Microbial Pathogenesis and Immune Response, Exams of Nursing

An overview of various aspects of microbial pathogenesis and the immune response. It covers topics such as noncommunicable diseases, viruses, viral replication, types of microbial relationships (mutualism, commensalism, amensalism, parasitism), normal microbiota, pathogen entry routes, the stages of viral life cycles, the role of adhesion in infection, the components of the innate and adaptive immune systems, and the characteristics of the adaptive immune response. The document delves into the specifics of b cells, t cells, antigens, major histocompatibility complex (mhc) proteins, and the interactions between the humoral and cell-mediated arms of the adaptive immune system. Overall, this document offers a comprehensive understanding of the complex interplay between microbes and the host's immune defenses.

Typology: Exams

2023/2024

Available from 07/29/2024

Expertsolution
Expertsolution 🇺🇸

4

(21)

6.8K documents

1 / 23

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 23
BIOL 200 Exam 4 questions and answers 100% verified
Some animal viruses, such as human herpesvirus 1, infect a cell without causing symptoms.
These are best termed:: latent viruses
Which of these are ways an animal virus can infect a cell?
all of these membrane
fusion endocytosis
direct penetration: all of these
What is the type of relationship in which both organisms benefit from one another?: mutualism
Which of these diseases is caused by the reactivation of a latent virus?: -
shingles
All of the following encourage the development of opportunistic pathogens EXCEPT:
exposure to a nonliving reservoir.
invasion of an unusual body site by the normal microbiota. immune
suppression in the host.
changes in the host's normal microbiota.`: exposure to a nonliving reservoir
All of the following are examples of noncommunicable diseases EXCEPT: influenza
acne
tooth decay tetanus:
influenza
are soluble substances secreted from bacteria into host tissues, whereas
are part of the bacterialcell wall and are released during cell division, as
a result of cell damage, and/or after cell death.
proteins / lipopolysaccharides
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17

Partial preview of the text

Download Microbial Pathogenesis and Immune Response and more Exams Nursing in PDF only on Docsity!

BIOL 200 Exam 4 questions and answers 100% verified

 Some animal viruses, such as human herpesvirus 1, infect a cell without causing symptoms.

These are best termed:: latent viruses

 Which of these are ways an animal virus can infect a cell?

all of these membrane fusion endocytosis direct penetration: all of these

 What is the type of relationship in which both organisms benefit from one another?: mutualism

 Which of these diseases is caused by the reactivation of a latent virus?: -

shingles

 All of the following encourage the development of opportunistic pathogens EXCEPT:

exposure to a nonliving reservoir. invasion of an unusual body site by the normal microbiota. immune suppression in the host. changes in the host's normal microbiota.`: exposure to a nonliving reservoir

 All of the following are examples of noncommunicable diseases EXCEPT: influenza

acne tooth decay tetanus: influenza

 are soluble substances secreted from bacteria into host tissues, whereas

are part of the bacterialcell wall and are released during cell division, as a result of cell damage, and/or after cell death. proteins / lipopolysaccharides

lipopolysaccharides / proteins endotoxins / exotoxins exotoxins / endotoxins: exotoxins / endotoxins Which of the following definitions is INCORRECT? pandemic: a disease that affects a large number of people in the world in a short time incidence: number of new cases of a disease endemic: a disease that is constantly present in a population epidemic: a disease that is zoonotic across the world: epidemic: a disease that is zoonotic across the world

 Robert Koch's work primarily involved the:

epidemiology of infectious diseases ecology of infectious diseases emergence of infectious diseases etiology of infectious diseases: etiology of infectious diseases

 Which of the following is the correct definition for a latent disease a disease without

symptoms disease in which symptoms develop rapidly and it runs its course quickly a disease that appears after a long time of infection a disease with mild symptoms that develop slowly and last a long time: a disease that appears after a long time of infection

 When only a few scattered cases occur within an area or population, the disease is said to be

. Sporadic to that population/area Endemic to that population/area Pandemic to that population/area Symptomatic to that population/area: sporadic to that population/area

prevent microorganisms from acquiring drug resistance reduce the side- effects of antibiotics: all of the above

 Antimicrobial drugs with a high "therapeutic index" are generally

compared to drugs with a low therapeuticindex. safer more allergenic more potent more dangerous: safer

 What does MIC [also known as the MIC50] stand for, in the context of drug therapy?

Minimum inhibitory concentration Microphone input jack Microbial inactivation concentration Maximum insensitive concentration: minimum inhibitory concentration

 Some areas of the second line of defense would not include? fever

phagocytosis inflammation Mucous Membranes: mucous membranes

 lytic cycle: a viral reproductive cycle in which copies of a virus are made within a host cell,

which then bursts open, releasing new viruses

 bacteriophage lambda: performs lysogenic replication/lysogeny

 bacteriophage lamba infects: bacteria (prokaryotes)

 bacteriophage lambda: This virus infects the Gram-negative bacterium Es- cherichia coli, it

has both lytic and lysogenic stages (in regards to bacteriophages, the term "lysogenic stage" means essentially the same thing as a "latent stage" in human/animal viruses), Bacteriophage lambda is a double stranded DNA virus with a complex capsule and no envelope

 prophage: the viral DNA that is embedded in the host cell's DNA

 induction: virus leaves lysogenic phase and acts like a "sleeper cell"

 3 mechanisms of animal viruses: direct penetration membrane

fusion endocytosis

 direct penetration: Enveloped viruses fuse directly with the plasma membrane of the host

cell

 membrane fusion: Enveloped virus melts into the cytoplasmic membrane of the host cell

 Endocytosis viral entry: virus triggers the cell to engulf it/"take a bite out of it" then virus

replicates parts once inside

 endocytosis, membrane fusion: distinct to animal viruses!!

because there is no cell wall on animals

 Which of the following definitions is INCORRECT?

prophylaxis: use of a drug to treat a person with a chronic infection antibiotic: a microbial- produced chemical that inhibits the growth of or kills other microorganisms chemotherapy: use of any chemical agent to treat disease antimicrobial agent: chemical agent used to treat a disease caused by mi- crobes: prophylaxis: use of a drug to treat a person with a chronic infection

 Which of the following is most closely associated with beta-lactam ring? Bacitracin

Isoniazid Penicillin Vancomycin: penicillin

 The antibody that is secreted as a pentamer, and the first antibody secreted during early stages

of a primary response IgA IgG IgE IgM: IgM

 What type of immunity can result from getting an infection? Naturally

acquired active immunity Passively aquired artificial immunity artificially acquired passive immunity Naturally aquired passive immunity: naturally acquired active immunity

 Antibodies function to.

directly destroy foreign organ grafts mark invading organisms for destruction kill intracellular viruses stimulate T cell growth: mark invading organisms for destruction

 MHC class I molecules are found on ; MHC class II molecules are

found on .: all human cells, antigens

 T cells..

secrete antibodies mature in the bone marrow are part of the cell-mediated immune system often ingest pathogenic microbes: are part of the cell-mediated immune system

 neoplasia: new growth

 phage typing: -Identification of bacterial species and strains by determining their

susceptibility to various phages. -can grow viruses in the lab by growing their respective host cells, need host cell to grow more of virus

 viroid: extremely small, circular piece of RNA that is infectious and pathogenic in plants

dramatic outcomes, made of pure nucleic acids

 prions: infectious proteins

 replication of animal viruses involves: 1. attachment

2.entry

3.uncoding

4.synthesis

5.assembly

6.release

 methods of entry: direct penetration

membrane fusion endocytosis

 viral release methods: budding, lysts, shedding

 viral entry methods specific to animal viruses: membrane fusion and endo- cytosis

 mutualism: A relationship between two species in which both species benefit

 commensalism: A relationship between two organisms in which one organism benefits and

the other is unaffected ex: mites in human hair follicles

 amensalism: a relationship in which one organism is harmed and the other is unaffected

ex: fungus secreting an antibiotic, inhibiting nearby bacteria

 parasitism: A relationship between two organisms of different species where one benefits

and the other is harmed ex: pathogen

 resident microbiota: Are a part of the normal microbiota throughout life Are mostly

commensal feed on cellular wastes, cause no harm

 transient microbiota: the microorganisms that are present in an animal for a short time

without causing a disease

ex: stay for days, weeks, months usually found on top of hands, mouth, etc

 normal microbiota: permanently colonize the host and do not cause disease under normal

conditions developed from the mother's womb

 resident microbiota are: permanent

 transint microbiota are: temporary

 Changes in normal microbiota: microbial antagonism microbial

competition

 microbial antagonism: competition between microbes

 microbial competition: Normal condition in which established microbiota use up available

nutrients and space, reducing the ability of arriving pathogens to colonize.

 opportunistic pathogen: causes disease only in the absence of normal host resistance

 Epidemiology: Branch of medical science concerned with the incidence, distri- bution, and

control of diseases that affect large numbers of people.

 reservoir: where pathogens live and multiply

 zoonoses: Diseases transmitted from animals to humans

 carriers: people who carry pathogens and infect others without getting sick themselves

 do both healthy and unhealthy people transmit diseases?: yes

 non-living reservoirs: soil, water, food

 exposure: when you are first exposed/come in contact with the pathogen

 infection: pathogen has now entered the body, multiplied

 How do pathogens enter the body?: through any hole

broken skin, insect bite, ear, anus, mouth, nose, eye, genitals, placenta

 mucous membranes: thin sheets of tissue that line respiratory passages and secrete

mucus, a viscid (sticky) fluid

 parenteral route: a portal of entry for pathogens by deposition directly into tissues

beneath the skin and mucous membranes

 parenteral routes include: cuts, bites, stabs, nail, thorn, needles

goes directly into tissues, under the mucous membranes

 virus life cycle stages: 1. attachment

2.entry

3.synthesis

4.assembly

5.release

4.ethical issues

5.some diseases caused by combination of pathogens and there are other factors

 hereditary disease: a disease caused by defective genes inherited by child from one or

both parents

 congenital disease: born with it

 degenerative disease: a disease that causes a breakdown of the body cells, tissues, and

organs as it progresses getting old with time

 nutritional disease: Disease caused by lack of nutritious food, too little food, or an

inability to utilize the food that is eaten

 endocrine disease: due to excesses or deficiencies of hormones

 mental disease: disease of the mind, not the equivalent of insanity

 immunological disease: hyperactive or hypoactive immunity

 neoplastic disease: Condition related to a tumor or growth

 infectious disease: a disease caused by a pathogen

 iatrogenic disease: a condition that is caused by a medical treatment

 idiopathic disease: disorder of unknown cause

 Health care-associated infections (HAIs) or nosocomial: An infection that is acquired in a

hospital setting, formerly known as a nosocomial infection

 Dr. Berry Marshall: -proved that stomach ulcers were caused by bacteria not high acid

content, which was what most believed -used Koch's postulates -he drank the culture and infected himself -took antibiotics and got better -won nobel prize -heliobacter pylon causes ulcer, so use antibiotics

 more virulent: harmful, easily transmitted

 more virulent pathogens: francisella tularneis (rabbit fever) plague,

whooping cough

 less virulent pathogens: lactobacilli, diphtheroids

 how do pathogens become more virulent?: more virulent factors "weapons"

 toxins: poisonous or harmful substances

 virulence factors: traits used to invade and establish themselves in the host, also

determine the degree of tissue damage that occurs - severity of disease increase the ability to cause disease

 virulence factors include: toxins, enzymes, capsules

 noncommunicable disease: a disease that is not transmitted from one host to another

 extracellular enzymes (virulence factors): made outside of the cell ex: kinases

digest clots enzymes that break down proteins and then "open door" for bacteria to enter include hyaluronidase and collagenase

 toxins: Chemicals that harm tissues or trigger host immune responses that cause

damage

 two types of toxins: exotoxins and endotoxins

 exotoxins: soluble substances secreted into host tissues secreted

outside of the cell, affect occurs outside of the cell

 types of exotoxins: cytotoxins, neurotoxins, enterotoxins

generally proteins

 cytotoxins: kill cells

 neurotoxins: Chemicals that affect the nervous system

 enterotoxins: act on the gastrointestinal tract

 endotoxins: released only when bacteria die and their cell walls break down

 endotoxins can be released when: gram negative bacteria divide or die naturally

releases lipid A

 release of lipid A: causes severe affects, the release of endotoxins from dead bacteria can

be deadly

 Antiphagocytic factors: virulence factors that help pathogens to avoid phago- cytes

 Antiphagocytic factors include: capsules and antiphagocytic chemicals

 exotoxins (details): source: gram negative and gram positive bacteria metabolic

product secreted from living cell chemical nature: protein or short peptide high toxicity variable effects on hosts, depends on source no fever strong antigenicity can form toxoids

 endotoxins (details): source: gram negative bacteria portion of

outer membrane (cell wall) released upon cell death chemical nature: lipid portion of outer cell wall (lipid A) low toxicity, but fatal in high doses

 portal of exits are: specific to specific microbe

-portal of exit and portal of entry may be the same ex: respiratory tract infection portal of exit=sneezed out of lungs portal of entry=inhaled into another's lungs

 modes of transmission: contact, vehicle, vector

 contact transmission: direct, indirect, droplet

 direct contact transmission: person to person transmission

 indirect contact transmission: spreads to a host by a nonliving object called a fomite

 fomite: A physical object that serves to transmit an infectious agent from person to

person.

 droplet transmission: transmission via airborne droplets less than 1 meter

 person to air to person: droplet transmission

 person to person: direct contact transmission

 person to thing to person: indirect contact transmission

 vehicle transmission: spread of pathogens via air, drinking water, and food, as well as

bodily fluids being handled outside the body

 vehicle transmission includes: airborne, waterborne, food borne

 airborne transmission: occurs through contact with contaminated respiratory droplets

spread by a cough or sneeze, farther than 1 meter, via aerosols

 waterborne transmission: pathogens are usually spread by water contami- nated with

untreated or poorly treated sewage fecal oral infection

 food borne transmission: spread of pathogens in or on food

 vector transmission: transmission of an infectious agent by an insect, arthro- pod, or

animal biological or mechanical

 mechanical vector: not necessary to the life cycle of an infectious agent and merely

transports it without being infected

 biological vector: actively participates in a pathogen's life cycle

 acute disease: symptoms develop rapidly, short time

 chronic disease: an ongoing condition or illness

 subacute disease: symptoms between acute and chronic

 asymptomatic disease: disease without symptoms

 latent disease: disease that appears a long time after infection

 communicable disease: a disease that is spread from one host to another

 local infection: pathogens are limited to a small area of the body

 contagious disease: a disease that is easily spread from one host to another

 systemic infection: an infection throughout the body

 focal infection: one in which the organisms are originally confined to one area but enter

the blood or lymph vessel and spread to other parts of the body

 primary infection: initial infection

 secondary infection: opportunistic infection after a primary (predisposing) infection

 incidence: number of new cases

 prevalence: total number of cases (new and old)

 antiviral drugs caused: prevalence to increase bc people livid longer

 sporadic disease: disease that occurs occasionally in a population

 endemic disease: disease constantly present in a population

 epidemic disease: over normal expected level in certain area

 pandemic disease: worldwide epidemic

 Nosocomial & healthcare-associated infections (HAIs): -preventable

-really serious and common -problematic because people who are carriers and people who are susceptible are in the same place

 exogenous HAI: pathogen acquired from the health care environment

 endogenous HAI: pathogen arises from normal microbiota within the patient become

pathogenic due to factors within the health care setting

 iatrogenic infections: infections that are the direct result of diagnostic or therapeutic

procedures "doctor induced"

 superinfections: result from use of antimicrobial drugs that inhibit some nor- mal

microbiota allow other organisms to thrive in absence of competition

 control of HAIs: Reduce number of pathogens

Handwashing Disinfecting tubs used to bathe patients Cleaning instruments scrupulously Using disposable bandages and intubation Infection control committees team effort

 mortality: death rate

 morbidity: how many people are sick

 john snow: father of epidemiology

stopped cholera epidemic before the germ theory of disease

 drug targets: have important biochemical or physiological roles, and drugs interact with

them, either blocking, inhibiting, or activating them, with biochemical

-inhbity nucleic acid synthesis -block recognition or attachment

 inhibit protein synthesis: -target the 70s ribosomes of prokaryotes (to harm bacteria)

-do not target the 80s ribosomes of eukaryotes (the host)

 penicillins: drugs similar to penicillin, share beta lactam ring and similar func- tion

 Disruption of Cytoplasmic Membranes: -best for fungi, anti fungal drugs

-fungi have ergosterol in membrane and humans don't

 analog: chemical look alike

 sulfanilamide: -analog of PABA

-has a different functional group attached to the B lactam ring -normally PABA is the substrate for biochemical pathway of folic acid synthesis -but the enzyme can also fit sulfanilamide into active site (instead of PABA) -dihydrofolic acid is not produced, can't make folic acid, can't make nucleotides, cell dies

 Inhibition of nucleic acid synthesis: interfere with the synthesis of DNA and/or RNA

typically done with nucleoside or nucleotide analogs does not have good selective toxicity, because only slight differences present be- tween DNA of prokaryotes and eukaryotes -avoid using

 spectrum of action: the number of different kinds of pathogens a drug acts against

 broad spectrum: ability of a drug to be effective against a wide range of

microorganisms ex: sulfanalimide

 narrow spectrum: effective against few or a single species

usually preferred because less side effects, safer

 Ideal Antimicrobial Agent: Readily available

Inexpensive Chemically stable Easily administered Nontoxic and nonallergenic Selectively toxic against wide range of pathogens

 disk diffusion test: `-disks impregnated with specific drugs are placed on agar plates

inoculated with test microbe

-drug diffuses from disk into agar, establishing concentration gradient -observe clear zones (no growth) around disks

 zone of inhibition: Region around a chemical saturated disc, where bacteria are unable to

grow due to adverse effects of the compound in the disc.

 Minimum inhibitory concentration (MIC): the minimum concentration of a substance

necessary to prevent microbial growth concentration at the edge of zone of inhibition

 dosing regiment is important: to maintain the drug concentration in the effective

range

 therapeutic index/window: -difference between the drugs effective level and lethal level

concentration at which drug kills all of the bacteria and harms none of the host

 High therapeutic index: less toxic to the patient. safer,

less side effects

 Low therapeutic index: narrow margin of safety harsh

side effects, such as cancer drugs

 over the therapeutic index: toxicity, allergies, disruption of normal microbiota

 Below therapeutic index: resistance to antimicrobials

 Mechanisms of Drug Resistance: -inactivation of the drug

-alteration or loss of drug target -decreased entry of drug into cell -rapid efflux of the drug -produced enzyme that deactivates or destroys

 Prevent drug resistance: -use right medication for right purpose

-screening tests to look for synergism -combination drug therapy

 drug synergism: occurs when drugs interact to produce effects greater than those that

each drug would produce alone

 prophalaxysis: giving antibiotics to prevent disease

 immune system consists of: primary line, secondary line and third line of defense

 First line of defense: skin and mucous membranes and their features purpose is to

try to keep things out

 Hematopoiesis: formation of blood cells, forms different types starts

from stem cell in bone marrow

 plasma: Liquid part of blood, made mostly of water, in which oxygen, nutrients, and

minerals are dissolved

 granulocytes: have granules in cytoplasm, can have degranulation

 granules: a small compact particle of a substance.

 lymphatic capillaries: Small, open-ended lymph vessels that act like drain pipes which

picks up lymph at tissues throughout the body

 lymph nodes: Bean-shaped filters that cluster along the lymphatic vessels of the body.

They function as a cleanser of lymph as wells as a site of T and B cell activation recognizes shapes

 epitope: Small, accessible portion of an antigen that can be recognized. shape

 antigens: molecules that provoke a specific immune response

 An antibody generator: antigen

 an antigen has: multiple epitopes(shapes) on it

 antibodies found in blood: know that antigen is present and there was an immune

response

 exogenous antigens: include toxins and other secretions and components of microbial cell

walls, membranes, flagella, and pili outside the body

 endogenous antigens: foreign antigens that are present inside body cells

 autoantigens: derived from normal cellular processes

 Major histocompatibility complex (MHC) proteins: cell surface proteins with a groove for

holding self-antigen or foreign antigen

 2 classes of MHC proteins: Class I and Class II

 Class I MHC: -found on all nucleated cells

-"ID badge" -make sure its your cell -displays shapes from inside the cell, what it has been working on

 Class II MHC: found only on antigen-presenting cells "hunting

license" displays what cell has recently eaten or killed

 dendritic cells: antigen-presenting cells in the skin have

class 1 and 2 MHC receptors

 2 parts of adaptive immunity: cell mediated and humoral mediated

 cell mediated: T cells stick to target cell and kill it

HAPPENS IN CONTACT

 humoral mediated: antibody mediated, B cells

 distinctive attributes of adaptive immune system: specificity inducibility

clonality unresponsiveness to self memory

 specificity of adaptive immunity: ability to recognize a particular substance, will react

strongly to substances it has seen before

 inducibility of adaptive immunity: activated by pathogen

 clonality of adaptive immunity: once induced, cell proliferates to form many

generations/clones

 unresponsiveness to self: does not act against normal body cells

 memory of adaptive immunity: you remember it keeps

you from getting sick again

 to get a fully activated immune response: T cells and B cells need to communicate

with each other interaction causes memory response need both humoral and cell systems to be activated

 T cell receptor (TCR): Molecule on the surface of a T cell that can bind to a specific

antigen fragment in combination with an MHC molecule.

 clonal deletion: screening T cells, deleting T cells that recognize autoantigens

 apoptosis: process of programmed cell death deleting

T cells that recognize autoantigens

 T lymphocytes: form in the thymus and other lymphatic tissue and attack cancer cells,

viruses, and foreign substances

 B cell receptor (BCR): Molecule on the surface of a B cell that binds to a specific

antigen.

 B cell receptor structure: -transmembrane polypeptide

-heavy chain and light chains that are identical forms Y shape 4 pieces held by covalent (disulfide) bond epitope/antigen binding sites are at the hands of receptor recognize identical shapes arm hinge and stem regions

 Clonal deletion of B cells: -Occurs in the bone marrow in a manner similar to deletion of T

cells -Self reactive B cells may become inactive or change their BCR rather than undergo apoptosis

 neutralization: toxin molecule is covered up by antibodies, a coating

 opsonization: coating antigen with antibody enhances phagocytosis

 oxidation: antibodies stimulate oxidative stress and kill bacteria

 agglutination: clumping of red blood cells 1

antibody binds to multiple molecules holding hands