Mycobacteria and Viruses Flashcards

1
Q

What organism would you stain the Ziehl-Neelsen?

A

Mycobacteria e.g. TB

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2
Q

What is an example of a slow-growing bacteria?

A

TB

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3
Q

What method can tell you if someone has had previous exposure to TB?

A

1) Interferon gamma release assays

2) Tuberculin skin test (Mantoux)

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4
Q

What special ability does mycobacterium TB have?

A

It is able to grow intracellularly

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5
Q

Why are mycobacteria both hard to diagnose and treat?

A

D: They are hard to culture
T: Lipid rich cell wall so difficult to treat with antibiotics

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6
Q

What are the 3 stages of TB?

A

1) Primary TB
2) Latent TB
3) Pulmonary TB

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7
Q

What happens at each TB stage?

A

1) P: Initial contact by alveolar MP, bacilli taken to hilar lymph nodes
2) Cell-Mediated Immune Response whilst Primary infection
3) P: Granulomas around bacilli in apex, more air and less blood, necrosis forms with caseous material coughed up

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8
Q

Do viruses contain an outer cell wall?

A

They contain a protein rich coat, and sometimes a lipid envelope

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9
Q

How are viruses able to attach to a host cell?

A

Protein on surface that are able to interact with receptors on surface membrane of host cells

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10
Q

What are main stages of viral replication?

A

1) Attachment
2) Cell Entry
3) Interaction with host cell
4) Replication
5) Assembly
6) Release

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11
Q

Which portion of viral cell will enter the host cell?

A

Viral Core: Contains cell nucleic acids so will enter the host cells cytoplasm,

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12
Q

By what methods do viruses interact with host cells?

A

By uses of cell materials and nucleotides, are able to replicate and evade host cell defence mechanisms

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13
Q

Where in a cell does viral replication occur?

A

Nucleus, cytoplasm or both

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14
Q

How do viruses escape from cells?

A

1) Lysis: Bursting from a cell

2) Exocytosis: Leaking from a cell overtime,

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15
Q

What 5 methods do viruses cause cell damage?

A

1) Lysis: Damage by direct cell destruction
2) Cell Structure Modification
3) Immuno-Pathological: “Over-reactivity” of the host as response to infection
4) Cell proliferation and immortalisation
5) Evading host cell defence mechanisms

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16
Q

What are viral examples of each of the 5 methods?

A

1) Poliovirus/HIV
2) Physical/Functional: HIV, rotaviruses
3) Hep B. Hep C.
4) HPV’s
5) Persistence: Herpes, Measles, Hep B & C,
Variability: HIV, Hep B, Influenza, Rhinoviruses

17
Q

What 5 methods can viruses evert host defences?

A

1) Viruses persistence/latency
2) Down regulation of interferons
3) Viral variability: Gene reassortment, mutation
4) Prevention of host cell apoptosis
5) Viral modulation of host cell defences