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129 Cards in this Set

  • Front
  • Back

Define pathology

The study of disease

Define disease

When an infection results in any change from a state of health

Define etiology

The study of the cause of diseases

Define infection

invasion or colonization of the body by pathogenic microorganisms

Define commensalism

Association between 2 organisms where one benefits and the other is not harmed or helped

Define mutualism

Both organisms are benefited

Define parasitism

One is helped and the other is harmed

What are opportunistic pathogens?

Ordinarily do not cause disease, but can in a different enviornment

What are the conditions that create opportunities for pathogens?

Immune supression
Changes in normal microbiota
Less competition
Introduction of normal microbiota in different site

Define communicable

Any disease that spreads from one host to another, directly or indirectly

Define contagious

diseases that are easily spread from one person to another

Define noncommunicable

when disease is not spread from one host to another

Define acute

An abrupt onset
Illness that is short duration, rapidly aggressive

Define chronic

indefinate duration of disease

Define subaccute

Recent onset
Somewhat rapid change

Define latent

existing in hidden or dormant form

Define endemic

Disease constantly present in population

Define epidemic

people in a given area acquire certain disease in relatively short period

Define pandemic

Epidemic that is world wide

Define sporadic

Particular disease only occurs occasionally

Define bacteremia

bacteria invades bloodstream

Define septicemia

virulent microorganisms invade bloodstream

Define toxemia

The spread of bacteria BY the bloodstream

Define local infection

limited to small area of the bodyl

Define focal infection

local infections spread to other parts of the body

Define primary and secondary infections

Primary - Infection causes initial illness
Secondary - caused by opportunistic pathogen after primary infection

Define herd immunity

immune people are present in community

How do you distinguish incubation of a disease?

time between initial infection and appearance of any signs or symptoms

How do you distinguish prodromal stage of disease?

early, mild symptoms

How do you distinguish the illness stage of disease?

disease is most severe

How do you distinguish the decline of disease?

Signs and symptoms subside

How do you distinguish the convalescence state of disease?

body regains strength and returns to pre-diseased state

Describe how spread of infectious disease may occur

direct or indirect contact with infected
person, animal, air, contaminated food or water

Describe reservoir

site where pathogens are maintained as source of infection

How are living and nonliving reservoirs related?

they are places where bacteria can live and grow on that is either an object or living organism

Describe transmission

going from reservoir to host

Describe contact

direct, indirect, or droplet transmission

Describe formite

nonliving object involved in spread of infection

Describe droplet transmission

microbes spread short distances through sneezing, coughing, laughing, or talking

Describe vehicle transmission

transmission by medium

Describe airborne transmission

infection by droplet in dust that travel more than 1 meter

Describe vector born

animals that carry pathogens from one host to another

Describe how nosocomial infections are obtained

Hospital infections
Micronisms obtained in hospital enviornment
Compromised immune system
Chain of transmission in hospital

Describe epidemiology

Study of when and where diseases occur and how they are transmitted

What is the signifigance of epidemiology

Improve the treatment and prevention of diseases

What is the purpose of the CDC and MMWR?

To collect data on disease

What are case reporting and nationally notifiable diseases?

diseases physicians are required to report by law

What are emerging infectious diseases?

Infectious diseases whose incidence has increased

What is the difference between pathogenicity and virulence?

Pathogenicy - ability to cause illness
Virulence - degree to which they cause disease

What is the concept of ID50 and LD50?

The required dose required to kill or infect 50% of the test population

Define portals of entry

entrance to the body

Define portals of exit

site where microorganisms leave the body

Define preferred portal of entry

entry that is prerequisite to being able to cause disease

What are the microbial components involved in adherence?

Glycocalyx


Fimbriae
Waxes


M protein



Describe penetration

invade host by disrupting cell wall/membrane

What are the major bacterial methods of evading host defense?

Antigenic variation
Latency
Resistance to immune effector mechanisms
Supression of immune response

Describe the types of damages caused by a pathogen

Using host's nutrients
Direct damage
Toxins
Hypersensitivity

What are the 3 types of exotoxin?

A-B toxins
Superantigens
Membrane disrupting toxins

What are the differences between endo and exotoxin?

Exotoxins - toxins secreted by cell
Endotoxins - toxins located inside cell

What are the differences between endotoxin and exotoxin in heat stability

Exotoxin - unstable (easily destroyed)
Endotoxin - stable (withstand autoclaving)

What are the differences between endotoxin and exotoxin in immunology?

Exotoxin - neutralized by antitoxin


Endotoxin - Not easily neutralized by antitoxin

What are the differences between endotoxin and exotoxin in chemistry?

Exotoxin - proteins, usually 2 parts
Endotoxin - lipid portion

What is lysogenic conversion?

Host cell exhibit new properties encoded by bacteriophage

What are the pathogenic properties of virus and other non bacterial pathogens?

Toxins
Allergic reactions
Direct cell damage
Cell death
Taking nutrients

Define nonspecific (innate) immunity

defenses present at birth

Define specific (adaptive) immunity

specific response to specific microbe once microbe has breached innate immunity defenses

Describe physical factors involved in resistance to disease

Barriers to entry
Processes that remove microbes from body's surface

Describe chemical factors involved in resistance to disease

Substances made by the body that inhibit microbial growth or destroy them

Name the types of blood cells involved in cellular defense

Leukocytes
(granulocytes, agranulocytes)

Describe phagocytes

Cells that ingest other substances

Describe macrophages (monocytes)

Phagocytic cells stationary in tissues or mobile white blood cell

Describe neutrophils

neutrophilic white blood cell

Define the term phagocytosis

Cell engulfs solid particle

Describe the mechanism for phagocytosis

Adherence of phagocyte to microbe
Ingestion
formation of phagocytic vesicle (phagosome)
Fusion of phagosome and lysosome
Digestion
Formation of residual body containing indigestable material
Discharge

Describe extracellular killing

Killing of microbes outside of the cell

Describe the process of inflamation

Damage to healthy tissue
Vasodilation
Phagocyte migration and phagocytosis of debris
Repair damaged tissue

What is the significance of inflammation?

It initiates the healing process

Describe vasodilation

widening of blood vessels

Describe histamine

Released in response to injury
Released to stimulate complement system

Describe kinins

attract phagocytic granulocytes to injured area

Describe diapedesis

movement of blood cells from capillary walls into surrounding body tissue

Describe leukotrienes

Substance produced by mast celles to increase the permeability of blood vessels and help attach phagocytes to pathogens

Describe protaglandins

Substances released by damaged cells that help phagocytes move through capillary walls

Describe leukocytosis

Increase in the number of white blood cells

Describe what a fever is

Abnormally high body temperature

What causes a fever

Infection from bacterias or viruses

What are the benefits of fever?

Intensifies effect of antiviral interferons
Increases production of transferrins that decrease iron available to microbes
May help body repair more quickly

What are the harms of a fever?

Rapid heartbeat
Acidosis
Dehydration
Electrolyte imbalance
Coma


Death

Explain the initiation of the complement system

Proteins destroy microbes by enhanced phagocytosis, inflammation, cytolysis

Describe opsonization

bacteria are targeted for destruction by immune cell

Describe cytolysis

Cell bursts

Describe both pathways of acivation

Classical - initiated when antibodies bind to antigens
Alternative - activated by contact between complement proteins and a pathogen

Describe ways bacteria can evade complement system

Capsules


Enzymes


Inhibits MAC formation


Attaches to complement receptors

Describe the action of interferon

Signals uninfected cells to heighten antiviral defenses

How do interferon protect from viral infection?

Signal other cells

What is humoral immune system

Antibody related, where B cells recognize antigens/pathogens

What is cell mediated immune system?

Immune response not involving antibodies
Activation of phagocytes, antigen specific T-lymphocytes
release of various cytokines in response to antigen

Describe passive immune system

Acquired through transfer of antibodies from an immune host
Short lived
(newborns)

Describe active immune system

Induced in host by antigen
Last a long time, maybe life long

Describe artificial immune system

Antibodies produced elsewhere and injected into host

Describe natural immune system

Where the body produces its own antibodies

Define antigen

Causes an immune response to foreign particles

Define antibody (immunoglobulin)

Y shaped proteins that identify and help remove antigens
Targets foreign antigens

Define antiserum

serum containing antibodies against specific antigens
Injected to protect against specific diseases

Define hapten

Extremely small antigens

Define epitopes

Antibody binding site

Describe antigenes

Proteins or large polysaccharides that are foreign

Function of IgG and structure

Main blood antibody

Main blood antibody

Function of IgA and structure

Secreted into mucus, tears, saliva

Secreted into mucus, tears, saliva

Function and structure of IgM

First respond to initial exposure to antigen

First respond to initial exposure to antigen

Function and structure of IgD

B cell surface receptor

B cell surface receptor

Function and structure of IgE

Fights cells too big to engulf, allergic responses, and parasites

Fights cells too big to engulf, allergic responses, and parasites

Describe self-tolerance immune response

Failure to attack body's own proteins and antigens

Describe specificity immune response

ability to recognize and eliminate particular microorganisms

Describe diversity in immune response

Ability to respond to many different kinds of invaders

Describe memory in immune response

ability to remember antigens it has acquired

Describe the role of T cells

Mature in Thymus
Destroy invading cells
Organize immune response

Describe the role of B cells

Secrete antibodies

Describe the role of plasma cells

Produce single kind of antibody

Describe the role of memory cells

Remember the same pathogen for faster antibody production in later infections

Describe T-dependent antigenes

activated by proteins
Needs direct contact with helper T-cells

Describe T-independent antigens

Activated by polysaccharides
Activate B-cells by other mechanism

Describe attenuated whole agent vaccination

living, weakened microbes
Life long immunity
Induces antibodies and immune response
EX: chickenpox

Describe Inactivated whole agent

Microbes that have been killed
Cannot harm immunosupressed people
EX: flu, rabies

Describe Toxoid

Safe
Boosters required
generate neutralizing antibodies

Describe subunit vaccinations

contains part of microorganism to simulate immune response
Nonliving microbes
Weaker immune response
EX: meningitis

Describe recombinant vaccinations

subunits generated by recombinant technology

Describenucleic acid vaccinations

Not currently used in humans
Used in horses for West Nile

Do vaccines work best on viral or bacterial diseases?

Viral