

Poliovirus causes poliomyelitis, leading to damage in corticospinal pathways and resulting in flaccid paralysis of the limbs.

337
Q

How do bacteria obtain essential nutrients from host cells?

A

Some bacteria, like those needing iron stored in the liver, kill host cells to access the nutrients they need.

338
Q

What is a cytotoxin and how does it affect host cells?

A

A cytotoxin damages cell membranes or other critical cellular components, leading to the destruction of host cells.

339
Q

What role does inflammation play in tissue damage?

A

Inflammation can cause swelling, which might compress and abrade tissues, and potentially lead to severe conditions like airway obstruction or brain herniation.

340
Q

How can extracellular release of digestive enzymes cause tissue damage?

A

Immune complexes or large parasites might lead to the release of enzymes from phagocytes, which can damage surrounding tissues.

341
Q

What is an example of a condition resulting from chronic inflammation leading to scarring?

A

Pelvic inflammatory disease caused by long-term infection can lead to scarring in the reproductive organs and potentially result in infertility.

342
Q

How do pathogens typically exit the body to spread to new hosts?

A

Pathogens often exit through the respiratory or digestive tracts, for example, via coughing or diarrhea.

343
Q

What are the four phases of an acute infection?

A

The four phases are the incubation period, the prodromal period, the disease period, and the recovery period.

344
Q

What happens during the incubation period of an infection?

A

The incubation period is the time between exposure to the pathogen and the onset of symptoms, influenced by factors such as pathogen virulence and host resistance.

345
Q

What characterizes the prodromal period?

A

The prodromal period is marked by mild or nonspecific symptoms such as headache or fatigue, with the pathogen continuing to multiply.

346
Q

During which phase of an infection are specific signs and symptoms most prominent?

A

The disease period is when specific signs and symptoms of the disease are most prominent.

347
Q

What occurs during the recovery period of an infection?

A

During the recovery period, the number of pathogens decreases, signs and symptoms reduce, and eventually, the pathogen may no longer be detectable.

348
Q

Can a patient transmit a pathogen during the incubation period?

A

Yes, a patient can transmit the pathogen during the incubation period, even before symptoms appear.

349
Q

What is the initial phase of a chronic infection like?

A

A chronic infection begins with an acute symptomatic disease, but the pathogen is not completely eliminated and continues to multiply slowly.

350
Q

How does a chronic infection differ from an acute infection in terms of pathogen multiplication?

A

In a chronic infection, the pathogen continues to multiply slowly over time, whereas in an acute infection, the pathogen typically causes rapid and severe symptoms but is usually eliminated quickly.

351
Q

What happens to the pathogen numbers in a chronic infection over time?

A

The pathogen numbers slowly increase over time, and there may be subsequent acute periods where symptoms reappear.

352
Q

Can a host with a chronic infection still transmit the pathogen?

A

Yes, even if the host appears healthy, they can still transmit the pathogen because the pathogen continues to multiply, albeit slowly.

353
Q

Give an example of a chronic infection and its potential long-term effects.

A

Hepatitis B is a chronic infection that can lead to liver damage, scar tissue formation, liver failure, and potentially liver cancer.

354
Q

How do latent infections begin and what happens to the pathogen after the initial acute phase?

A

Latent infections start with an acute symptomatic disease, but the pathogen becomes dormant after the initial phase, hiding within body cells and not multiplying.

355
Q

What is the state of the pathogen during the latent period of an infection?

A

During the latent period, the pathogen remains dormant, does not multiply, and cannot be transmitted. The host remains asymptomatic.

356
Q

How does reactivation of a latent infection differ from the initial infection?

A

Reactivation leads to a new episode of acute disease, and the symptoms may differ from those of the initial infection.

357
Q

What is a classic example of a latent infection and how does it manifest later?

A

Herpes viruses are a classic example. Chickenpox caused by varicella-zoster virus can later reactivate as shingles, presenting with a rash following the distribution of a spinal nerve.

358
Q

What is the duration and characteristic of an acute infection?

A

Acute infections are short-term with present symptoms and generally result in rapid recovery. The pathogen is transmissible as long as it is multiplying.

359
Q

How does a chronic infection typically progress after the initial acute phase?

A

A chronic infection progresses with the pathogen continuing to multiply slowly, causing progressive tissue damage, and may lead to periodic acute episodes.

360
Q

Can a latent infection ever become transmissible again?

A

Yes, when a latent infection reactivates, the pathogen can begin multiplying again and may become transmissible.

361
Q

Provide an example of an acute infection and its duration.

A

Influenza virus is an example of an acute infection, which is typically short-term with rapid onset and recovery.

362
Q

What is the primary difference between chronic and latent infections in terms of pathogen activity?

A

Chronic infections involve ongoing pathogen multiplication and tissue damage, while latent infections involve a dormant pathogen that does not multiply or cause damage during the latent period.

363
Q

How does the transmissibility of a chronic infection compare to that of a latent infection?

A

A chronic infection remains transmissible as the pathogen continues to multiply, while a latent infection is not transmissible during the dormant phase but can become transmissible if reactivated.

364
Q

Which of the following is a major structural feature of bacteria?
a) Nucleus
b) Cell wall
c) Chloroplast
d) Mitochondria

A

b) Cell wall

365
Q

What structure is unique to fungi compared to bacteria and viruses?
a) Capsule
b) Cell membrane
c) Chitin cell wall
d) RNA genome

A

c) Chitin cell wall

366
Q

Which of the following is a characteristic of viruses?
a) Cellular structure
b) Ability to reproduce independently
c) DNA or RNA genome
d) Cell wall

A

c) DNA or RNA genome

367
Q

Which type of microbe is characterized by having a chitinous cell wall and is eukaryotic?
a) Bacteria
b) Virus
c) Fungi
d) Protozoa

A

c) Fungi

368
Q

What is one of the three main types of microbes humans interact with?
a) Bacteria
b) Rocks
c) Plants
d) Metals

A

a) Bacteria

369
Q

Which relationship describes a microbe that benefits at the expense of the host?
a) Mutualism
b) Commensalism
c) Parasitism
d) Synergism

A

c) Parasitism

370
Q

Which term describes a pathogen that only causes disease when the host’s defenses are compromised?
a) Conventional pathogen
b) Opportunistic pathogen
c) Primary pathogen
d) Secondary pathogen

A

b) Opportunistic pathogen

371
Q

What is a key factor that determines whether an infection will occur?
a) Pathogen’s color
b) Pathogen’s resistance to sunlight
c) Host’s immune status
d) Host’s dietary habits

A

c) Host’s immune status

372
Q

Which of the following is a step in the infectious disease process?
a) Symptom resolution
b) Pathogen exit
c) Pathogen replication
d) None of the above

A

c) Pathogen replication

373
Q

What is the first step in the infectious disease process?
a) Infection
b) Incubation
c) Exposure
d) Recovery

A

c) Exposure

374
Q

During which phase of an acute infection do symptoms become most severe?
a) Incubation period
b) Prodromal period
c) Disease period
d) Recovery period

A

c) Disease period

375
Q

Which type of infection is characterized by an initial acute disease followed by a long-term, slowly progressing infection?
a) Acute infection
b) Chronic infection
c) Latent infection
d) Subclinical infection

A

b) Chronic infection

376
Q

What happens during the latent period of an infection?
a) The pathogen multiplies rapidly
b) The pathogen is dormant and not multiplying
c) Symptoms are severe and pronounced
d) The host’s immune system is compromised

A

b) The pathogen is dormant and not multiplying

377
Q

What is a common outcome of a chronic infection?
a) Rapid recovery
b) Persistent mild symptoms
c) Sudden severe symptoms
d) Immediate resolution

A

b) Persistent mild symptoms

378
Q

In which type of infection does the pathogen remain dormant within body cells for years before reactivation?
a) Acute infection
b) Chronic infection
c) Latent infection
d) Secondary infection

A

c) Latent infection

379
Q

Which example represents a latent infection?
a) Influenza
b) Chickenpox leading to shingles
c) Hepatitis B
d) Tuberculosis

A

b) Chickenpox leading to shingles

380
Q

What is the main feature of an acute infection?
a) Long-term persistence with progressive damage
b) Periodic reactivation of symptoms
c) Short-term illness with rapid onset and recovery
d) Persistent mild symptoms over many years

A

c) Short-term illness with rapid onset and recovery

381
Q

Which of the following infections is classified as chronic?
a) Common cold
b) Measles
c) Hepatitis C
d) Herpes simplex

A

c) Hepatitis C

382
Q

What phase follows the initial acute symptoms in a chronic infection?
a) Immediate recovery
b) Latent phase
c) Gradual resolution
d) Long-term persistence

A

d) Long-term persistence

383
Q

During which phase of an acute infection are pathogens actively multiplying and causing significant damage?
a) Incubation period
b) Prodromal period
c) Disease period
d) Recovery period

A

c) Disease period