Microbiology - Ch. 15 Flashcards

(69 cards)

1
Q

What are the second line defenses?

A

o Fever
o Interferon
o Complement
o Inflammation

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2
Q

Examples of PAMPs includes _________

A

o Peptidoglycan
o Lipopolysaccharide

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3
Q

True or False: Fever & Inflammation are normal body responses to injury or infection, & it may be best to withhold treatment in some cases.

A

True (Inflammation & fever are host defenses that work to destroy or inhibit the growth of pathogens, Within certain limits and depending on the condition of the host, it is not always necessary or advantageous to treat these.)

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4
Q

The membrane attack complex is a part of the ______ system

A

Complement

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5
Q

What element is essential for microbes and can restrict the growth of pathogens when bound by antimicrobial proteins?

A

Iron

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6
Q

First Line Defense

A

 Lysozyme
 Lactic acid
 Keratin
 Lacrimation

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7
Q

Second Line Defense

A

 Fever
 Phagocytosis
 Inflammation
 Interferons

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8
Q

Third Line Defense

A

 Antibodies
 T Lymphocytes
 B Lymphocytes

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9
Q

What are the correct statements that apply to the role of the resident microbiota in the first line of defense?

A

o Microbial antagonism contributes to the first line of defense since resident microbiota compete for nutrients & oxygen, limiting availability for pathogens.
o Research suggests that chronic inflammatory disorders, such as Crohn’s disease, are though to arise when the host defenses inappropriately attach the resident biota.
o The beneficial effects of the microbiota are evidenced following broad spectrum antimicrobial therapy; if the resident microbiota are wiped out by a strong antibiotic, a superinfection can prevail.

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10
Q

Host Defenses (Innate)

A

-First Line of Defense: a surface protection composed of anatomical & physiological barriers that keep microbes from penetrating sterile body compartments.
 Physical barriers
 Microbiota barrier
 Chemical barriers
-Second Line of Defense: a cellular & chemical system that comes immediately into play if infectious agents make it past the surface defenses. (Gamma-delta T cells & natural killer T cells)
 Phagocytosis (conducted by neutrophils & macrophages)
 Inflammation
 Fever
 Antimicrobial proteins (includes interferon & complement)
o Acquired

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11
Q

Host Defenses (Acquired)

A

-Third Line of Defense: includes specific host defenses that must be developed uniquely for each microbe through the action of specialized white blood cells. (Gamma-delta T cells & natural killer T cells)
 B/T cells

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12
Q

What is the correct order of phagocytosis?

A

1.) Phagocytes release chemicals that attract the pathogens
2.) PRRs on host phagocytes bind to PAMPS on microbes
3.) Endocytosis is initiated forming a phagosome
4.) A lysosome fuses with the phagosome forming a phagolysosome
5.) Digestion proceeds as hydrolytic enzymes break down the cells
6.) The residual cell debris is expelled from the cell of exocytosis

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13
Q

The normal microbiota is part of the _______ line of defense.

A

First

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14
Q

What is the function of the immune system?

A

Phagocytosis is one way foreign cells are destroyed by the immune system.

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15
Q

What are the characteristics of the lymphatic system of its structure & major functions?

A

o Helps to regulate the inflammatory response by acting as a “drain-off” system
o Lymph contains a number of immune cells & their products to defend against pathogens

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16
Q

True or False: Whole blood is a substance, consisting of blood cells & clear fluid called serum, which moves through the cardiovascular system

A

False (plasma is a the fluid that suspends the cells in whole blood. Upon the removal of clotting factors, the fluid is now called serum).

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17
Q

The clear fluid found in whole blood in which the cells are suspended is called _______, however, when the clotting factors are removed, it is now called

A

Plasma; serum

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18
Q

What are the characteristics of T lymphocytes, which are involved in specific immunity?

A

o Mature in the thymus
o Move freely among lymphoid tissues & connective tissue
o Responsible for cell-mediated immunity

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19
Q

What is the first stage of phagocytosis all about?

A

Phagocytes move with deliberation along a gradient of stimulatory products at the site of injury.

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20
Q

Fever is initiated when a substance in circulation, called a _________ acts on the hypothalamus causing it to reset body temperature to a higher setting.

A

pyrogen

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21
Q

What statements most accurately reflects fever?

A

Fever enhances metabolism & protective mechanisms in the host.

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22
Q

When a cell is infected by a virus, synthesis of _________ begins and this protein diffuses away from the infected cell to protect nearby uninfected cells by binding to surface receptors and initiating synthesis of antiviral proteins.

A

Interferon

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23
Q

Nonspecific chemical defenses of the human host include all of the following EXCEPT:

A

Antibodies. (The other options were hydrochloric acid, lysozyme, & lactic acid.

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24
Q

Which of the following is part of the body’s second line of defense?

A

Phagocytosis

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25
True or False: Some hosts are genetically immune to the diseases of other hosts.
True (Some pathogens are host-specific)
26
What is part of the body's third line of defense?
B cells
27
Which event occurs in the early stages of inflammation?
Chemical mediators & cytokines are released
28
What is the function of selectins?
They promote sticking of neutrophils to the inner vessel wall.
29
Which role does histamine play during inflammation?
It leads to vasodilation
29
True or False: Margination occurs when neutrophils stick to the lining of the endothelium.
True (margination occurs when neutrophils stick to the lining of the endothelium).
30
Extravasation, also known as diapedesis or transmigration, occurs when…
neutrophils squeeze through the vessel wall
31
Inflammation is characterized by redness, warmth, swelling, and pain. In Latin, the term _________blank means redness
Rubor
32
Tissue injury leading to inflammation can be due to…
All of these choices are correct: infection, chemical injury, & mechanical injury
33
What are the four classic signs & symptoms of inflammation?
pain, swelling, redness, & heat
33
The four classic signs & symptoms of inflammation include all the following EXCEPT….
Chills
34
The symptoms of inflammation are mostly due to….
vasodilation
35
True or False: Mitochondria contain hydrolytic enzymes.
False (lysosomes contain hydrolytic enzymes).
36
Which cell type is capable of phagocytosis?
Neutrophils & macrophages
36
_________ are the precursors to macrophages
Monocytes
37
True or False: Phagocytosis is part of the body’s nonspecific defenses.
True (phagocytosis is part of nonspecific immunity, the second line of defense).
38
Phagocytes are attracted by all of the following EXCEPT
enzymes released by lysosomes
38
True or False: The complement system is part of the specific immune response.
False (along with phagocytosis, the complement system is part of the nonspecific immune response.
39
True or False: Complement factor C3b coats a bacterium & binds to C3b receptors on phagocytes, making the bacterium more susceptible to being phagocytized
True (C3b coats a bacterium & binds to C3b receptors on phagocytes, making the bacterium more readily phagocytized. This is referred to as opsonization).
40
A _________ contains hydrolytic enzyme to digest foreign bacteria.
Lysosome
40
What are phagocytes attracted to?
Chemical products of microorganisms, phospholipids released by injured cells, & components of the complement system
41
In phagocytosis, the digested contents are eliminate by…
Exocytosis
42
Approximately how long does it take for the contents of the phagolysosome to kill engulfed bacteria?
30 mins
43
True or False: Phagocytosis exhibits a memory response similar to specific immunity.
False (only the third line of defense, which includes B-cells & T-cells, exhibits memory. Phagocytosis is a nonspecific process.
44
Components of the first line of defense include all of the following, EXCEPT
phagocytic white blood cells
45
What are the components of the first line of defense?
o The flushing action of urine o Nasal hairs o The flushing action of tears & blinking o The tough cell sheet of the upper epidermis of the skin
46
Keratin is an important aspect of nonspecific defense because it…
creates a physical barrier against pathogens.
47
All of the following are physical barriers to pathogens, EXCEPT…
T cells
48
What are all of the physical barriers to pathogens?
o Mucous o Unbroken skin o Tears o Hairs
49
Lysozyme is found in…
all of the choices are correct (tears, salivary secretions, & sweat from sweat glands).
50
Plasma….
All of the choices are correct (is the liquid portion of blood in which blood cells are suspended, is mostly water, contains albumin & globulins, & contain fibrinogen).
51
Hematopoiesis is the…
production of white blood cells, red blood cells, & platelets.
52
Which type of white blood cell is particularly attracted to sites of parasitic worm infections?
Eosinophils
53
Diapedesis is the…
migration of white blood cells from the blood out to the tissues.
54
What are the four classic signs & symptoms of inflammation?
warmth, pain, swelling, & redness
55
What is correct about inflammation?
Serotonin causes smooth muscle contraction, fever could be beneficial to inhibiting the pathogen, inflammation can last hours to years, & basophils and mast cells release histamine.
56
The leakage of vascular fluid into tissues is called?
Edema
57
The circulating substances that affect the hypothalamus & initiate fever are?
Pyrogens
58
Each of the following are benefits of fever EXCEPT..
it increases the availability of iron.
59
What are the benefits of fevers?
o It reduces the ability of temperature-sensitive organisms to multiply o It stimulates hematopoiesis o It increases metabolism o It increases phagocytosis
60
Interferon:
o Produced by certain white blood cells & tissue cells o It inhibits viruses, tumors, & cancer gene expression o It is a protein o It includes alpha, beta, & gamma types.
61
Interferons DOES NOT
“increases capillary permeability & vasodilation”.
62
True or False: Endotoxin is an exogenous pyrogen.
True
63
True or False: Despite not being a physical barrier, the resident microbiota are considered part of the first line of defense since they stimulate inflammation and fever, enhancing pathogen removal.
False
63
A patient visits your clinic often with recurrent respiratory infections. Based upon their medical history, it appears they have been an active smoker for over 40 years. Why is the patient is highly susceptible to respiratory pathogens?
Smoking can paralyze the ciliary escalator