Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
38 Cards in this Set
- Front
- Back
Structure of Digestive system
|
GI tract: mouth, pharynx, esophagus, stomach, small and large intestine
Accessory: salivary glands, liver, gall bladder, pancreas |
|
Dental caries mainly caused by what organism?
|
main cause is Streptococcus mutans
|
|
How does S. mutans initiate formation of plaque (biofilm)?
|
converts sucrose to dextran, a sticky polysaccharide (froms glycocalyx)
glycocalyx enables attachment to tooth enamel other bacterial spp. adheres to glycocalyx via fimbriae forming biofilm if not removed, may harden into calculus (tartar) |
|
In caries, what causes decalcification of enamel?
|
lactic acid fermentation of sugars
|
|
Periodontal disease may lead to...
|
sepsis and heart damage
|
|
Bacterial diseases of GI tract
|
Foodborne intoxications (food poisoning), foodborne and waterborne infections
|
|
Foodborne intoxications
|
noninflammatory gastroenteritis
brief incubation, period, quick resolution |
|
Staphylococcal food poisoning caused by
|
Staphylococcus aureus
|
|
When is food usually contaminated with S. aureus?
|
during preperation
|
|
What type of exotoxin is produced by S. aureus?
|
heat-stable enterotoxin
|
|
How long does it take for symptoms to appear after ingesting toxin? What are the symptoms?
|
1 to 6 hours; cramps, vomiting, diarrhea
|
|
Clostridial food poisoning caused by
|
Clostridium perfringens
|
|
C. perfringens produces endospores? Is it anaerobic or aerobic?
|
endospore forming obligate anaerobe
|
|
Where can we find C. perfringens?
|
dwells in soils and GI tract
|
|
Will endospores of C. perfringens survive cooking?
|
They may still germinate
|
|
C. perfringens produces what kind of toxin?
|
heat labile enterotoxin
|
|
Symptoms appear within...and they are...
|
8 to 24 hours, cramps and diarrhea only
|
|
Botulism caused by
|
Clostridium botulinum (very similar to C. perfringens in that it is also endospore forming, obligate anaerobe found in soil and GI tract)
|
|
Where do endospores germinate for C. botulinum?
|
anaerobic environment like cans
|
|
What kind of toxin is botulism toxin? What does it do?
|
neurotoxin that inhibits acetylcholine release (respiratory failure to due to paralysis)
|
|
Symptoms appear within...and cause...
|
12 to 48 hours; blurred vision, slurred speach, difficulty swallowing, paralysis follows, death due to respiratory failure
|
|
Infant botulism characteristics
|
results from ingestion of endospores, infants less than a year old shouldn't eat honey
|
|
Foodborne and waterborne infections have a longer or shorter incubation period than intoxications?
|
longer
|
|
Inflammatory gastroenteritis characterized by...
|
diarrhea and/or vomiting, often fever, no blood in stool
|
|
Cholera caused by
|
Vibrio cholarae
|
|
How do people get cholera usually?
|
Raw oysters and water
|
|
Why does cholera require a high infectious dose?
|
V. cholarae has a low resistance to acidity
|
|
What does cholera toxin cause?
|
Causes loss of water and electrolytes
|
|
Cholera toxin is characterized by what kind of stools?
|
"rice-water stool"
|
|
How does cholera lead to death?
|
shock and coma from water loss
|
|
How do you treat cholera?
|
Water, electrolytes, and antibiotics
|
|
Other Vibrio species causing cholera-like illness
|
V. parahaemolyticus and V. vulnifians (infection from raw shellfish)
|
|
Escherichia Coli common form is
|
Enterotoxigenic E. coli (ETEC) (most common cause of bacterial traveler's diarrhea)
|
|
How is it transmitted :P
|
via fecal-oral route
|
|
Produces 2 enterotoxins
|
one resembles cholera toxin, lasts 3 to 7 days
|
|
Who is susceptible to Clostridium difficile (C. diff.)
|
Elderly and long-term antibiotics users
|
|
Where are the endospores of C. diff. usually acquired?
|
Health care facility (nosocomial infection) - long lasting infection may result
|
|
Treatment of C. diff.?
|
Stop using antibiotics, fecal transplants
|