XII Chap 8 Health and Disease Flashcards
Health is affected by ______ (3 things)
- Genetic disorders
- Infections
- Lifestyle
What is the definition of disease?
functioning of one or more organs or systems of the body adversely affected, appearance of various signs and symptoms
Among non-infectious diseases _____ is the major cause of death
Cancer
Most parasites are pathogens. True or False?
True
Pathogens have to adapt to life within the environment of the _____
host
Pathogen that enters the gut must be able to survive in what conditions?
low pH
digestive enzymes
What causes typhoid and how do they enter?
Salmonella typhi (pathogenic bacterium); enter small intestine through food and water and migrate to other organs through the blood
What are the symptoms of typhoid fever?
high fever, weakness, stomach pain, constipation, headache and loss of appetite
In severe cases of typhoid we may see _________
intestinal perforation and death
What test can confirm typhoid?
Widal test
_______ nicknamed Typhoid Mary was an infamous typhoid carrier
Mary Mallon, a cook
What pathogen causes pneumonia?
Bacteria;
Streptococcus pneumoniae
OR
Haemophilus influenzae
What parts of the body does pathogen of pneumonia infect?
Alveoli (air filled sacs) of the lungs;
alveoli filled with fluid => respiration problems
Symptoms of pneumonia?
fever, chills, cough and headache
In severe cases of pneumonia, these symptoms may appear?
Lips and finger nails turn gray to bluish
How does a person get infected with pneumonia?
Inhaling droplets / aerosols released by an infected person OR sharing utensils with infected person
What are some of the known bacterial diseases in humans?
Typhoid Pneumonia Dysentry Plague Diphtheria
_________ represents a group of viruses that cause the common cold
Rhino viruses
Rhino viruses infect _______ but not _________
nose and respiratory passage;
not lungs
Symptoms of common cold?
Nasal congestion and discharge, sore throat, hoarseness, cough, headache, tiredness
Common cold lasts ______ days
3-7 days
How does common cold spread?
Droplets; Contaminated objects (e.g. pens, doorknobs, etc)
What causes malaria?
Plasmodium, a tiny protozoan
What are the 3 different species of the pathogen that causes malaria?
Plasmodium vivax,
Plasmodium malaria,
Plasmodium falciparum
Which specific pathogen causes malignant (fatal) malaria?
Plasmodium falciparum
What does the malaria pathogen do once it enters the body?
Enters the human body as sporozoites (infectious form)
=> multiplies asexually in liver cells => cell bursts => release in blood
=> then attack the red blood cells => cell bursts
=> release of toxic substance, haemozoin
=> chill and fever, every 3-4 days
Malaria is contracted through the bite of _________
infected female Anopheles mosquito
What happens when a female Anopheles mosquito bites a person infected with malaria?
Gametocytes (sexual stages) develop in human RBCs,
=> gametocytes enter mosquito through bite
=> fertilization and development in mosquito’s gut
=> sporozoites (mature infective stages) escape from gut to salivary glands, waiting for next bite
Malarial parasite requires how many and which hosts to complete its life cycle?
2 hosts:
human
mosquitoes
The female Anopheles mosquito is the __________ for malaria
vector / transmitting agent
__________ pathogen causes amoebic dysentery
Entamoeba histolytica (protozoan parasite)
Another name for amoebic dysentry
Amoebiasis
Where does the parasite for amoebiasis attack?
Large intestine of the human
What are symptoms of amoebiasis?
Constipation, abdominal pain, cramps, stools with excess mucous and blood clots
Houseflies are _________ carriers of amoebiasis and transmit the parasite from _______ to _________
mechanical;
faeces of infected persons to food/food products/water
_________ and _______ are helminths known to be pathogenic to man
Ascaris (round worm)
Wuchereria (filarial worm)
Ascaris is an __________ parasite that causes ___________
intestinal parasite;
ascariasis
Symptoms of ascariasis?
Internal bleeding, muscular pain, fever, anemia and blockage of the intestinal passage
________ of the ascaris parasite are excreted along with _____ of the infected person which contaminates soil, water, plants, etc.
Eggs; faeces
Ascariasis is acquired through ____________
contaminated water, fruits, vegetables, etc.
Species of Wuchereria that cause filariasis?
And the common names?
Wuchereria bancrofti and Wuchereria malayi;
filarial worms
What is filariasis and what is its other name?
Slowly developing chronic inflammation of the organs in which the filarial worms live for many years;
aka elephantiasis
Where do the filarial worms that cause filariasis usually live in the human host?
Lymphatic vessels of the lower limbs
Genital organs are unaffected in elephantiasis. T or F?
False, also often affected
Gross deformities are a symptom of which common human disease?
Elephantiasis
Which 2 diseases are transmitted through the bite of the female mosquito vector?
Malaria and filariasis
What pathogen is responsible for ringworms?
Fungi;
Genera: Microsporum, Trichophyton and Epidermophyton
Symptoms of ringworms?
Dry, scaly lesions on skin, nails and scalp;
intense itching
______ and _____ help fungi that cause ringworms to grow, hence they’re often found in ____ and ____ parts of human body
Heat and moisture;
skin folds like groin or between the toes
Ringworms are usually acquired from _______ or _______
soil;
or using towel, clothes, comb, etc. of infected person
List the common diseases due to contaminated food and water?
Typhoid, Amoebiasis, Ascariasis
List the common air-borne diseases?
Pneumonia and common cold
What are the precautions to be taken for diseases like malaria and filariasis?
Control/eliminate vectors & breeding areas:
- avoid stagnation of water near residential areas
- regular cleaning of household coolers
- use of mosquito nets
- fishes that feed on larvae in ponds e.g. Gambusia
- spraying insecticides on ditches, drainage areas, swamps
- wire mesh on doors and windows
List common diseases transmitted by insect vectors?
Malaria, filariasis, dengue, chikungunya
Define immunity
Ability of the host to fight disease-causing organisms
Innate immunity?
non-specific type of defence,
present at time of birth;
consists of 4 types of barriers
What are the 4 types of barriers in innate immunity?
- Physical (skin, mucus coating of epithelium in respiratory, gastrointestinal and urogenital tracts)
- Physiological (stomach acid, saliva, tears)
- Cellular (leukocytes and lymphocytes in blood, microphages in tissue)
- Cytokine: proteins secreted by virus-infected cells which protect non-infected cells
______ barriers prevent entry of microbes whereas ______ barriers prevent growth of microbes
Physical;
Physiological
What are the types of cellular barriers?
Leukocytes: - Polymorpho-nuclear leukocytes (PMNL-neutrophils) - Monocytes Natural killer (lymphocytes) Macrophages
How do macrophages act as barriers to disease?
Phagocytose and destroy the microbes
What are Interferons?
the proteins secreted by virus-infected cells
Acquired immunity?
Pathogen specific,
memory-based
Primary response?
Low-intensity response produced by body when it encounters pathogen for the first time
Anamnestic response?
Secondary response on subsequent encounter with same pathogen, highly-intensified response based on memory
Primary and secondary immune responses are carried out with help of?
2 special types of lymphocytes:
B-lymphocytes and T-lymphocytes
What do B-lymphocytes do?
Produce antibodies (army of proteins) in blood
What do T-cells do?
Help B-cells produce antibodies; Mediate CMI (cell-mediated immunity)
Each antibody has 4 ________
peptide chains, 2 small (light chains) 2 long (heavy chains)
What are the different types of antibodies produced?
IgG, IgA, IgM, IgE
You got “GAME” - you got antibodies!
Because antibodies are found in the ____ the response is called __________
blood;
humoral immune response
(humoral = relating to body fluids)
What are the 2 types of acquired immune responses?
humoral immune response (antibodies)
cell-mediated immune response
When human organs fail to function _____ is often the only remedy
transplantation
_____ and ____ are essential before transplantation/grafting
Tissue matching;
Blood-group matching
Person who has undergone transplantation or grafting has to take ________ all their life
immuno-suppressants
_______________ is responsible for graft rejection
Cell-mediated immune response
Active vs. passive immunity
Active - host exposed to antigens and antibodies produced in the body, slow response e.g. immunisation or natural infection
Passive - ready-made antibodies introduced directly into human e.g. colostrum for newborn infants(yellowish fluid in initial days lactation), placenta to foetus
Colostrum has abundance of this type of antibodies?
IgA
Immunisation is based on the ________ property of the immune system
memory
In vaccination ______ pathogen are introduced into the body
antigenic proteins of pathogens OR weakened/inactivated pathogens
Vaccines generate memory in the form of what cells?
B-cells and T-cells
______ and ______ requires that preformed antibodies are injected directly to combat deadly microbes.
What type of immunisation is this?
Tetanus and snakebites;
passive
What is antitoxin?
A preparation containing antibodies to a toxin
__________ has allowed the production of antigenic polypeptides of pathogen in bacteria or yeast
Recombinant DNA technology
Recombinant DNA technology has allowed the production of __________ of pathogen in ____________ and _____________
antigenic polypeptides;
bacteria or yeast
Vaccines produced using _________ allow large scale production & greater availability
recombinant DNA technology
________ is an example of a vaccine produced using Recombinant DNA technology in yeast
Hepatitis-B
Define allergy
Exaggerated response of immune system to certain antigens in environment;
release of histamine and serotonin from mast cells
Antibodies produced during allergies are of this type?
IgE
Common examples of allergens?
Dust mites, pollen, animal dander
What are the symptoms commonly associated with allergies?
Sneezing, watery eyes, running nose and breathing difficulty
What are some drugs used to reduce allergic reactions?
Anti-histamine;
adrenalin;
steroids
Memory-based acquired immunity evolved in ______ due to the ability to ________
higher vertebrates;
differentiate foreign organisms and self-cells
What is auto-immune disease?
Sometimes body attacks self-cells => damage to body;
genetic or other unknown reasons
Example of auto-immune disease?
Rheumatoid arthritis
Human immune system consists of:
lymphoid organs,
tissues,
cells,
soluble molecules (e.g. antibodies)
What role do lymphoid organs play?
Origin, maturation and proliferation of lymphocytes
e.g. bone marrow and thymus (primary lymphoid organs)
Immature lymphocytes transform into _________ lymphocytes
antigen-sensitive
What role do secondary lymphoid organs play?
After maturation lymphocytes migrate here; sites for interaction with antigen and proliferation to become effector cells
e.g. spleen, lymph nodes, tonsils, Peyer’s patches of small intestine, appendix
__________ is the main lymphoid organ where _______ are produced
Bone marrow;
all blood cells including lymphocytes
Thymus is a ______ organ located near ____ and beneath the _____
lobed; heart; breastbone
_____ is large at the time of birth and keeps reducing in size with age until puberty
Thymus
Bone marrow and thymus provide _____-environments for the maturation of _______
micro; T-lymphocytes
What is the spleen?
Secondary lymphoid organ shaped like a large bean.
Acts as blood filter, trapping blood-borne micro-orgs
Spleen contains ______, _______ and is a large reservoir of _________
contains lymphocytes and phagocytes;
large reservoir of erythrocytes;
What are lymph nodes?
Small solid structures at different points, trap micro-orgs/antigens in lymph and tissue fluid
____ trapped in lymph nodes are responsible for the activation of _____ causing the _____ response
Antigens;
lymphocytes;
immune
What is MALT?
Mucosa-associated lymphoid tissue within lining of major tracts - respiratory, digestive and urogenital;
50% of lymphoid tissue in human body
What does AIDs stand for?
Acquired Immuno Deficiency Syndrome
Acquired Immuno Deficiency Syndrome is a congenital disease. True or False?
False, it is not - it is acquired during the lifetime
______ means a group of symptoms
Syndrome
AIDS was first reported in ____
1981
AIDS has killed ____ people since its discovery
25 million
AIDS is caused by which pathogen?
a retrovirus
Human Immuno deficiency Virus (HIV)
What is retrovirus?
Group of viruses that have an envelope (protein coat) enclosing the RNA genome
How is HIV transmitted?
- sexual contact
- contaminated blood / blood products
- infected needles
- mother to child through placenta
HIV is only spread through bodily fluids, not mere touch or physical contact. True or False?
True
What is the time-lag between getting AIDS and appearance of symptoms?
Few months to many years;
usually 5-10 years
How does retrovirus replicate?
Viral RNA infects macrophages, enters plasma membrane,
Viral DNA produced by enzyme reverse transcriptase;
Viral DNA incorporates into host genome;
New Viral RNA produced => New viruses produced (replication) => Released => macrophage becomes HIV factory
All this while infected animal cell can survive
Simultaneously, HIV enters helper T-lymphocytes => progeny viruses => attach other helper Ts => progressive decrease in number of helper-Ts => bouts of fever, diarrhoea and weight loss => susceptible to other diseases due to decreased helper Ts
People with HIV are especially susceptible to which pathogens?
Bacteria - especially mycobacterium
Viruses
Fungi
Parasites (Toxoplasma)
_______ is a widely used diagnostic test for AIDS
ELISA
enzyme linked immuno-sorbent assay
How is AIDS treated?
anti-retroviral drugs, only partially effective;
can prolong life of patient but cannot prevent death
More than a million Indians suffer from ________
cancer
What is contact inhibition?
Property of normal cells because of which contact with other cells inhibits their uncontrolled growth
Cancer cells have lost which property of normal cells? What is the affect?
Contact inhibition;
continue to divide without stopping => tumors
What are tumors? Types of tumors?
Tumors = masses of cancerous cells
Malignant (spreading/proliferating) vs. benign (confined to original location)
How do malignant tumors behave?
Composed of neoplastic or tumor cells that grow rapidly; starve normal cells in tissues by competing for vital nutrients;
cells travel through blood and start new tumors (metastasis)
______ is the most feared property of malignant tumors
Metastasis
What are carcinogens?
Physical, chemical or biological agents that cause normal cells to become neoplastic/cancerous;
e.g. radiation like X-rays, gamma rays, UV rays
tobacco smoke (chemical)
oncogenic viruses;
cellular oncogenes (c-onc) or proto oncogenes in normal cells when activated
What are the different types of radiation?
Ionising - X-rays, gamma
Non-ionising - UV rays
Ways to detect cancer?
- Biopsy - piece of suspected tissue cut into thin sections, stained, examined under microscope
- Histopathological studies of tissue, blood
- Bone marrow tests - increased cell counts in case of leukemias
- Radiography (X-rays), CT and MRI - for internal organ cancer
- Antibodies
- Molecular biology to study genes
What is CT and how does it work?
Computed tomography;
Uses X-rays to generate 3D image of internals of object
What is MRI and how does it work?
Magnetic Resonance Imaging;
strong magnetic fields and non-ionising radiation to detect change in living tissue
Treatment for cancer?
- Surgery
- Radiation therapy / Radiotherapy
- Immunotherapy
- Chemotherapeutic drugs
What happens in radiotherapy?
Tumor cells are irradiated lethally, taking proper care of surrounding normal tissues
Chemotherapeutic drugs are specific for particular tumors and have side effects. T or F?
True
___ and ____ are side effects of chemotherapy
Hair loss,
anemia
Most cancers are treated by combination of ___ , ___ and ____
Surgery
Chemotherapy
Radiotherapy
Tumor cells avoid detection and destruction by immune system; hence patients are given ________ such as _______
biological response modifiers like alpha-interferon
Commonly abused drugs?
- Opioids (heroin/smack)
- Cannabinoids (from cannabis plants: marijuana, hashish, charas and ganja)
- Coca alkaloid (cocain/coke/crack)
- Drugs normally used as medicines: barbiturates, amphetamines, benzodiazepines, morphine
Opioids bind to _____ in _____ and _____
opioid receptors;
central nervous system;
gastrointestinal tract
Opioids are chemically ______ obtained from ______?
diacetylmorphine;
acetylation of morphine (extracted from latex of poppy plant - Papaver somniferum)
What are the physical properties of smack?
White crystalline compound
Odourless
Bitter
Smack is generally taken by ___ or ____
snorting or injection
______ is a depressant that slows down bodily functions
Heroin
Cannabinoids react with _____ in _____
cannabinoid receptors in brain
Natural cannabinoids are obtained from?
Inflorescences of the plant Cannabis Sativa = flower tops, leaves and resin
Cannabinoids are usually taken by ___ and ____
inhalation and oral ingestion
Cannabinoids affect ______ system in the body
Cardiovascular
Coca alkaloid is aka _____ and obtained from _____ native to _____
Cocaine;
coca plant, Erythroxylum coca;
South America
________ interferes with the transport of the neuro-transmitter ______
Cocaine;
dopamine
Cocaine is usually taken by ______
snorting
Cocaine affects _______
central nervous system,
sense of euphoria and increased energy, hallucinations
Plants with hallucinogenic properties
Erythroxylum coca
Atropa beladona
Datura
__________ are abused by sportspersons
Cannabinoids
Barbiturates, amphetamines, benzodiazepines are drugs normally used as medicine to help patients cope with _____ and _____
depression and insomnia
_______ is a very effective sedative and painkiller for patients undergoing surgery
Morphine
Nicotine is an ______
What is its effect?
alkaloid
stimulates adrenal gland, releases adrenaline and nor-adrenaline into blood; increases blood pressure and heart rate; increases carbon monoxide content in blood (smoking) and reduces concentration of haembound oxygen => oxygen deficiency
Smoking is associated with what issues?
Cancers of lung, urinary bladder and throat, bronchitis emphysema, coronary heart disease, gastric ulcer
________ is associated with increased risk of oral cavity cancer
Tobacco chewing
What is withdrawal syndrome?
Due to dependence; when regular dose of drugs/alcohol is discontinued;
anxiety, shakiness, nausea and sweating (in some cases symptoms can be life threatening)
What is cirrhosis?
impaired function of liver due to chronic use of drugs/alcohol
Chronic use of drugs/alcohol can damage ____ and ____
CNS and liver
Sportspersons misuse ________
narcotic analgesics,
anabolic steroids,
diuretics
Side-effects of anabolic steroids in females
increased aggressiveness mood swings depression masculinisation abnormal menstrual cycles excessive facial hair growth on face/body enlargement of clitoris deepening of voice
Side-effects of anabolic steroids in males?
increased aggressiveness mood swings depression acne reduction of size of testicles decreased sperm production enlargement of prostate gland breast enlargement kidney/liver dysfunction premature baldness