Week 11-14 Flashcards

1
Q

Which of the following is a common genera found in probiotic supplements?

A

Lactobacillus

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2
Q

The lungs and trachea are sterile areas of our body.

A

FALSE

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3
Q

Which of the following cells undergoes phagocytosis?

A

Macrophages, neutrophils, monocytes, dendritic cells, and osteoclasts

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4
Q

Reactive oxygen intermediates and reactive nitrogen intermediates produced by phagocytic cells are effective in killing invading microorganisms.

A

TRUE

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5
Q

What type of cells assist with the take up of microbes in the intestine and release them on the other side for macrophages?

A

M cells

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6
Q

What portion of the Gram negative cell wall induces an immune response?

A

Lipid A

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7
Q

Why is innate host resistance a type of nonspecific immune response?

A

innate resistance is nonspecific because any foreign material, microorganisms, or antigens encountered by the host are targeted

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8
Q

Innate immunity involves all of the following host defenses EXCEPT
- production of small peptides that destroy the bacterial membrane
- secretion of mucus to prevent microbial entry
- production of antibodies to bind specific pathogen proteins
- engulfment of microbes by phagocytes

A

production of antibodies to bind specific pathogen proteins

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9
Q

A woman falls and suffers a cut on her leg. The cut went through her skin and she is bleeding. Which of the following defense mechanisms will act first in eliminating microbes at the site of the cut?

A

Neutrophils

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10
Q

Which type(s) of antigen presenting cells can activate T cells?
- Macrophages
- B cells
- Dendritic cells

A

All of the above

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11
Q

You are a public health official investigating an outbreak of Salmonella. To detect current cases you choose to examine patients blood for the _______ antibody class.

A

IgM

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12
Q

In adaptive immunity, the term “clonal selection” best refers to

A

ability of specific B cell subsets to proliferate and produce antibodies upon exposure to a specific epitope

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13
Q

Which of the following statements about MHC class II molecules are true?
- They are found only on antigen presenting cells
- They present extracellular antigens.
- They are found on all nucleated cells.
- They are found on the surface of most pathogens.

A

They are found only on antigen presenting cells and are present extracellular antigens

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14
Q

An immune deficiency causes a severe reduction in the amount of MHC II expressed on the surface of professional antigen-presenting cells. Predict which immune processes will be significantly impacted by this deficiency.

A

Phagocytosis by macrophages, antibody production, and cell killing by cytotoxic T cells

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15
Q

What can be used to make vaccines?

A
  • purified components of microorganisms
  • killed microorganisms
  • live, attenuated microorganisms
  • mRNA that codes for an antigen
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16
Q

Opsonization is a process whereby innate and adaptive immunity work together to

A

phagocytize an invader

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17
Q

Which body sites are colonized by normal microbiota?
- Lungs
- Kidney
- Small intestine
- Stomach
- Urinary bladder

A

Lungs, small intestine, stomach, and urinary bladder

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18
Q

Under what circumstances can microbiota cause disease?

A
  • If other flora microbes are reduced or eliminated, as with antibiotic treatment
  • can cause disease when they accidentally penetrate beyond their normal flora sites
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19
Q

How do the lungs avoid being colonized by pathogens?

A
  • The lungs are also protected by alveolar macrophages that ingest and kill pathogens that make it past the ciliary elevator
  • by using a mechanism called the mucociliary escalator to avoid being colonized
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20
Q

A man has been taking excessive amounts of antacids for heartburn. Which innate defense mechanism might be altered by his actions?

A

Increase in the pH of stomach acid and exposes himself to more GI tract infections

21
Q

A patient came to you with compliant of severe respiratory tract infection accompanied with productive cough. After you collected a sputum sample, you failed to gram stain the organism shown in red below. You succeed in staining them using acid fast stain and took the image shown below.

What structure do they possess that contributes to their virulence?

A

Mycolic acids

22
Q

Type III Secretion System with the organism that utilize for their pathogenesis

A

Salmonella , Yersinia, Shigella, and Escherichia species

23
Q

Type IV Secretion System with the organism that utilize for their pathogenesis

A

Bordetella pertussis

24
Q

Thick polysaccharide capsules are important virulence assets for which of the following species?

A

Neisseria meningitidis and Streptococcus pneumoniae

25
S. pyogenes virulence factors
M protein
26
S. aureus virulence factors
Alpha toxin, toxic shock syndrome toxin, exfolient toxins A&B, and protein A
27
E. coli 0157:H7 virulence factors
Shiga-like toxin
28
S. pneumoniae virulence factors
capsule
29
M. tuberculosis virulence factors
Multi drug resistance, Mycolic acids, acid fast waxy surface, and difficult for ABX to penetrate
30
S. aureus disease
scalded skin syndrome
31
Y. pestis disease
Bubonic plague
32
P. falciparum disease
Malaria (cerebral)
33
T. palladium disease
syphilis
34
S. pyogenes disease
Necrotizing fasciitis
35
All of the following are bacterial structures responsible for attachment to the host cells or structures EXCEPT - Protein M of S.pyogenes - Type I pili of E.coli - Lipid A of E.coli - Pertactin of B.pertussis - Type IV pili of N.meningitidis
Lipid A of E.coli
36
Shiga toxins of E. coli O157:H7 mechanism of killing affected cells is due to
Protein synthesis inhibitor
37
The cholera toxin causes ADP-ribosylation of its target cells and is an example of
an enterotoxin that disrupts function of the intestine
38
The toxin of __________ consists of two active toxins: an edema factor and a lethal factor.
Bacillus anthracis
39
Neisseria gonorrhoeae is a Gram negative diplococcus that typically causes symptomatic infections in males. The presence of N.gonorrhoeae is urethral pus is diagnostic for gonorrhea in males. What would be observed in a positive Gram stain?
paired red spheres
40
After staining the background, many strains of B. pertussis resemble the staining pattern shown in the figure below. What structure do they possess that contributes to their virulence?
capsule
41
Based on your knowledge of microbial genetics and microbial pathogenesis, where do you think the genetic information for endotoxins are located?
chromosomes
42
H. pylori virulence factors
urease positive and flagella
43
T. palladium virulence factors
Motility
44
Exotoxins
are protein toxins made by both Gram positive and Gram negative bacteria
45
Thick polysaccharide capsules are important virulence assets for
Neisseria meningitidis and Streptococcus pneumoniae
46
All of the following are good indications of a pathogenicity island in a microbial chromosome EXCEPT - GC/AT ratio higher or lower than the rest of the chromosome - presence of clusters of virulence genes - residual phage genomes flank the island - presence of RNA nucleotides
presence of RNA nucleotides
47
The alpha toxin of the Staphylococcus aureus have similar effect on human cells as the antibiotic __________ on gram negative bacteria.
Gramicidin
48
Based on your knowledge of microbial genetics and microbial pathogenesis, where do you think is/are the likely location(s) of the genetic information for E. coli shiga exotoxins?
Plasmids, Chromosomes, and phage genome