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40 Cards in this Set

  • Front
  • Back
What two organs are part of the upper respiratory tract?
1) oropharynx
2) nasopharynx
What two organs are part of the lower respiratory tract?
1) bronchi
2) lungs
Through what means can Group A Streptococci get into the host? List four.
1) Oropharyngeal
2) Spread by aerosols or direct skin contact
3) Adherence of lipoteichoic acid to M protein which binds to fibronectin host protein
4. skin or mucuous membrane colonization
What are four virulence factors for Group A Streptococcus?
1. M protein
2. Hyaluronic acid capsule
3. Hemolysins
4. Pyrogenic Exotoxins
How long can whooping cough persist?
2 months
What is the role of the IgA protease in the multiplication and spread of Gonorrhea?
1) cleaves IgA
2) removes fecal end of molecules bound to the gonococcus
3)prevents opsonization
Are there any exotoxins involved in the multiplication and spread of GC?
NO EXOTOXINS!
However a very toxic endotoxin (LPS) is important.
How does the fallopian tube culture more Gonorrhea?
1) GC attaches to noncilliated cells and these GC are internalized by parasite directed endocytosis
2) Vacuoles with GC coalesce to make bigger vacuoles where GC multiplies
3. Vacuoles exocytose the GC
What are three characteristics of chlamydia that distinguish it from other STDs?
1) small gram negative rods
2) obligate intracellular parasite (means only grows inside host cells)
How do you diagnose Chlamydia?
1) PCR or genetic probes
2) Antigen detection tests such as DFA
3) Enzyme ImmunoAssays
4) culture
In the dimorphic life cycle of Chlamydia, describe the appearance of its infectious form.
The E-bodies have a tough protein layer woven with disulfide bridges.
How does the formation of R bodies happen in the dimorphic life cycle of Chlamydiae?
Cell differentiation happens which causes a reduction of disulfide bridges which forms R bodies.
What do Chlamydial R bodies do to promote entry, multiplication, and spread of?
They form microscopic colonies in the phagosomes of epithelial cells.
Give an example of how a disease is transmitted horizontally.
Horizontally mean it goes from adult to another adult.
Give an example of how a disease is transmitted vertically.
Vertically means mother to fetus
When is syphilis considered lethal in terms of duration?
decades after the initial infection
What is the shape of Treponema pallidum?
It is a spirochete (corkscrew; long & slender)
review syphillis
skim through it. she might not ask about it but refresh memory.
How does V. cholera enter the GI tract?
Through food and water. Duh.
Remember her ceviche example and how it's important to eat crustaceans piping hot.
How do the vibrios attach to the jejuno-ileal mucosal epithelia?
toxin co-regulated pilli and flagella
In a cholera toxin, what do the A and B subunits bind to?
the A subunit is inserted into the cell.

The B subunit binds to the ganglioside
What does the O1 serogroup for V. Cholera do?
It is the epidemic form of cholera.
What is O139 referred to?
It is referred to the Bengal strain and is responsible for large outbreaks
How do you diagnose V. Cholera?
1) isolate from stool by TCBS
2) EIA
3) serogroup and serotype
4) Oral rehydration therapy
What does it mean when a fungi is dimorphic?
It means that the fungi has both yeast and mold phases.
The cell walls of fungi contain what instead of peptidoglycan?
Chitin
What are three examples of cutaneous mycoses?
1) dermatomycoses
2) ringworms
3) tineas
Memorize the following tineas:
barbae- beard hair
capitis - scalp hair
corporis - anywhere on body skin
cruris - (jock itch) groin area
pedis - foot
unguinum - nails
What are three systemic mycoses caused by frank pathogens?
1) Histoplasma capsulatum
2) Blastomyces dermatitids
3) Coccidioides immitis
What are some features of histoplasma capsulatum?
1) mold form near rivers
2) uses guano to grow
3) converts to yeast
4) leaves people asymptomatic
What two major systemic mycoses occur in the mold form near the rives?
Histoplasma and Blastomyces
Which systemic mycoses causes valley fever?
Cocciodioides immitis
What are the systemic mycoses cause by opportunists?
1) Cryptococcus neoformans
2) Candida albicans
3) Pneumocystis jiroveci
Out of the systemic mycoses that are caused by opportunists, which one used to be a protozoan?
Pneumocystis jiroveci
What are three of the most common antifungal drugs (give generic name)?
1) Amphotericin B
2) Azole drugs
3) Nikkomycin
How does Nikkomycin specifically work?
It stops chitin synthesis
What does Naegleria fowlerii cause?
amebic meningoencephalitis
What does Entamoeba histolytica cause?
amebic dysentery
What is the disease that pregnant women should take caution with when changing the cat's litter box?
Toxoplasma gondii
What is Trypanosoma cruzi a fancy name for?
Chaga's disease