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350 Cards in this Set

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List the main differences between prokaryotic and eukaryotic cells

Prokaryotic - bacteria and archaea


- smaller 0.1 - 10um


- no nuclear membrane


- membrane structures absent


- complex cell wall


- smaller ribosomes


- reproduce by binary fission




Eukaryotic - plants, animals, algae, fungi, protozoa


- larger 10 - 100um


- nuclear membrane


- membrane bound organelles (structures)


- plants, fungi and algae have simple cell walls (animals and protozoa don't)


- larger ribosomes


- reproduce by mitosis/meosis


- some cells can specialise (form tissue)

Fungi are prokaryotic - true or false

False - they're eukaryotic

List the 3 processes of motility for protozoa

1. flagella


2. cilia
3. pseudopodia

The cell wall of bacteria contain polysaccharide and peptidoglycan - true or false

true

Approx what percentage of microbes are pathogenic? Harmless? Opportunistic?

Pathogenic 3%


Harmless 87%


Opportunistic 10%

Name the 2 structures that make up all viruses (and third which may be present)

1. Nucleic acid (RNA or DNA)


2. Protein capsule (capsid)




3. Only in some viruses - lipid envelope

Which scientist discovered pasteurisation? What was it first used for? What else did he develop?

Louis Pasteur. To avoid the spoilage of wine. Culture methods and ways of behaving in a lab.

What type of organism causes Malaria and how is it transmitted?

A protozoa. By the bite of a mosquito (Anopheles).

Which scientist first demonstrated that microorganisms caused disease? Germ theory.

Robert Koch

What are Koch's postulates?

1. The specific CAUSATIVE AGENT must be found in EVERY CASE of the disease.


2. The disease organism must be ISOLATED IN PURE CULTURE.


3. INOCULATION of a sample of the culture into a health, susceptible animal must PRODUCE SAME DISEASE.


4. The disease ORGANISM must be RECOVERED from the INFECTED ANIMAL.

What is a pure culture?

A culture in which only one strain or clone is present.

In scientific nomenclature, which part of the following name is the genus and which is the species?
Staphylococcus aureus.

"Staphylococcus" is the genus and "aureus" is the species.

Describe the types and functions of (on bacteria):
a) glycocalyx
b) flagella
c) pili

a) glycocalyx
- slime (not firmly attached, not highly organised) and capsules (firmly attached, more organised)


- adherence and protection from phagocytosis (by WBCells and bacteriophage - virus which kills bacteria)


- made of polypeptides and peptidoglycans




b) flagella - motility MLAP


- monotrichous (one),


- lophotrichous (many one end),


- amphitrichous (many both ends),


- peritrichous (all over)




c) pili


- bristle-like, longer, singly or pairs


- adherence and conjugation

What is the main difference between gram positive and gram negative bacteria?

Gram positive


- large amount of peptidoglycan in cell wall


- stains blue-purple (by crystal violet)


- usually exotoxin secreted by living cells




Gram negative


- small amount of peptidoglycan in cell wall


- stains pink (carbol fuchsin)


- endotoxin released in wall fragments of dead cell

List and describe the steps of a gram stain

F C I D C




1. Fixation - heat slide slightly to soften outer layer of bacteria and attach them to slide


2. Stain crystal violet - 30 secs


3. Iodine treatment (lugols) - 30 secs


4. Decolourisation (alcohol/acetone) - 15 secs*


5. Counterstain (carbol fuchsin) - 30 secs

How do bacteria reproduce and what are the steps?

Binary fission.


1. Cell elongates and DNA is replicated


2. Cell wall and plasma membrane begin to divide


3. Cross-wall (septum) forms completely around divided DNA


4. Cells separate



List and explain the phases of bacterial growth

Lag Exp Stat Dec




1. Lag phase - bacteria adapt to conditions and start to divide and grow exponentially


2. Exponential phase - period where cells double, growth increases very rapidly as they double in numbers


3. Stationary phase - results from a situation in which growth rate and death rate are equal, often due to a growth-limiting factor such as the depletion of an essential nutrient, and/or the formation of an inhibitory product


4. Decline (death) phase - bacteria die, maybe due to lack of nutrients, a temperature which is too high or low, or the wrong living conditions.

What are: mesophiles, psychrophiles, obligate anaerobes, facultative anaerobes and carboxyphiles?

* Mesophiles - bacteria that grow in body temperatures (10-45 degrees C, optimum 37C)
* Psychrophiles - bacteria that grow in cooler temps (0 to <20C, optimum 15C)


* Obligate anaerobes - bacteria that require oxygen to grow (ie. air, which is 21% O2)


* Facultative anaerobes - bacteria which can grow with or without oxygen


* Carboxyphiles - bacteria that need higher levels of CO2 to grow (2.5 - 10% CO2)

Describe respiration and fermentation in bacteria

Respiration = process of creating energy (ATP) using oxygen and pyruvic acid and glycolysis with high ATP yield (obligate aerobes and facultative anaerobes)




Fermentation = process of creating energy (ATP) without oxygen, using pyruvic acid and glycolysis with low ATP yield (obligate anaerobes and facultative anaerobes)

Describe glycolysis.



1) what is the starting carbohydrate,


2) what is the storage molecule produced,


3) what is the end product?

It's a metabolic pathway that converts glucose into pyruvate. The free energy released in this process is used to form the high-energy compounds ATP (adenosine triphosphate) and NADH (reduced nicotinamide adenine dinucleotide).




1) glucose


2) ATP


3) Pyruvic acid CHECK THIS ANSWER

Describe the terms:


1) catabolism


2) anabolism


3) oxidation


4) reduction


5) enzymes

1) catabolism - destruction of cells (think Cata)


2) anabolism - creation of cells (think of Ana)


3) oxidation - loss of electrons (OIL)


4) reduction - gain of electrons (RIG)


5) enzymes - protein catalysts which speed up the rate of reaction without being consumed in the reaction

What factors (growth and nutritional conditions) need to be considered when culturing bacteria?

L W T F P I G




- Light


- Water


- Temperature


- Food (nutrients = proteins, sugars, starch etc)


- pH (of medium)


- Ionic strength / osmotic pressure


- Gaseous requirement (ie. O2, CO2)

What is a "Microbial Biofilm"?

- Microbial Biofilm is formed by either single organism or many bacteria, on wet surfaces.


- Everywhere in nature (teeth, dental implants, catheter lines, water supply).


- Single organisms can secrete an extra-cellular slime layer that protects from physical or chemical destruction.


- Organisms in biofilm 1000X more resistant to antimicrobial agents.


- clinical significance


- negative = causes of caries and periodontal disease


- positive = forms part of defense system against exogenous pathogens

What is a "virulence factor"? Give 3 examples.

Virulence factors are traits that collectively give microbe the ability to cause disease. Examples (TEA):




1) Production of TOXINS during infection (endotoxins and exotoxins)




2) Release of ENZYMES to help invade tissues, kills host, evades immune system.




3) ADHERENCE factors (fibriae, pili, glycocalyx)

What are the 3 types of haemolysis seen on a blood agar plate?

1) Alpha - partial lysis of RBC, green/gray zone


2) Beta - completely clear zone around colonies


3) Gamma - no change (non-haemolytic)

Describe the function of the following parts of light microscope:


1) Condenser


2) Stage


3) Focusing knobs


4) Objective lenses


5) Ocular lenses

1) Condenser - focuses light through the specimen (contrast)


2) Stage - holds microscope slide in position


3) Focusing knobs - moves stage up and down to focus the image


4) Objective lenses - primary lenses that magnify the specimen


5) Ocular lenses - remagnifies the image formed by the objective lens

How would you increase contrast when looking at an unstained preparation with bright field illumination?

Close the condenser

What is the difference between a mixed and pure culture and how can you tell the difference on a culture plate?

Pure culture is only one types of microbe and mixed has many types.




Mixed culture you will see different colony morphologies.

Explain what selective and differential media are.

Selective media - allows only certain bacteria to grow while inhibiting others.




Differential media - contains substances that will allow different bacteria to be distinguished.

How are fungi different from plants and animals?

Fungi have a cell wall (simple) like plants (complex) but no chlorophyll.




Animal cells do not have a cell wall.

How do yeasts differ from moulds?

Yeast are unicellular and reproduce by budding.




Moulds are multicellular and reproduce asexually or with sexual spores.

What is a dimorphic fungus?

A fungus which is yeats or mycelial depending on the environment.

What media is used for growing fungi?

Sabouraud's agar

Why are oranges spoilt by mould rather than bacteria?

Acidic environment. Mould creates antibiotics which prevent bacterial growth. High sugar concentration inhibits bacterial growth.

List the 5 types of asexual spores of fungi.

S C C A B



1. Sporangiospores - sponge like

2. Chlamydospores - caped spores


3. Conidiospores - like dust


4. Arthrospores - joint like, break off


5. Blastospores - budding

List the 4 stages of fungal sexual spore formation.

1. Cells of + and - thallus fuse


2. After several hours/day/years nuclei fuse (diploid state)


3. Meiosis of nucelus (hapolid state)


4. Hapolid nucleus partitioned into + and - spores

List the 3 types of fungal sexual spores

B A Z




1. Basidomycota


2. Ascomycota


3. Zygomycota

Name one dermatophyte that causes tinea

Tinea pedis

Sporotrichosis is caused by which fungus?

Sporothrix schenckii

Systematic mycoses are caused by which fungi? (fungal infection affecting internal organs)

Dimorphic fungal pathogen (ie. blastomycosis)




They can overcome the physiological and cellular defences of the normal human host by changing their morphological form. They are geographically restricted and the primary site of infection is usually pulmonary, following the inhalation of conidia.

Candidosis, crytococcosis and pneumosystis pneumonia are diseasescaused by opportunistic fungi. True or false?

True

Mycotoxins contaminate approximately 25% of foods world wide,however usually do not cause disease, why?

Because only rarely are the levels of these mycotoxins are at dangerous levels.

Why can’t viruses by grown on artificial media?

They need a host cell to replicate.

What is the main feature of viruses that is used to classifythem?

Whether they contain RNA or DNA.

What two main viral symmetries do viruses causing humandiseases have?

1. Helical shape (spiral)


2. Polyhedral (cubic/icosahedral)




3. (rare) Complex - ie. bacteriophages

What two ways that viruses can cause disease?

1. By replication in host cell - causing cell damage


2. By human immune system response - causing cell damage




*****************

List the stages of viral infectivity.

A P R P A R




1. Attachment


2. Penetration


3. Replication


4. Production


5. Assembley


6. Release

List two methods of viral control.

H E V D U D




Any 2 of these...


1. Heat


2. Ether


3. Vaccine


4. Disinfectant


5. UV


6. Drugs (anti-viral)

What is the basic structure of viruses?

1. Nucleic acid (RNA or DNA)


2. Protein shell (capsid)




Some also have a lipid envelope.

List two modes of transmission of viruses.

I F P A P A




1. Inoculation (direct)


2. Food-borne


3. Physical contact


4. Arthropod-borne


5. Placental (intra-placental) - mother


6. Air-borne

List two methods of detecting viruses for diagnosticpurposes.

1. Electron microscope


2. Blood tests




3. Isolation of virus on cell/animal culture

What is a “prion”?

Proteinaceous Infectious Particle - protein particle agent of infection of variety of neurodegenerative diseases (no RNA or DNA) - not a virus

What are the names for round and flat worms?

Round = nematode




Flat = platyhelminth

Trichinella spiralis is found in what type of food?

Pig meat

What is the common name for cestodia?

Tape worms

Why are nematode infections so common?

Lack of clean drinking water and proper sanitation in developing countries (eggs infect a host via the fecal/oral route).

What are the symptoms of Malaria and why do these symptoms occur?

Symptoms include: fever, chills, nausea and headache. Caused by the mass lysis (bursting) of red blood cells, brought about by the protozoan infection.

What is the main rout of infection for parasites? What isan exception?

Ingestion.




Malaria protozoa which is transmitted via the bite of the mosquito.

Ascaris lumbricoides,Trichuris trichiura and Enterobiusvermicularis are what type of helminth?

Nematodes (round worms).



Who was responsible for introducing handwashing (antisepsis, reduced obstetrics mortality to <1%)?

Ignaz Semmelweis

Who was the first to describe single celled organisms and further developed the microscope?

Antoni van Leewenhoek

Why did it take Antoni van Leewenhoek 2 years to discover bacteria after he discovered protozoa in 1674? And why didn't he tell anyone?

Because bacteria were so much smaller than protozoa. And he thought people would think he was a witch.



What is the total microbial load? How many cells in the body? Where are majority found?

Microbial load = 10 to power 14


Body cells = 10 to power 13


Majority found in large intestine

Why is microbiology important?

1) Studying infectious diseases led to understanding of:


- personal and community HYGIENE


- microbial VIRULENCE and disease severity


- PREVENTION and control of disease transmission


2) Food processing and canning - hygiene


3) Industrial microbiology - brewing


4) Environmental

What 5 attitudes inhibit critical thinking and sabotage capacity for critical thought?

Intellectual arrogance


Intellectual laziness


Lack of respect for reason


Lack of respect for evidence


Unwillingness to listen



Why is critical thinking essential, esp in science?

- Irrespective of intention no one likes deception. Humans value truth, honesty, goodness, accuracy, fairness, free from bias.


- The truth used to make informed decisions

What is critical thinking?

- NOT passively accepting everything you see or hear


- every lecture starting point to evaluate currently held truths


- science not black and white, shades of grey, interpretation varies, results can be complicated by variables


- science is not static, but dynamic



What are some key features of algae?

- unicellular (ponds, lakes - produce most of world O2, food for water life = phytoplankton)


or multicellular (seaweed, kelp)


- photosynthetic (like plants)

Name 3 methods of motility in Protozoa and give an example of each.

1. pseudopodia - false foot ie. Amoeba


2. cilia - hair like ie. Paramecium


3. flagella - whip-like structure ie. Euglena

How do fungi differ from plants? And from animals?

Fungi obtain their food from other organisms and not by photosynthesis.




Fungi have a (simple) cell wall and animals do not.

What are the two types of fungi and what differentiates them?

1. Yeast - unicellular, oval or round


- reproduce by budding (asexually)




2. Moulds - multicellular


- produce hyphae (filaments) - are furry


- reproduce sexually (ABZ) and asexually (spores, SCCAB)

Bacteria are single-celled Prokaryotes.


What are the two dominant shapes?


Give example of each.


What are their cell walls made of?

Cocci (round) and bacilla (rod).


Cocci = E.coli


Bacilli = Staphylococcus aureus


Polysaccharides and peptidoglycans



What is a bacteriophage? What does it do?

It's a virus which parasitises a bacterium by infecting it and reproducing inside it (injects RNA into a bacteria cell)



What are the cell walls of Gram-positive Bacteria and Gram-negative Bacteria made of? And cell membrane?

Gram-positive Bacteria


thick layer of peptidoglycan


teichoic acid and lipoteichoic acid




Gram-negative Bacteria


thin layer of peptidoglycan


outer membrane (lipopolysaccharide)




Cell membrane = bilayer phospholipids and associated proteins - is selectively permeable

What are only 2 types of bacteria which forms spores? Endospores.

Bacillus and Clostridium.

What are these solutions?


Hypotonic


Hypertonic


Isotonic


Halophile

- Hypotonic - lower concn soln outside cell, water flows into cell and bursts (lysis)


- Hypertonic - higher concn soln inside cell, water flows out of cell causing shrinkage (crenation)


- Isotonic - solute concn inside and outside equal


- Halophile - microbes grow in high salt concn

How do the following obtain energy and carbon?


Photoautotroph


Photoheterotroph


Chemoautotroph


Chemoheterotroph

Photoautotroph


- E = light, C = CO2


Photoheterotroph


- E = light, C = organic compounds


Chemoautotroph


- E = inorganic compounds, C = CO2


Chemoheterotroph


- E = organic compounds, C = org compounds

What are the stages of infectious disease?

I P I D C




1. Incubation period - no symptoms


2. Prodromal phase - mild symptoms


3. Invasive phase - identifiable disease


4. Decline phase - reduction of microbes


5. Convalescence

What are the 5 steps of lab diagnosis of bacterial infection?

Co T P I S


1. Specimen COLLECTION


2. Specimen TRANSPORTATION to lab


3. Specimen PROCESSING


4. IDENTIFICATION of pathogens


5. Antimicrobial SUSCEPTIBILTY testing

What are the 2 types of electron microscopy?

Transmission Electron Microscope (TEM) - ultrastructure of cells (interior)




Scanning Electron Microscope (SEM) - metal coated specimens (gold), surface images

What is a clinical infection?

An infection with signs and symptoms

What is a subclinical infection?

An infection with pathogen but no symptoms

What is an iatrogenic (nosocomial) infection?

An infection from a medical practitioner / intervention. Nosocomial is specifically from a hospital.

How are respiratory infections transmitted?

Via the respiratory/salivary route through one of these methods:


- droplets (cough/sneeze)


- saliva


- soil/dust


- water aerosols

Zoonoses is a term used for what kind of disease?

Zoonoses is a disease which can be transmitted to humans from animals


- Direct animal-human


- Animal-vector(mosquito)-human


- Human-vector(mosquito)-human

Explain the terms:
Endemic
Epidemic
Pandemic
Sporadic

Endemic = disease present in a community (region) all of the time, usually only clinical in a few


Epidemic = wide spread disease within a community (region), affecting many people but only occasionally present


Pandemic = wide spread epidemic, not confined to a single community or region (more than one continent)


Sporadic = widely scattered disease, occurring singly, irregularly, infrequently

What is Epidemiology?

The branch of medicine which with incidence, distribution, and possible control of diseases and other factors relating to health.

Explain the difference between Morbidity and Mortality.

Morbidity = the number made ILL by an infective agent,
whereas...
Mortality = the number of DEATHS caused by an infective agent.

Explain the difference between Incidence and Prevalence.

Incidence = number of NEW cases over a SPECIFIC PERIOD,


whereas...


Prevalence = number of TOTAL cases (infected or diseased) at a POINT IN TIME (old and new cases).

In epidemiological terms how would you classify the disease "AIDS"?

AIDS is a global pandemic. Wide spread epidemic, not confined to a single community or region (more than one continent).

What factors influence the spread of disease in a community?

S T V
1. Population susceptibility - immunity


2. Pathogen transmission mode


3. Virulence of the pathogen



List four ways of preventing the spread of disease in a community?

W = proper treatment of WATER supplies
I = IMMUNISATION


S = proper SEWAGE treatment


E = EDUCATE the public


R = eliminate RESERVOIRS of infection (ie. killing off herds cattle in mad-cow epidemic)

Which disease of the following disease type would most likely spread quickly through the Perth community and why?


a) gastroenteritis
b) a sexually transmitted disease
c) a respiratory disease

c) a respiratory disease


- 4 methods transmission - droplet contact, direct and indirect physical contact, air-borne


- people more likely to go out in public/work when sick with cold as opposed to gastro (stay home)


- seasonal


- mutates



Gastroenteritis - 3 methods - oral-fecal route, direct and indirect contact (contaminated surfaces/food/water).
Sexually transmitted - 1 method - via genital-genital, genital-oral and genital-anal routes only.

List the stages of infectious disease.

I P I CIncubation = silent stage - pathogen has gained entry to host and starts replicating
Prodromal = itchy, runny nose, dry eyes, etc. 
Illness - disease reaches its highest point of development, severe aches, chills, vomiting, etc. 
Convales...

I P I D C


1. Incubation - no symptoms


2. Prodromal - mild symptoms


3. Invasive - identifiable disease


4. Decline - reduction of microbes


5. Convalescence

What are the two branches of the immune system?

Innate = non specific defences, born with, do not require previous exposure to foreign agent


- 1st line defence = skin, mucus membranes, normal flora and secretions


- 2nd line =


1. Serum


- chemical mediators


- inflammation


- complement proteins


2. WBCs


- phagocytes = DNM - Dendritic cells, Neutrophils, Macrophages


- Natural Killer Cells, Mast, Eosino/Baso


Adaptive = specific, response based on specific recognition of invader (foreign agent)
- Humoral/Antibody-mediated (B Cells/lymphocytes) - plasma (antibodies) & memory


- Cell-mediated (T Cells/lymphocytes) - T helper, T cytotoxic cells, T regulator cells

How does skin protect against bacteria?

First line of defense. Protective barrier.

What white blood cells (WBC) types are phagocytic?

MEN are phagocytic
Monocytes, Eosinophils and Neutrophils

What type of white blood cell (WBC) is mainly involved in the adaptive immune system?

Lymphocyte

What antibody types are involved in the primary and secondary immune response?

M G - think fast car




IgM is involved in the first exposure and primary immune response (first to appear in an infection). Primary response has lag of several days while B cells proliferate (time for invader to do harm). Ig = immunoglobulin


IgG is involved in the second exposure and secondary immune response. Response is much quicker and larger with rapid rise in antibodies. Lasts longer. Memory cells require fewer cycles to become plasma cells.

What type of lymphocyte is involved in cell mediated immunity?

T Cell (Tc, Th and NKC)

List the ways antibodies fight infection.

P A N A


1. Coating over bacteria to facilitate recognition and trigger PHAGOCYTOSIS by the phagocytes


2. AGGLUTINATION of particulate matter, including bacteria and viruses, stops spread


3. NEUTRALISATION of toxins released by bacteria
4. ACTIVATE complement (20 proteins)

List the antibody isotypes.

G A M E D


IgG


IgA


IgM


IgE


IgD

What are the 4 cardinal signs of inflammation and how do they come about?

- redness (from increased blood flow)


- heat (from increased blood flow)


- swelling (from fluids in tissues)


- pain (pressure exerted on tissues from swelling)

Describe the difference between humoral and cell mediated immune responses.

As part of adaptive immune system:



Humoral/Antibody immunity =


- antibodies mediated


- action against extracellular invaders


- B cells (lymphocytes)


- extracellular antigens



Cell Mediated immunity =


- lymphocytes directly / indirectly kill infected cells


- act against intracellular invaders (also cancer)


- Cytotoxic T cells (Tc) = Killer T Cells


- intracellular infections (ie. viruses, mycobacteria) and cancer cells


- Natural Killer Cells (NK cells).

List and describe the types of T cells.

1. Cytotoxic T cells (Tc) - Killer T cells


- wide range of surface receptors against antigens = T cell receptors (TCR)


- each Tc is specific for one receptor


- infected cells express antigen of invader on their surface by cell marker MHC class 1


- Tc binds to these cells via TCR and releases toxic molecules to destroy and initiates apoptosis (cell suicide)


2. T Helper Cells (stimulate)


- in adaptive immune response


- help activity of other immune cells by releasing T cell cytokines
- help suppress or regulate immune responses


- B cell antibody class switching


- activation and growth of cytotoxic T cells


3. T regulator cells (inhibit)

What is the MHC and what is its purpose?

MHC = Major Histocompatibility Complex


Function = signalling system
MHC molecules bind peptide fragments derived from pathogens and display them on the cell surface for recognition by the appropriate T cells.


MHC I = infected cells present bits of infected agent on cell surface via MHC I for Tc to recognise and kill
MHC II = antigen presenting cells (DC, Macrophages) take up antigen (phagocytosis), go to Lymph node and present via MHC II to T Helper cells, stimulate B cells and/or Tc cells

Describe the difference between passive and active vaccination.

Passive immune mechanisms = administration of antibodies (no immune response of their own), short term ie. anti-venom



Active immune mechanism = administration of antigen, prophylaxis (prevent future infection), immune response producing own antibodies and memory, long term ie. vaccination

How do autoimmune diseases occur?

Immune system malfunction. When immune system mistakenly attacks self (own tissues). Mostly western society, women, adults and possibly genetic component. ie. diabetes.

Usually, T cells that react to the tissues of the body are destroyed by the thymus, an organ of the immune system located behind the breastbone. The 'self-attacking' T cells that escape destruction may be activated by a trigger. The exact triggers are unknown, but viral infections and hormones are among the suspects. The rogue T cells then instruct B lymphocytes (B cells) to make antibodies against the particular tissue, organ or system. Such antibodies are called 'autoantibodies'.

What are the functions of the immune system?

H = HOMEOSTATIC mechanism


S = SURVEILLANCE - detect changes
D = DISCRIMINATE between SELF and NON-SELF


D = DESTROY non-self

Who was Typhoid Mary?

She was a reservoir of infectious agent and example of ignorance. A cook. A healthy carrier of Salmonella typhi (typhoid fever) who didn't wash her hands and linked to 10 outbreaks, 53 cases and 3 deaths.



What is "contact by droplet transmission"?

It is a mode of disease transmission - sneezing propels mucus droplets from the respiratory mucosa, transmitting flu or cold viruses to a new host.

What is inflammation?

- Tissue is damaged
- Chemical mediators are released by damaged cells and resident Mast cells (Basophils).
- Mediators increase:
- vaso-dilation (increase blood flow to area)


- capillary permeability (leak fluid).


- Leads to:
- redness (from increased blood flow)


- heat (from increased blood flow)


- swelling (from fluids in tissues)


- pain (pressure exerted on tissues from swelling)

What are the two types of second line of defense in the innate (non-specific) immune system?

1. Serum
- complement, a series of 20 proteins which adhere, initiate inflammation and kill cells


- other anti-microbial peptides


2. White Blood Cells (leucocytes)


- phagocytic - Neutrophils, Monocytes, Eosinophils (E's also destroy large parasites)


- Natural Killer Cells (NK) - type of cytotoxic lymphocyte

What are the three Antigen Presenting Cells (APCs)? What do they do?

BDM


1. B cells


2. Dendritic cells


3. Macrophages


Move around detecting foreign antigens and phagocytosing infectious invaders. Digest and present bits of antigen on surface (via MHC II), travel to lymph node, present antigen to T Helper cells, T Helper then stimulates adaptive immune response

What is humoral immunity and what are antibodies?

Humoral immunity is antibody mediated immunity.

Antibodies are specialised proteins that recognise and attach to an antigen (recognised antigen on a foreign invader).

What is the specific region on antigens where Antibodies bind called?

Epitopes or Antigenic Determinants

What are plasma cells?

When required a B lymphocyte will mature into a plasma cell, which is specialized to produce large quantities of antibodies.

Which cell regulates the immune response and how?

Activation of B and Tc cells is regulated by the T lymphocytes (T cells).


- T Helper cells (Th) stimulate


- T Regulator cells (Treg) inhibit

Give two reasons for preventing microbes from getting into food.

Food microbiology
1. Prevent food related illness


2. Prevent food spoilage

How could microbes contaminate food?

S H I P S
Soil
Handling
Improper storage
Preparation procedures
Slaughtering/harvesting

S H I P S


Soil


Handling


Improper storage


Preparation procedures


Slaughtering/harvesting

How does fermentation preserve food?

Inhibits spoilage by other bacteria


Lactic acid bacteria grow, produce lactic acid, lower pH, other bacteria cannot grow

List two of each pathogenic bacteria, viruses and parasites that can cause illness through food or water?

Pathogenic bacteria = Salmonella and Staphylococcus aureus

Viruses = Norovirus and Rotavirus


Parasites = Helminths and Giardia lambia

Why does spoilage of food appear rapid when the microbes are on the food for long periods before the appearance of spoilage?

Spoilage appears to have rapid onset but it is due to exponential growth pattern microbes



Initial population is mixed but microbe with shortest generation time under conditions of storage will dominate (bacteria dominate over moulds and yeasts).

List two uses for microbes in industry.

Fermentation of foods - ie. cheese, alcohols


Treatment of polluted water (sewage)

List two reasons for treating waste water

Remove pathogens

Remove toxins



Prevent contamination drinking water


Prevent foul odours


Remove nutrients which cause pollution

****** What is B.O.D?

Biochemical Oxygen Demand

- determine levels of biological degradable organic material in water


- this test relies on amount of oxygen required by microbes to remove (degrade) these organic compounds


- test measures decreases in O2 concn following oxygen dependent oxidation of organic compounds by bacteria


- high BOD indicates high levels of organic material in water tested (bigger BOD = most polluted)



What does BOD indicate?

High BOD indicates high levels of organic material in water tested

Bigger BOD = most polluted


ie. pristine river = <1.0 BOD5 (mg/L)


moderate polluted river = 2 - 8


untreated sewage = 600


slurry from dairy farm = 2,000

What is the main process in secondary sewage treatment?

Microbial digestion of organic material

Hydrolysis (slow, rate limiting step)


Can be sped up by exo-enzymes produced by microbes


Proteins broken down by proteases, CHOs by amylases, fats/oils by lipases

Give 3 uses for Bacteriophage.

G I T


1. Genetic recombination (DNA technology)


2. Identify pathogenic bacteria (phage typing)


3. Treatment of bacterial infection

What are the advantages of using HIV as a vector for gene therapy?

- Integrates into host chromosome
(not all viruses can do this)


- Once there it can continue to be expressed

Name 3 different areas of study within the field of Haematology.

Blood transfusion/cross matching


Coagulation - platelets


Haemopoiesis - production of blood cells



Anaemia is a disease studied in a routine Haematology laboratory. What is Anaemia?

A condition in which there is a deficiency (decrease) of red cells or of haemoglobin in the blood, resulting in pallor and weariness.

Explain what is meant by the term Leukaemia.

A cancer that affects the blood and bone marrow where blood cells are made. There are an increase in WBCs.

What is Haemopoiesis?


What is Erythropoiesis?




Granulopoiesis?


Lymphopoiesis?


Monocytopoiesis?


Thrombopoiesis?

Haemopoiesis = production of formed elements of blood (WBCs RBCs platelets)


Erythropoiesis = production of RBCs




Granulopoiesis - production of granulocytes Lymphopoiesis - production of lymphocytes


Monocytopoiesis - production of monocytes


Thrombopoiesis - production of platelets

What is the correct term for a decrease in neutrophils? Decrease in WBCs?





Neutropaenia and Leucopaenia



Increase = -cytosis or -philia


Decrease = -aenia



Where does Haemopoiesis occur? Explain why you might have more than one answer!

In adult in the bone marrow.


In foetus in bone marrow, liver, lymph nodes, spleen, yolk sac.


More than one answer because in foetus may not yet have bones/bone marrow.

Describe the shape of a RBC. Why do RBCs have this shape?

Biconcave disc


Shape allows:


- rapid diffusion of gases (greater SA to volume)


- flexibility


- change in shape/size

Discuss the significance of the RBC membrane.

- shape maintenance of RBC depends on membrane structure


- shape allows rapid diffusion of gases, flexibility and change in size/shape


- lipid bilayer (w membrane proteins and CHOs) which functions as a barrier, but readily passes ions (ie. oxygen)


- Deformability and stability (can pass through small gaps in capillaries)

List 3 Granulocytes that can be found in peripheral blood (they have cytoplasmic granules).




What are 2 Agranulocytes?

Basophils


Eosinophils


Neutrophils




Lymphocytes


Monocytes

List each of the 5 WBC types found in peripheral blood and explain the features that help to identify each of them.

Neutrophils - most common, multilobed nucleus, small granules in cytoplasm, bacterial/fungal infectionsBasophils - least common, 2-4 lobes nucleus, large cytoplasmic granules (dark staining), involved in hypersensitivity and inflammatory
Eosinoph...
Neutrophils - most common, multilobed nucleus, small granules in cytoplasm, bacterial/fungal infections


Basophils - least common, 2-4 lobes nucleus, large cytoplasmic granules (dark staining), involved in hypersensitivity and inflammatory


Eosinophils - bi-lobed nucleus, large strongly staining (orange/red) cytoplasm granules, parasitic infections, dampens allergic response


Monocytes - largest WBC, kidney shaped nucleus, exit into tissues become macrophages, removal old RBCs, antigen processing and presents to T cells


Lymphocytes - second most common, large round nucleus/less cytoplasm - T cells (cell-mediated immunity) and B cells (antibody/humoral immunity)

What is the term used to describe variation in:




- RBC size?




- RBC shape?

Anisocytosis




Poikilocytosis

List 2 specific terms for abnormal RBC shapes and describe the RBC shape for each of these specific terms.

Elliptocytes - thin elongated cigar shaped cells




Ovalocytes - oval shaped rather than thin or round




Spherocytes - sphere, loss of biconcave shape

What is Polychromasia and what may it indicate?




And Hypochromasia?

Polychromasia = variable colour (blue/grey, orange/red), abnormally high number of RBCs in bloodstream as a result of being prematurely released from the bone marrow during blood formation (immature)


Hypochromasia = cells stain paler in colour, decreased Haemoglobin content

What physiological processes do platelets have a role in?

Primary role is prevention of blood loss via clotting

What does the term “Thrombocytopaenia” mean?

Decreased platelets



Increase = -cytosis or -philia


Decrease = -aenia

What is the term for an increased number of Lymphocytes inthe peripheral blood?

Lymphocytosis



Increase = -cytosis or -philia


Decrease = -aenia

Either of 2 principles can be used in Automated Cell Counting machines. What are these 2 principles?

Electrical impedance


Light scatter

What blood cells can be manually counted using a Haemocytometer? (Can the chamber also be used to count anything else besides blood cells?)




Count should be accurate and precise

RBCs or WBCs (selective, only one at a time)

RCC = red cell count, WCC = white cell count




Bacterial cells in suspension


WBCs in Cerebrospinal Fluid (CSF)

Different areas of a counting chamber are used for counting different types of blood cells. What areas are used for a manual WCC?

The four corners (1 x 1 mm squared)

Explain why WBC types should always be reported as Absolute Number and not Relative numbers following a Diff.

A relative value may seem within normal limits (it is a percentage); however, when the total WBC is considered (relative percentage x total WBC), the absolute value could be an abnormally high or low count.

What causes food spoilage?

Microbial growth (most common) including bacteria, moulds and yeast

What are main methods of food preservation?

DIP


1. Prevent microbial contamination


2. Inhibit microbial growth and activities (ie. low temps)


3. Destroy/remove microbes from food


(ie. cleaning, blanching, smoking, drying, fermentation, pasteurisation, canning)

What are two types of environmental microbiology?

1. Soil microbiology


- critical for humans


- biogeochemical cycles - soil microbes in carbon, nitrogen and sulfur cycles


- degradation of chemicals


2. Aquatic Microbiology & Sewage Treatment


- critical for WA as dry state


- microbes in natural waters


- microbial water pollution


- sewage treatment with microorganisms



Correct term for increase in RBCs?




Increase in Eosinophils?

Erythrocytosis and Eosinophilia




Increase = -cytosis or -philia


Decrease = -aneia

Describe Neutrophils

Neutrophils - most common, multilobed nucleus, small granules in cytoplasm, bacterial/fungal infections


Neutrophils - most common, multilobed nucleus, small granules in cytoplasm, bacterial/fungal infections


Describe Basophils

Basophils - least common, 2-4 lobes nucleus, large cytoplasmic granules (dark staining), involved in hypersensitivity and inflammatory

Basophils - least common, 2-4 lobes nucleus, large cytoplasmic granules (dark staining), involved in hypersensitivity and inflammatory



Describe Eosinophils

Eosinophils - bi-lobed nucleus, large strongly staining (orange/red) cytoplasm granules, parasitic infections, dampens allergic response

Eosinophils - bi-lobed nucleus, large strongly staining (orange/red) cytoplasm granules, parasitic infections, dampens allergic response

Describe Monocytes

Monocytes - largest WBC, kidney shaped nucleus, exit into tissues become macrophages, removal old RBCs, antigen processing and presents to T cells

Monocytes - largest WBC, kidney shaped nucleus, exit into tissues become macrophages, removal old RBCs, antigen processing and presents to T cells



Describe Lymphocytes

Lymphocytes - second most common, large round nucleus/less cytoplasm - T cells (cell-mediated immunity) and B cells (antibody/humoral immunity)  

Lymphocytes - second most common, large round nucleus/less cytoplasm - T cells (cell-mediated immunity) and B cells (antibody/humoral immunity)

What does abnormal cell morphology refer to?

Abnormal appearance of a cell

Explain Histopathology in your own words.

The microscopic examination of tissue to determine cause of disease.

List some of the hazards associated with working in a Histopathology laboratory.

Biological = cross infection


Chemical = fixatives, stains, chemicals


Physical = sharps, radiation

Explain what a fixative does and list some features of an ideal fixative.

Preserves tissue permanently in a life-like state.


Stabilises tissue and prevents bacterial decomposition.


Ideal fixative = SALES


S = not swell/shrink tissue


A = not add artefact material


L = preserve in life-like state


E = economical


S = safe







What fixative/s can be used for Cytology smears?

Ethanol and methanol (protein coagulants)



List physical agents that can be used to assist in the fixation of tissues.

HUM



Heat


Ultrasound


Microwaves

True or false: Autolysis represents the changes to tissue that occur before fixation due to bacterial contamination.

False. Autolysis is changes to tissue caused by self-digestion.

What type of fixative is Neutral Buffered Formalin classed as?

It is an Aldehyde.


Formaldehyde is an aldehyde.


Formalin is a solution of formaldehyde gas in water.


Neutral Buffered Formalin = 10% vv Formalin

Why is Formalin Buffered to a neutral pH?

pH of fixative should remain as close to pH of tissues




to prevent changes in tissue and preserve in a life-like state

Give an example of a Chemical Fixative that belongs to each of the following groups (one example for each group).


Aldehydes,


OxidisingAgents,


Protein Coagulants,


Uncertain Mechanism.

Aldehydes = formaldehyde


Oxidising Agents = potassium dichromate


Protein Coagulants = ethanol


Uncertain Mechanism = picric acid

What is the function of xylene in tissue processing?

It's a clearing agent (transition solvent)

Why is the histological section cut to approximately 5µm thick?

Needs to be thin enough for light microscopy (makes easier to microscopically evaluate tissue morphology)

List method/s used for the collection of Cytology samples.

Abrasive - epithelial cells collected manually


(ie. body fluids)


Exfoliative - passively shed epithelial cells


(ie. scraping, brushing)


Fine Needle Aspiration - sub epithelial and internal organ collection


(ie. superficial = thyroid, deep = lung)

Compare the advantages and disadvantages of Histopathology with Cytopathology.

Cytopathology


Advantages = outpatient procedure


rapid collection


relatively non invasive


accurate


inexpensive, low complication rate


Disadvantages = less info than biopsy


adequate sampling can be problematic




Histopathology


Advantages = more info than cytopathology


adequate sampling


accurate
Disadvantages = inpatient procedure


slower collection


invasive


expensive
higher complication rate

What factors are involved in fixation?

Factors Fixation = POST CD

pH/penetration
Osmolarity
Size of specimen
Temperature
Concentration
Duration

Factors Fixation = POST CD




pH/penetration


Osmolarity


Size of specimen


Temperature


Concentration


Duration

What structures require stabilisation in fixation?

Cytoskeleton fibrous proteins


Fibrous glycoproteins


Lipoproteins of cell membrane


Mucosubstances


Nucelic acids


Proteins of cytoplasm

What are the stages of tissue processing?

1. Fixation


2. Processing (dehydration, clearing, embedding, sectioning)


3. Staining

What are the two types of staining mechanisms?

Anionic (-ve) eosin ions stain +ve charged tissue ions (protein amino groups)


Acid dyes


Eosin - pink


Stains cytoplasm, collagen, RBCs, muscle




Cationic (+ve) methylene blue stain -ve charged tissue (carboxylic, sulfuric, phosphoric acid)


Basic dyes


Haematoxylin - blue/purple


Stains nucleus (nucleic acid and acid mucins)

What is diagnostic cytology?

Study of cell morphology

What are the “building blocks” for protein macromolecules?

Amino acids

What are the “building blocks” for polysaccharides?

monosaccharides (sugars)

What are the “building blocks” for nucleic acids?

Nucleotides =


phosphate


sugar +


organic base (adenine, thymine, cytosine, guanine)

What are the “building blocks” for lipid aggregates?

Fatty acids

Surfactant molecules (phospholipids) with hydrophilic heads (phosphate) and hydrophobic tails (Fatty acids)

What macromolecule/s can be made up of branched chains?

Monosaccharides (as polysaccharides)

How many standard amino acids are there?

20

What is the general structure of an amino acid (diagram is ok).

COO-

|


H3N---C---H


|


R


Carboxylic acid group
Amine group


R group which varies

How do the standard amino acids differ from one another?

R group side chain

Amino acids can be classified according to their R group. Why might it be useful to use this classification? (Hint, might some amino acids with similar R groups have similar properties?)

Amino acids with similar R groups have similar properties.


For example, nonpolar aliphatic R groups are hydrophobic (dislike water).


Aromatic R groups - ring structure will fluoresce under UV light


Polar uncharged R groups are hydrophilic (like water)

What is a peptide bond?

Chemical bond between two amino acids.




Formed when the amino N terminus of one AA reacts with the carboxy C terminus of another AA, releasing a molecule of water.

Explain why amino acids are important.

B E E P



Basic building blocks of proteins


Source of energy


Many inborn errors of metabolism due to absence of enzymes in metabolism of AAs
Precursors to other important biomolecules (ie. histamine, serotonin)



BRIEFLY explain what is meant by each of the terms: Protein Primary Structure, Protein Secondary Structure, Protein Tertiary Structure, Protein Quaternary Structure.

Protein Primary Structure - linear sequence of AAs

Protein Secondary Structure - backbone of polypeptide chain folds into regular geometric structures (ie. alpha-helix, beta-sheet)


Protein Tertiary Structure - final folded form of the protein, 'native' form of protein


Protein Quaternary Structure - association of 2 or more polypeptide tertiary structures (same or diff)

List two examples of terms that describe different secondary structures that can be found in proteins.

Alpha-Helix



Beta-Sheet




(Turns)

List four of the major roles of Protein.

Protein roles = S T E M

Structural support - myosin in muscle
Transport - haemoglobin carries oxygen
Enzymes
Movement - myosin in muscle



Storage - ferritin stores, source AAs

Protein roles = S T E M




Structural support - myosin in muscle


Transport - haemoglobin carries oxygen


Enzymes


Movement - myosin in muscle




Storage - ferritin stores, source AAs

Lipids may not be considered true macromolecules because of their structure. Briefly explain.

Because individual monomers (fatty acids) are not covalently bonded to each other in a macromolecular structure - not all have fatty acids either

Name three (3) major functions of lipids.

Lipids functions = S S S




Storage - fuels, insulation, protection, heat production


Structure - biological membranes


Specific biological action - biological messengers, cofactors for enzymes, electron carriers, effectors

List some examples of lipid aggregates.

Lipid aggregates = L M L M

Liposomes - sphere with aqueous cavity

Micelles - sphere


Lipoproteins - transport lipids around body (ie. LDL HDL)


Membranes - lipid bilayer




We are mostly water (lipids hydrophobic) so need to form aggregates to transport them around body

Give one example of an important Monosaccharides.

Glucose - simple monomer

Give one example of an important Disaccharides.

Sucrose

List four (4) of the major functions of carbohydrates in a cell.

Carbohydrate functions = S A N E




Structure


Antibiotics


Nucleic acids


Energy source

Can two sugar molecules have different configurations despite having the same molecular formula? BRIEFLY explain.

Yes.

They can form different stereoisomer configurations, and


Monosaccharides with 5+ carbons can mutarotate from a linear chain to a ring structure.

Explain the term Diabetes mellitus

State of chronic hyperglycaemia which may result from genetic or environmental factors often acting jointly.

Type 1 diabetes = absolute deficiency of insulin (often by birth)


Type 2 diabetes = insulin resistance (often developed later in life)

Discuss the statement “The diagnosis and management of Diabetes mellitus is only of concern to a very small portion of the health care industry”. (Hint, you should first decide if this statement is true or false, then BRIEFLY explain why it is true or false.)

False.


8% of men and 7% of men have diabetes.


Prevalence increasing and similar trend worldwide.


Increase linked to lifestyle.


Significant issue for certain groups incl Indigenous Australians.

How is Diabetes mellitus diagnosed?

Plasma glucose (ie. >7.0 mmol/L fasting)

Spectrophotometers can be used to measure the absorbance of light of a particular wavelength by a certain material. BRIEFLY explain what is meant by the term absorbance.

Absorbance = difference between intensity of incident light beam I0 and intensity of light transmitted by solution It





What is Beer’s Law?

States that there is a directly proportional relationship between absorbance and concentration (linear).

What is Lambert’s Law?

As pathlength increases, transmittance decreases and absorbance increases.

What is the combined Lambert-Beer Law?

Absorbance is related to both concentration and pathlength



A = Ecl




A = absorbance


E = molar absorptivity constant


c = concentation


l = pathlength (1cm)

Is it more convenient to use Absorbance or Transmittance to determine the concentration of a substance?

Absorbance


Because the relship is linear (not curved like transmittance)

Why is the selection of optimal analytical wavelength important for spectrophotometric measurement? (Hint, material to be discussed in Week 12 practical may assist you to answer this).

Need to choose wavelength that will provide maximum absorbance, where standard calibration will be linear and give good results.

Why is the selection and use of an appropriate Blank important for spectrophotometric measurement? (Hint, material to be discussed in the Week 12 practical may assist you to answer this)

The blank is a solution identical to sample solution except does not contain the solute that absorbs light.




This measurement is necessary, because the cell itself scatters some of the light.

What is biochemistry?

Study of chemical processes in living things

What does the abbreviation DNA stand for?

Deoxyribose Nucleic Acid

What is a gene?

A sequence of DNA passed on to offspring.




A unit of heredity which is transferred from a parent to offspring and is held to determine some characteristic of the offspring.

What is a genome?

Contains all of genetic information of organism.

DNA can contain 4 different kinds of bases. What are these 4 bases?

AT CG




Adenine


Thymine


Cytosine


Guanine

Explain basic DNA structure in terms of Sugars, Phosphates and Bases.

Nucleotide = organic base + sugar + phosphate


Nucleotides joined by phosphodiester bonds = ssDNA with sugar (deoxyribose) phosphate backbone


Complementary bases may hydrogen bond
ssDNA + ssDNA = dsDNA


Strands have orientation (dsDNA double helix) and are antiparallel (5' to 3')

Explain the “Central Dogma” of Molecular Biology.

It is an explanation of the flow of genetic information within a biological system.




DNA replicates itself to make more DNA


Some DNA is transcribed into mRNA


Some mRNA is translated into protein

BRIEFLY explain the statement “the information for making a new strand of DNA comes from an old strand of DNA”.

Old strand DNA contains template (recipe) for new strand.




DNA replicates itself using DNA Polymerase.




Replication produces two identical replicas from one original DNA molecule. Requires primer.

BRIEFLY explain the term Transcription.

Transcription is first step of gene expression = RNA synthesis.



DNA is copied into RNA (mRNA) by the enzyme RNA polymerase. Does not require primer.




Occurs in nucleus.


BRIEFLY explain the term Translation.

Translation is second step of gene expression = protein synthesis.




Assembles AAs into protein (polypeptides) from info on mRNA




Occurs at ribosome with rRNA and tRNA (with attached AAs) from cytoplasm.





In one short sentence explain what an Intron is.

Non coding region on DNA or RNA




Quite high proportion of human DNA is intron - don't know how it's expressed yet

In one short sentence explain what an Exon is.

Coding region on a DNA or RNA

What is a codon?

A sequence of three DNA or RNA nucleotides that corresponds with a specific amino acid or stop signal during protein synthesis.

What is meant by the term “Genetic Code”?

- The set of rules by which information encoded within genetic material (DNA or mRNA sequences) is translated into proteins by living cells.


- Defines how sequences of nucleotide triplets, called codons, specify which amino acid will be added next during protein synthesis.




Universal 3 base codes


61 codons - 20 AAs


3 stop codons


usually start with AUG codon (Methionine)

What are two differences between RNA Polymerases and DNA Polymerases?

DNA polymerase = synthesizes DNA


RNA polymerase = synthesizes RNA



DNA polymerase needs primer


RNA polymerases = capable of initiating a new strand




RNA polymerases = produces smaller sections

BRIEFLY explain what a Restriction Enzyme is.

Molecular scissors - enzymes that cut DNA at specific sites, some form sticky ends, some blunt ends


Restriction enzyme (restriction endonucleaseis) an enzyme that cuts DNA at or near specific recognition nucleotide sequences known as restriction sites.

BRIEFLY explain what a Ligase Enzyme is.

Molecular glue




Ligase enzyme facilitates the joining of DNA strands together by catalyzing the formation of a phosphodiester bond.

Explain how PCR could be used in sex determination.

Polymerase Chain Reaction (PCR)



Isolate DNA


Amplify specific segments X and Y chromosomes


Estimate the sizes of the PCR products using agarose gel electrophoresis


Based on the pattern of PCR products, can distinguish between male and female samples and determine the gender of an unknown DNA donor.

State 3 additional applications PCR could be used for.

cloning,


mutation detection,


forensics,


paternity testing.

What are the steps of a PCR reaction?

PCR = D A E




Denaturation = heat breaks H bonds, separates dsDNS into ssDNA


Annealing = primers anneal (bond) to ssDNA at 3' end


Extension = using DNA polymerase adds dNTPs (complementary nucleotides) one at a time until complete

Are there any infectious, disease causing agents that can not be detected using a PCR type reaction? If so name one such agent or disease. (Hint: the answer is yes! You may find this a challenging question. If you know PCR can detect nucleic acid then you will have to find an infectious agent that does not contain nucleic acid. Such agents exist but are unusual.)

Yes - a prion - has no DNA



Prion = proteins that are unique in their ability to reproduce on their own and become infectious


Describe an application of electrophoresis.

Agarose gel electrophoresis


- to separate a mixed population of DNA, RNA or proteins in a matrix of agarose.


- specific DNA sequences can be analyzed, isolated and cloned


- proteins may be separated by charge and/or size and DNA/RNA fragments by length


ie. can be used for analysis of PCR products in paternity testing

When electrophoresed over a given period oftime, will a small DNA molecule usually migratea shorter distance or a further/longer distancethrough an agraose gel, compared to a largeDNA molecule?

Small DNA molecule will pass through the agarose gel more easily than a larger molecule so will usually migrate a longer distance.

True or False? “electrophoresis can separate molecules based on both size and charge”

True

What types of molecules can be separated using Electrophoresis?

DNA


RNA


Proteins

A certain type of PAGE can be used to separate denatured proteins. What are denatured proteins?

Primary structured proteins where H bonds have been broken




A sequence of AAs remains

What makes an ideal vector?

T U T E


Target delivery


Unable to replicate
Minimal toxicity / immune response
Control of expression





What is meant by the term “metabolism”?

- Sequence enzyme catalysed chemical reactions in the cell to maintain life


- Anabolic and catabolic


- Regulated


- Chemical reactions occur as pathways

Anabolic and catabolic pathways are different. Briefly explain two of the differences between an anabolic pathway and a catabolic pathway.

Anabolic pathway builds molecules


Requires energy


Pathway usually divergent (large number of molecules can make using small no. building blocks)




Catabolic pathway breaks down molecules


Creates energy


Pathway usually convergent (small number of molecules can make using larger no. building blocks)




They proceed at same time


in dynamic steady state

What is an enzyme?

Catalysts

Important in regulating chemistry of cells and organisms


Speed up rate of reaction


Not consumed in the reaction


Wouldn't exist without them

What is an enzyme “active site”?

region of an enzyme where substrate molecules bind and undergo a chemical reaction.


3D arrangement of residues that determines catalytic rate

When referring to an enzymatic reaction, what is meant by the term “substrate”?

molecule upon which an enzyme acts.


Enzymes catalyze chemical reactions involving the substrate(s).


the substrate bonds with the enzyme active site, and an enzyme-substrate complex is formed.

When referring to an enzymatic reaction, what is meant by the term “product”?

product of the reaction with an enzyme and substrate




enzyme+substrate --> enzyme-substrate --> enzyme+product

List and briefly explain four (4) variables that can effect enzyme activity.

STEP


Substrate concentration


Temperature


Enzyme concentration


pH

A laboratory assay uses an enzymatic reaction as part of the assay procedure. Explain why the incorrect incubation time for the laboratory assay may effect the results of the assay.

Because enzyme catalysed reaction is reversible. As reaction proceeds more products are produced. At a point in reaction, products will start to react in reverse direction and amount of products will decrease. Need to incubate for long enough to form maximum products without (velocity max).

List 4 different types of biological specimens that may be used in a Biomedical Science or Pathology laboratory.

Blood


Urine


Feces


Tissue

Name the cellular components of blood.

RBCs

WBCs


Platelets

Name 3 components of blood required for clotting.

Platelets

Calcium


Clotting proteins

Is there a difference between serum and plasma? Explain your answer.

Yes

Serum is plasma minus clotting proteins




Plasma is liquid portion of blood (WA ICE)


water,


albumin,


immunoglobulins,


coagulation proteins,


electrolytes





What is an anticoagulant?

Prevent clotting in specimen

List one anticoagulant and explain its mode of action.

Heparin - inhibits clotting proteins (ie. thrombin)

- used for some Clinical Biochemistry




Sodium citrate - chelates calcium (reversible)


- used for coagulation testing samples



Why are different anticoagulants used when collecting blood?

???? Need to use correct anticoagulant depending on the reason the blood is being tested - don't want to interfere with the results

Why is correct identification of a patient sample important?

Because we need to make sure we're testing the correct patient and run the appropriate tests. To prevent incorrect diagnosis, treatment and potential adverse events leading to morbidity or mortality.

List 2 reasons that a patient sample may be unsuitable for a laboratory assay, necessitating the recollection of a sample.

Incorrect anticoagulant was used


Blood sample was not preserved correctly

Haemophilia is a disease studied in a Coagulation laboratory. What is Haemophilia?

Medical condition - ability of the blood to clot is severely reduced, causing the sufferer to bleed severely from even a slight injury.

The condition is typically caused by a hereditary lack of a coagulation factor, most often factor VIII.

What factors may affect the reliability of a laboratory test result?

Limitations of instruments


Human error

Explain the term Accuracy when referring to laboratory results. Use a hypothetical example in your explanation.

Accuracy =

Closeness of measured value to true value.


Reflects "true value"


Internal validity / reliability


Can use controls to check for accuracy


Can be estimated with one measurement.


Example: Object weighs 100g and we weigh it and get 100g

Explain the term Precision when referring to laboratory results. Use a hypothetical example in your explanation.

Precision =

How close together a set of measurements are to each other


Nothing to do with "true value"


External validity /reproducibility / generalisability


Can be estimated w multiple measurements


More important - if we're consi


stent


Example: object weighs 100g and we weigh it 4 times and get 88.5, 88.6, 88.6, 88.5

Explain briefly how ion exchange works.

Separation of solution


Column with matrix resin beads - negatively charged


Solution added at top with positive and negatively charged ions in it


Solution passes through and positive ions will attach to beads, negative will pass through into beaker

What is the difference between sterilisation and sanitisation?

Sanitisation destroys SOME microorganisms, reducingliving numbers (ie. kills some but not all) t meet product quality and publichealth standards. Often not effective in the presence of organic residues and detergents. Often achieved with moist heat or chemicals.




Sterilisation destroys ALL microorganisms, includingendospores. Used with medical instruments, medical waste, culturemedia/glassware and often achieved via moist heat under pressure (ie. 15 minsat 121 degrees C at 15 psi).

What is the difference between a disinfectant and an antiseptic?

They are used for different things.




Disinfectant is asubstance that removes or causes the destruction of harmful microbes (notusually spores) from inanimate objects.




Antiseptic is a disinfectant for animate areas (ie.body sites) – not toxic to life.

What is pasteurisation?

Physical method of disinfection for inanimate objects using heat,typically in range 60-80 deg C for a few mins to kill pathogens and destroymost other bacteria which cause food spoilage (ie. preservation, increase shelflife).

What are the temperatures and times for LTLT and HTST relating to pasteurisation?

Low Temp Long Time (LTLT) = 63 degC / 30 mins




High Temp Short Time (HTST) = 72 degC / 15 sec

List the 3 modes of action for disinfectants?

1. Physical – Heat (Pasteurisation)


2. Physical – Radiation


3. Physical – Heat (Boiling)


4. Chemical

What is the optimal percentage of alcohol for disinfection?

70% - because need some water to create a difference inosmotic pressure so the bacteria lyses (bursts).

Betadine is a combination of iodophor and detergent which is used as a skin disinfectant in presurgical operations. List the advantages and disadvantages of Betadine for this use.

Advantages: good residual effect, effective on a wide range of microbes, great for some wounds and infections




Disadvantages: skin discolouration, hypersensitivity, Pseudomonas able to grow still, not effective for larger infections-family

What is the mechanism of action for Quaternary Ammonium Compounds (QUATs) against bacteria?

It is a surfactant. Low level disinfectant. Inactivated by soaps. Quaternary ammonium compounds (QACs) irreversibly bind to the phospholipids and proteins of the membrane, thereby impairing permeability.

Why are QUATS no longer used in some hospital settings?

Recycling of mop bucket water with Pseudomoasspreads bacteria

How could the presence of organic matter interfere with the action of disinfectants?

- Presence of organic matter forms precipitate whichremoves disinfectant from contact with bacteria,


- Or reacts with disinfectant toproduce a non-bacterial agent,


- Or coats the bacteria and protects them.

UV radiation damages proteins and nucleic acids of bacteria. What is the main disadvantage of UV radiation as a disinfectant?

low penetrating power


takes a moderate amount of time for it to be effective (20-30 minutes).

What is the “decimal reduction time (D)”?

It is the time in minutes for the survivors to be destroyed by one log cycle which represents 90% of the initial population.͈

What is Sterilisation?

A process by which ALL microbes including endospores aredestroyed.

Why are endospores difficult to kill?

Bacterial spores are the most heat resistant and difficult to kill microbial structure. The thick spore coat protects it from radiation and chemicals.

Why is moist heat better than dry heat?

Moist heat is a better conductor of heat and allows better heat penetration. The conditions for moist heat sterilisation are based on killing bacteria spores.

In what circumstance would you probably use a dry heat oven instead of autoclaving?

Good for glassware, oils and powders, and doesn’t blunt sharps

What methods are used to ensure an autoclave is working?

1. Autoclave printouts/monitoring


2. Biological – spore strips


3. Autoclave tape (Bowie-Dick) test

Name two chemicals used for “cold sterilisation”.

Formaldehyde (gas) and Ethylene oxide (gas).

How does ionizing radiation affect microbes to kill them?

When ionizing radiation strikes bacteria and other microbes, its highenergy breaks chemical bonds in molecules that are vital for cell growth andintegrity. As a result, the microbes die, or can no longer multiply and causeillness or spoilage. Breaking chemical bonds with radiation is known asradiolysis.

State the filtration poresize needed to filter out a) bacteria, b) viruses.

a) Bacteria = 0.45um


b) Viruses = 0.01um

What is the difference between Bacteriostatic and Bactericidal agents?

Bacteriostatic agents inhibit growth of microbes whichcan swing the balance of fighting infection towards the immune system.




Bactericidal agents kill the microbes.

List the 6 modes of action for anti-bacterial agents.

MR DR MC


M. Metabolicinhibitors


R. Inhibitors of RNA synthesis


D. Inhibitors of DNA replication


R. Inhibitors of Ribosome function –protein


M. Membrane-active antimicrobialagents


C. Inhibitors of Cell wall synthesis

Describe the action of the β-lactam antibiotics.

Inhibit last stage of the cell wall production


Only damage cell wall - humans don't have.


Not effective against resting bacteria - need to be growing and dividing to work.

How are bacteria resistant or become resistant to antibiotics?

Over prescription leads to over exposure and selective pressure.


Not completing a course of antibiotics that work leads to selecting resistantmutants.


Use in intensive animal farming has led to resistant strains passed toconsumers in foods.

Why are antibiotics of no use against the common cold?

It’s a virus and not affected by antibiotics

Define “antibiotic”.

A natural compound produced by microorganisms that killor inhibit other microorganisms. T


Can also be synthetic (artificially made)or semi-synthetic (natural antibiotic compounds that have been artificiallymodified).

Why are the β-lactamagents good for treating bacterial infections in humans?

Because they only damage the cell wall, which humans(eukaryotes) do not have.

Why are manytreatments for fungal infections often toxic to humans?

Because fungus is a eukaryote like humans are so often treatments toxic to fungi are toxic to humans as well.
Treatment is usually long term.

List two modes ofaction for anti-viral drugs.

Drugs that bind free virus preventing entry (ie.Disoxaril for Rhinovirus – treatment for ‘colds’).




Prevention of uncoating of virus (Amantadine forInfluenza)

How does cleaning control microbes?

Microbes are removed but not killed


often with water and detergent

Differences between


Cleaning


Sanitisation


Disinfection


Sterilisation

Cleaning = removes but doesn't kill, water/soap


Sanitisation = kills many but not all, not effective with organic residues


Disinfection = chemicals, kills all (antiseptic animate objects, disinfectant for inanimate)


Sterilisation = moist heat, sterlises, killing all including spores

What mode of action do alcohols, aldehydes, halogens (iodine), heavy metals and phenols use to disinfect?

Protein coagulation / denaturation

Which chemical disinfectants disrupt the cell membrane?

Surface active agents


halogens (chlorine)


chlorhexadine


phenols

What mode of action do metals use to disinfect?

chemical antagonism (inactivation of enzymes)

What is asepsis in clinical practice?

Asepsis = C A S H


personal cleanliness


aseptic techniques


disinfection/sterilisation surfaces/equipment


hand washing

What are the details for autoclaving? Sterilisation by moist heat.

Temp raised to 121 deg C for 15 minutes at 15 psi (pounds per square inch) is most common

What is a HEPA and what does it do?

It's a High Efficiency Particulate Air (HEPA) filter in commercial air filtration system


removes particles down to 0.3um


99.97% efficient

How do you get human gene to replicate in a bug?

Often clone human gene into bug via plasmid cloning vector.


Cloning vector = small piece of DNA, taken from virus, plasmid, or cell of higher organism, can be stably maintained in an organism, and into which a foreign DNA fragment can be inserted for cloning purposes.

What is electrophoresis?

- tool - analyses and purify DNA, RNA, proteins


- uses small amount of material


- can separate according to size and charge


- matrix of interlocking fibres - things pass through at diff rates - like a SIEVE


- electrophoresis tank, electrical source, gel, dyes


- +vely charge migrate to -ve electrode and vice versa (DNA is -ve)


- agarose gel for larger molecules, PAGE for smaller


- smaller molecules pass through quicker and travel further

Why might a protein need to be separated from a mixture of other proteins?

I S I D E
- Industry or food (whey protein isolate)


- Study physical/chemical characteristics or particular protein in mixture


- Isolate a particular protein/enzyme


- Determine amino acid sequence in particular protein


- Enhance activity of particular enzyme by purification

What types of molecules can be separated from a mixture using Chromatography?
Proteins, RNA, DNA and other organic molecules

List 3 Chromatography principles that can be used to separate a molecule of interest from a mixture. What property of molecule is being utilised?

I S A


All columns with solution being passed through.


Ion Exchange - charge


Size Exclusion - size and shape (large molecules pass through first)


Affinity - chemical bonds, protein is binding to a specific ligand in column

What is a catalyst and how does it work?

A substance which increases the rate of reaction without being consumed.



Provides alternative raction pathway which has lower activation energy.



Forms a transient intermediate in reaction called transition state.

What are two advantages of disinfection by Pasteurisation?

Reduces spoilage by bacteria


Extends shelf life

What is a reservoir of infection?

Any person, animal, plant, soil or substance in which an infectious agent normally lives and multiplies.




Reservoir harbors infectious agent without injury to itself and serves as a source from which other individuals can be infected.

What are the primary lymphoid organs?


And secondary lymphoid organs and tissues?

1. Red bone marrow - B cells, immature T cells


Thymus - mature T cells




2. Organs (capsule) - spleen, lymph nodes


Tissues (no capsule) - lymph nodules, tonsils, appendix, Peyer's patches

What is Immunology?

The study of the cell, tissues and proteins of the immune system.




How body protects us from external (bacteria, viruses, fungi) and internal (mutations - cancer) attack

How does inflammation start? What happens?

With tissue damage - damaged cells and Mast cells release chemical mediators.




Chemical mediators:


- increase vaso-dilation (increase blood flow to area - heat and redness)


- capillary permeability (leak fluid = pain and swelling)


- attract WBCs to area (Neutrophils first, monocytes, lymphocytes)


- stimulate production and release WBCs in bone marrow





What are Mast Cells? What do they contain?

Mast cells are WBCs of immune system, similar to Basophils, release chemical mediators when cells/tissues are damaged. First cells to respond.




Contain granules of heparin (anticoagulant) and histamine (causes increased blood flow, leaky capillaries, swelling, heat etc of inflammation).

What cells do T Helper cells stimulate?

Macrophages, Cytotoxic T cells and B cells.

What do Natural Killer Cells do?

- A lymphocyte


- kill cells with reduced MHC I (cancer cells and virus-infected cells)


- also kills cells with ADCC antibody on cell


- Kills by insertion of granules containing perforin
- Part of innate and adaptive immunity

What do cytotoxic T cells do?

Killer T cell (Tc)




- Have T-cell Receptors (TCRs) which recognise a specific antigen


- Kill cells displaying MHC class I (cell is infected with pathogen and presents fragments of foreign antigen on cell surface as MHC I) = release of toxic molecules, causes lysis and cell suicide


- Kill antigen-presenting cells (APCs) displaying MHC II after Helper T cells have stimulated Tc

What are two examples of original vaccinations being used?

15th century Middle East, powder of lesions from small pox crusts inserted into skin to preserve the beauty of their daughters




Edward Jenner extracted fluid from milk maid's hands (infected with cowpox) and inoculated into 8 year old James Phipps (resistant to cowpox and smallpox)

What cells do HIV destroy? What happens?

CD4 (T Helper cells)




Without T Helper, no Tc action and no antibody production




Person dies from being unable to fight infection (adaptive immune system damaged).

With respect to microbial spoilage, what is decay? What is putrefaction?

Decay = aerobic microbial spoilage




Putrefaction = anaerobic microbial spoliage

What are 3 methods of acquiring diseases from food?

1. Direct effects of microbes (ie. infections)


2. Toxins (ie. intoxication)


3. Microbial action on food (ie. decay/putrefaction)

What diseases can be transmitted in food? Give on example of a bacteria which causes intoxication and one which causes infection?

PAST




Prion disease


Anthrax


Staphylococcus Aureus


Tuberculosis (TB)




Intoxication = Staphylococcus Aureus


Infection = Salmonella spp.

What microorganisms can we eat? What are advantages?

Yeasts, fungi (mushrooms), algae (Euglena) and bacteria (Spirulina and probiotics)




Grow fast, good protein content, save environment

What was Dejecti (Effusive Acte)?

Law making damages payable if throwers of waste into the street hit and injured a person (only during the day).

What is eutrophication?

Nutrient pollution in watercourses, causing the enhanced growth of some organisms (phytoplankton and cyanobacteria) causing depletion of O2 and death of aquatic life.

What is involved in the primary treatment of sewage?

Physical processes


Reduce oils, fats and grit


Remove larger solid and insoluble objects



What is involved in tertiary treatment of sewage?

Due to high costs not done in many countries


Physical and chemical methods used


To make potable (drinking) water


Only done in London and Sinagpore

What are two limitations or ethical problems relating to using viral vectors?

Viral vectors may infect healthy cells as well as cancer cells


Viral vector could cause inflammation or immune reaction




Transgene may insert in wrong location and cause cancer or harmful mutations

What is the main function of blood?

To support the function of body tissues

How do stem cells differentiate into mature cells?

Under influence of growth factors

What is the origin cell of Basophils, Neutrophils, Eosinophils and Monocytes?

Myeloblast
(and before that, common myeloid progenitor)

What is the origin cell of Natural Killer Cells and Lymphocytes?

Common lymphoid progenitor

What is the origin cell of thrombocytes (platelets)?

Megakaryocyte


(and before that, common myeloid progenitor)

What are two examples of Anisocytosis?

Anisocytosis is changes in size of RBCs


Microcytosis = decreased size


Macrocytosis = increased size

What are 3 examples of WBC (Neutrophil) abnormalities?

Toxic granulation - increased size of granules


Left shift - immature, large single nucleus


Right shift - older, many, many lobed nucleus

How many litres of blood does the average healthy human have?

5L

What are two purposes of blood cell counts?

Determine if disease is present


Monitor course of disease (treatment)

What are some sources of error in manual blood cell counting?

Technical error = counting, dilution, sampling


Statistical error = only small proportion cells being counted from total number of cells

What dilutions are used in automated cell counting for RBCs and WBCs?

RBCs = 1 in 50,000 dilution


WBCs = 1 in 500 dilution (RBCs are lysed)

How do we use a blood cell count?

Compare the count to the reference range


If result is in range = normal


If above = high


If below = low


If WBC high, for example, then = Leukocytosis

In diagnostic cytology, the nucleus reflects the function of the cell and the cytoplasm reflects the activity of the cell. True or false.

False


The nucleus reflects the activity of the cell


The cytoplasm reflects the function of the cell.

What is a Zwitterion? What is an example of one?

A Zwitterion is a dipolar ion.
Both and acid and a base - can accept or donate a proton (H+). in neutral pH 7.


Amphoteric.




Amino acids are ionized in solution and form ions depending on pH of solution. Can act as either acid (contains NH3+) or base (contains COO- ion).





What bonds are responsible for primary, secondary, tertiary and quarternary protein structures? What does this mean?

Primary = covalent bonds


= very strong bonds




Secondary, tertiary and quarternary


= non-covalent bonds


ie. hydrogen, hydrophobic and van der Waals forces


= weak bonds, can be broken when protein denatured

What is a protein domain? What are proteins with more than one domain called?

It's a conserved part of a given protein sequence and (tertiary) structure that can evolve, function, and exist independently of the rest of the protein chain.




Mosaic proteins

What are some protein general facts?

They can be:


Classified into families


Interact with each other


Dynamic (not static) structures


Made of domains


Globular (most) or fibrous


Act as buffers

What is diabetes insipidus?

A rare form of diabetes.


Caused by deficiency of pituitary hormone vasopressin which regulates kidney function.



What equipment do we use measure blood glucose in solution? How does it work?

Using a spectrophotometer - using radiant light (ie. UV) and measuring its interaction with the matter to determine concentration (or structure).




Electromagnetic radiation interacts with matter (reflected, absorbed or transmitted) and alters internal energy states of the molecules.

Intensity of light hitting solution (I0) will be different to intensity of light being transmitted (It) - leaving the solution on other side.

How many base pairs of DNA do humans have?

Approximately 3 billion base pairs of DNA (needs to be compacted to fit into cell)

What are VNTRs? What is an application of a VNTR in a PCR?

Variable Number of Tandem Repeats - section of genome where short nucleotide sequence is organised as a tandem repeat.




Paternity testing. Do a PCR with DNA from parents and baby - baby should have one line of VNTR in electrophoresis gel match up to one of mother's and one of father's.

What is genetic engineering? What "tools" are used?

Cutting and pasting DNA. Recombinant DNA = DNA from more than one organism.




Tools =
restriction enzymes (molecular scissors)


& DNA ligase (molecular glue)

What is a plasmid?

- A small autonomously replicating circular DNA molecule.


- Often found in bacteria as small, circular, double-stranded DNA molecules.


- Sometimes present in archaea and eukaryotic organisms.

Why do Molecular Biologists use mRNA instead of genomic DNA when cloning human genes into bacteria via a plasmid?

Because if DNA is used, it will contain introns which the bacteria cannot remove. Will result in incorrect translation.




If we use mRNA then the introns have already been removed.

Give 2 examples of transgenic plants.

Herbicide resistant corn


Flavr Savr tomato

What are some advantages and disadvantages of using viral vectors?

A: high transfection efficiency


long-term gene expression




D: potential toxicity and cancer-causing


immunogenic


restricted target cell specificity


expensive

What is the Free Energy of Activation?

It is the activation energy (energy threshold) that has to be reached before a reaction can occur.




Reactants need to form a transition state and pass through to make the products.




Free Energy of Activation (delta G++ or DG) determines the rate of the reaction.


Higher activation energy = slower reaction rate


Lower activation energy = faster reaction rate

Why would you want a laboratory test to show sensitivity and specificity?

Sensitivity = can detect smaller amounts of analyte




Specificity = measures only the substance to be measured




Ideally want both but can be costly so can't.

Test reliability is a combination of which 2 factors? Which one is more important when it comes to patient's results?

Accuracy and precision




Precision - more important to be consistent. High level precision improves ability to detect small changes in patient's results over time.