Pathogenesis Of Microbes Flashcards

1
Q

Infection:

____________ of an infectious agent within the body.

A

Multiplication

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2
Q

Multiplication of the bacteria that are part of normal flora of gastrointestinal tract, skin, etc, is generally considered an infection.

T/F

A

F

Not

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3
Q

On the other hand, multiplication of pathogenic bacteria (e.g. Salmonella species), even if the person is _______, is deemed an infection.

T/F

A

asymptomatic

T

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4
Q

Pathogenicity:
The ability of an infectious agent to __________

A

cause disease.

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5
Q

Virulence:
The ______ of an agent to _______

A

quantitative ability

cause disease.

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6
Q

Virulent agents cause disease when introduced into the host in (small or large ?) numbers.

A

Small

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7
Q

Virulence involves _________ and _________

A

invasiveness and toxigenicity.

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8
Q

Toxigenicity:
The ability of a microorganism to ______________

A

produce a toxin that
contributes to the development of disease.

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9
Q

Invasion:
The process whereby bacteria, parasites, fungi and viruses ———————

A

enter the host cells or tissues and spread in the body.

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10
Q

Pathogen is A microorganism capable of causing disease.

T/F

A

T

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11
Q

Non-pathogen is A microorganism that does not cause disease. It may be part of the normal flora.

T/F

A

T

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12
Q

Opportunistic pathogen:
An agent capable of causing disease only when _______________

An agent capable of causing disease only when spread from the site with __________________ to the _________

A

the host ́s resistance is impaired (e.g. the patient is immunocompromised).

normal bacterial microflora

sterile tissue or organ.

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13
Q

The pathogenesis of bacterial infection includes the _____ of the infectious process and the mechanisms leading to the development of signs and symptoms of bacterial disease.
The outcome of the interaction between bacteria and host is determined by characteristics that favour establishment of the bacteria within the host and their ability to damage the host as they are opposed by host defense mechanisms.

A

initiation

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14
Q

Oubreak - ______
Epidemic - _______
Pandemic – _________

A

local

regional/national

widespread (international)

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15
Q

Most bacteria do not produce disease but ____________________ that ensures the survival, growth, and propagation of both the bacteria and the host.

A

achieve a balance with the host

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16
Q

Most bacteria produce disease

T/F

A

F

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17
Q

Sometimes bacteria that are clearly pathogens (e.g. Salmonella typhi) are present, but infection remains ____ or ______ and the host is a “ ______ “ of the bacteria.

A

latent

subclinical

carrier

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18
Q

In 1884, Robert Koch proposed a series of postulates in his treatise on ______ as _______

A

Mycobacterium tuberculosis and tuberculosis.

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19
Q

Koch ́s postulates are summarized as follows:

The microorganism should be _______of the disease in question, and its distribution in the body should be in accordancce with the _______ observed.

The microorganism should be grown in ______________ for several ______.

When such a pure culture is __________, the ________ must result.

The microorganism must again be ___________

A

found in all cases ; lesions

pure culture in vitro;23

inoculated into susceptible animal species; typical disease

isolated from the lesions of such experimentally produced disease.

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20
Q

Koch ́s postulates remain a mainstay of microbiology.

T/F

A

T

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21
Q

However, since the late 19th century, many microorganisms that do not meet the criteria of the postulates have been shown to cause disease. For example, Treponema pallidum (____) and Mycobacerium leprae (____) cannot be ______, but there are _________

A

syphilis; leprosy

grown in vitro

animal models of infection with these agents.

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22
Q

In another example, Neisseria gonorrhoeae (gonorrhea), there is no __________ even though the bacteria can readily be ________

A

animal model of infection

cultivated in vitro.

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23
Q

The __________ should be considered when an organism is being investigated as the possible cause of a disease.

A

host ́s immune responses

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24
Q

Analysis of infection and disease through the application of principles such as Koch ́s postulates leads to classification of bacteria as ________ or _________

A

pathogenic or non- pathogenic.

25
Q

Examples of pathogenic bacterias include ______ (tuberculosis) and ___________ (plague).

A

Mycobacterium tuberculosis

Yersinia pestis

26
Q

Other species are commonly part of the normal flora of humans (and animals) but can also frequently cause disease. For example, Escherichia coli is part of the gastrointestinal flora of normal humans, but it is also a comon cause of __________ infection, _______, and other diseases.

A

urinary tract

Traveller’s diarrhea

27
Q

The infectious process
Infection indicates _______ of microorganisms.

Prior to that, bacteria (in case of bacterial infection) must ______ and ______ within the host.

The most frequent portals of entry are the _______,_______, and ________ tracts. Abnormal areas of ________ and ———- (e.g. cuts, burns) are also frequent sites of entry.

A

multiplication

enter and establish themselves

respiratory (mouth and nose), gastrointestinal, and urogenital

mucous membranes and skin

28
Q

Nosocomial- originating in the ______

A

Hospital

29
Q

Gist defenses

Gut : ______,______

respiratory tract: ______,_______,_______

urogenital tract; _______

A

peristalsis , defecation

ciliary action ,coughing , sneezing

urination

30
Q

Connective tissue destrction Helps bacterial dissemination

T/F

A

T

31
Q

Connective tissue destrction by :

________
________

A

collagenase
hyaluronidase

32
Q

Extracellular pathogens are resistant to extra-cellular killing

T/F

A

T

33
Q

Extracellular pathogens are killed on _________

A

phagocytosis

34
Q

Extracellular pathogens resist killing by avoiding ________

A

internalization

35
Q

Toxins produced by bacteria are generally classified into two groups:

______
________

A

exotoxins

endotoxins

36
Q

Diphtheria toxin
(toxin of Corynebacterium diphtheriae)
Corynebacterium diphtheriae strains that carry a _______ with the structural gene for the toxin are toxigenic and produce diphtheria toxin.
This native toxin is enzymatically degraded into two fragments: ____ and ____, linked together by a ____ bound. Both fragments are necessary for toxin activity.

A

temperate bacteriophage

A and B

disulfide

37
Q

Tetanospasmin (toxin of Clostridium tetani)

Clostridium tetani is an (aerobic or anaerobic?) gram-______ —— that is
widespread in the environment.

Clostridium tetani contaminates _____, and the spores germinate in the anaerobic environment of the devitalized tissue.

A

Anaerobic; positive ; rod

wounds

38
Q

The vegetative forms of Clostridium tetani produce toxin ______. The released toxin has two peptides linked by disulfide bounds. Toxin reaches the central nervous system by ____ transport along _____ and through the _____ circulation. The toxin acts by blocking release of (excitatory or inhibitory?) mediator in motor neuron synapses. The result is initially _____ then _____, _____.

A

tetanospasmin

retrograde

axons; systemic

inhibitory; localized; generalized

muscle spasms

39
Q

Extremely small amount of toxin tetanospasmin can be lethal for humans.

T/F

A

T

40
Q

Botulotoxin (toxin of Clostridium botulinum)

An exceedingly potent toxin is produced by Clostridium botulinum strains. It is heat-(labile or stable?) and is destroyed by ________.

There are _____ disctinct serological types of toxin. Types ___ are most commonly associated wih human disease.
Toxin is absorbed from the ______ and carried to motor nerves, where it blocks the ___________ at synapses and neuromuscular junctions. Muscle ______ does not occur, and ______ results.

A

Labile; sufficient heating

eight; A, B and E

gut; release of acetylcholine

contraction; paralysis

41
Q

the most potent toxin known is ??

A

Botulotoxin

42
Q

Toxins of Clostridium perfringens

Spores of Clostridium perfringens are introduced into the wounds by contamination with ________. In the presence of ______ tissue (an anaerobic environment), spores germinate and vegetative cells produce several different toxins.
Many of these are _______ and _____ and favour the spread of ______, eg:

alpha toxin is a _____ that damages ________

______ toxin also has a necrotizing affect
and other

A

soil or faeces

necrotic

necrotizing and hemolytic

gangrene

lecithinase; cell membranes

theta

43
Q

Streptococcal erythrogenic toxin( aka streptococcal ___________ toxin)

Some strains of hemolytic lysogenic streptococci produce a toxin that results in a _______________________________ rash, as in _______.
Production of erythrogenic toxin is under the genetic control of ________. If the phage is lost, the streptococi cannot produce toxin.

A

Pyrogenic

punctate maculopapular erythematous

scarlet fever

temperate bacteriophage

44
Q

Toxic shock syndrom toxin - 1 (TSST-1)

Some _____________ strains growing on mucous membranes (e.g. on the vagina in association with menstruation), or in wounds, elaborate TSST-1.
Although the toxin has been associated with toxic shock syndrome, the mechanism of action in unknown.
The illness is characterized by ____,___, and a diffuse _____ that later desquamates, multiple other organs systems are involved as well.

A

Staphylococcus aureus

shock, high Fever

red rash

45
Q

Exotoxins are associated with diarrheal diseases

T/F

A

T

46
Q

Cholera toxin and E. coli labile toxin

Causes ______ of regulator

That leads to _______ activation leading to increase in _____

There’s _______ that leads to the diarrhea

A

ADP-ribosylation

adenylate cyclase

cyclic AMP

active ion and water secretion

47
Q

Shiga toxin -_______
Shiga-like toxin – enterohemorrhagic E. coli

• lyses _____- in ribosome leading to death of __________
• poor ________ that sums up into diarrhea

A

shigellosis

28S rRNA

epithelial cells

water absorption

48
Q

Endotoxins of gram-negative bacteria

The endotoxins of gram-negative bacteria are derived from bacterial _______ and are often liberated when the _________.
The substances are heat-(labile or stable?) and can be extracted (e.g. with ________)

A

cell walls; bacteria lyse

Stable; phenol-water

49
Q

Pathophysiological effects of endotoxins are similar regardless of their bacterial origin

T/F

A

T

50
Q

Coagulase:
Staphylococccus aureus produce coagulase, which works in conjuction with serum factors to _______. Coagulase contributes to the formation of ______ around staphylococcal lesions, which helps them persist in tissues.

A

coagulate plasma

fibrin walls

51
Q

Hyaluronidases:

Enzymes that _________, a constituent of the ground substance of connective tissue. They are produced by many bacteria (e.g. staphylococci, streptococci and anaerobes) and aid in their spread through tissues.

A

hydrolyze hyaluronic acid

52
Q

Streptokinase:
many hemolytic streptococci produce streptokinase (________), substance that activates a proteolytic enzyme of plasma. This enzyme, is then able to ____________ and probably aids in the spread of streptococci through tissues.

A

fibrinolysin

dissolve coagulated plasm

53
Q

Streptokinase is used in treatment of __________ to ________

A

acute myocardial infarction

dissolve fibrin clots

54
Q

Hemolysins and leukocidins:
Many bacteria produce substances that are ______ - they ___________(hemolysins) or _____________ (leukocidins).

A

cytolysins

dissolve red blood cells ; kill tissue cells or leukocytes

55
Q

Streptolysin O, for example, is produced by group ___ streptococci and is lethal for ____ and hemolytic for red blood cells from many animals.

A

A

mice

56
Q

_______ proteases

help the following survive on external surfaces

H.________
S.________
N._______
N. ______

A

IgA

influenzae; pneumoniae; gonorrhoeae

meningitidis

57
Q

Once bacteria enter the body of the host, they must ______.If they do not adhere, they would be _________ and other fluids that bathe the tissue surface.

A

adhere to cells of a tissue surface

swept away by mucus

58
Q

Most common form of bio terrorism is ___?

A

By air