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98 Cards in this Set

  • Front
  • Back

Avirulent

Refers to a microbe that lacks the ability to cause disease.

Pathogens

Microbial parasites

Pathogens

Disease causing microorganisms and viruses

Pathogenicity

The ability of a parasite to inflict damage on the host

Opportunistic pathogen

Pathogens that cause disease only in the absence of normal host resistance

Infection

Situation in which a microorganism is established and growing in a host, whether or not the host is harmed

Infection

The invasion of the body by a microbe

Disease

Damage or injury to the host that impairs host function

Normal microbial flora

Microorganisms usually found associated with human body tissue

birth

Humans are colonized by microorganisms at _____

pathogens

Normal flora helps prevent colonization by ____

1. competes for nutrients and thus may exclude harmful organisms
2. stimulates the immune system.
3. can produce antimicrobial substances (antibiotics)
4. provides a surface that is incompatible with attachment.
5. can consume oxygen.
6. produce harmful metabolic byproducts.

Name 6 ways that your normal flora protects you from pathogens

1. moist areas: inside the nose armpit umbilicus
2. dry areas: forearms and palms
3. Areas with high concentration of sebum: side of nose,back of scalp, upper chest and back

What are the three microenvironments of the skin?

sucrose

High concentration of ____ promote dental caries.

Streptococcus sobrinus

_____ (organism) attaches to the smooth surfaces of the tooth.

Streptococcus mutans

_____ (organism) attaches to the crevices of the tooth.

lactic acid
dextran of the capsule

What two substance are produced from sucrose metabolism by Streptococcus?

The skin is generally a dry and an acidic environment that does not support the growth of most microorganisms

Why is the skin inhospitable to the growth of microbes?

environmental
host

The skin microflora composition is influenced by ____ and _____ factors

Saliva contains antimicrobial enzymes

What characteristic of the oral cavity limits microbial growth?

High concentrations of nutrients near surfaces in the mouth

What characteristic of the oral cavity promotes microbial growth?

acidic glycoproteins

Bacteria colonize tooth surfaces by first attaching to ______ deposited there by saliva

dental plaque

Extensive growth of oral microorganisms, especially streptococci, results in a thick bacterial layer called ______

anaerobic
acid
dental caries

As plaque continues to develop, _____ bacterial species begin to grow. As dental plaque accumulates, the microorganisms produce high concentrations of ____ by fermentation that results in decalcification of the tooth enamel also called_____

Streptococcus sobrinus
Streptococcus mutans

The lactic acid bacteria ____ and ____ are common agents in dental caries

acidity

The ______ of the stomach and the duodenum of the small intestine prevents many organisms from colonizing the GI tract

Vitamins (B12, K)
Gas (CO2, CH4, H2)
organic acids (acetic)
odor (H2S, NH3)
Enzymes

Compounds produced by the intestinal flora include ____

lower

The_____ (upper/lower) respiratory tract lacks microflora in healthy individuals

is

The bladder ___ (is/is not) typically sterile in both males and females

E. coli
Proteus mirabilis

_____ and _____frequently cause urinary tract infections in women

acidic
glycogen

The vagina of the adult female is weakly ____ (acidic/alkaline) and contains significant amounts of _____

Lactobacillus acidophilus

________, a resident organism in the vagina, ferments the glycogen, producing lactic acid

Virulence

____ is the relative ability of a pathogen to cause disease

LD50 (lethal dose50)

The amount of an agent that kills 50% of the animals in a test group

High

_____ (high/low) virulence pathogens show little difference in the number of cells required to kill 100% of the population as compared to 50% of the population

toxin

Organism can disease by means of a ____ that inhibits host cell function or kills host cells and can travel to sites within host not inhabited by pathogen

Invasiveness

___ is the ability of a pathogen to grow in host tissue at densities that inhibit host function

adherence

Entry of the pathogen into the host is followed by _______

adherence

Pathogen invasion starts at the site of _____ May spread throughout the host via the circulatory or lymphatic systems

macromolecular interactions

Bacteria and viruses that initiate infection often adhere specifically to epithelial cells through ____ on the surfaces of the pathogen and the host cell

slime layer
capsule
viral spikes
M proteins
Opa protein
Lipoteichoic acid
Fimbriae
pili

Bacterial adherence can be facilitated by ____

The availability of nutrients

_____ is most important in affecting pathogen growth

pH
oxygen concentration
available nutrients
temperature etc

What are some conditions in the body that affect pathogen growth?

Facultative aerobes deplete oxygen

Why is the large intestine anaerobic?

low

____ (low/high) virulence mutants grow faster in lab.

high

____ (low/high) virulence mutants have a selective advantage and grow faster in the body.

antibiotics

The use of ____ can eliminate organisms of the normal flora and allow pathogens to grow and spread.

Ligand (adhesin)

Projections from the microbe or virus used for attachment.

Receptors

Binding sites on the host cells.

Capsule

extracellular polysaccharide used for attachment.

Fimbriae

Fibrous protein projections on bacteria used for attachment

phase variation

Some bacteria can change fimbriae structure in response to host defenses. This is called______.

Spikes

Protein projections on a virus used for attachment.

M protein

Heat and acid resistant protein that mediates the attachment of bacteria to epithelial cells.

collagenase

Enzyme that destroy the basement membrane.

hyaluronidase

Enzymes that degrade the glue between cells

Bacterial kinase

____ dissolves clots.

Exotoxins

Proteins toxins released from the pathogen cell as it grows are ____

Siderophores

____ scavenge for iron and are produced by bacteria.

Transferrin
Lactoferrrin
Ferritin

What are the ron-binding proteins produced in mammals?

Toxigenicity

___ is the capacity of microorganisms to produce toxins.

Exotoxins

What type of toxin is produced inside the cell and excreted to the outside.

Exotoxins

(Exotoxins/Endotoxin) _______________ are protein.

Exotoxins

(Exotoxins/Endotoxin) _______________ are heat labile.

Endotoxins

(Exotoxins/Endotoxin) _______________ are lipopolysaccharide.

Endotoxins

(Exotoxins/Endotoxin) _______________ are heat stabile.

Exotoxins

(Exotoxins/Endotoxin) _______________ are potent.

Endotoxins

(Exotoxins/Endotoxin) _______________ are not potent

Exotoxins

(Exotoxins/Endotoxin) _______________ are found in gram negative and gram positive bacteria.

Endotoxins

(Exotoxins/Endotoxin) _______________ are found in gram negatives only.

Exotoxins

(Exotoxins/Endotoxin) _______________ can be made into toxoids.

Endotoxins

(Exotoxins/Endotoxin) _______________ do not illicit an immune response.

Enterotoxin

Toxins that damage the G.I. tract

necrotizing factors (toxins)

cytotoxins that kill large amounts of cells that leads to tissue necrosis.

Neurotoxins

Toxins that affect the transmission of nerve impulses.

Endotoxins

Toxins that are part of the gram negative cell wall. Released upon cell death.

Lipopolysaccharide

Lipid A (toxin component)+ O polysaccharide

Fever

____ is stimulated by the release of interleukin-1 from macrophages.

phospholipases

____ are enzymes that disrupt cell membranes.

Leukocidin

A ____ kills phagocytes by damaging the plasma membrane.

Virulence

___ is the measure of pathogenicity

Moist

____ areas of the skin are readily colonized by gram-positive bacteria and other normal flora of the skin

Attenuation

The decrease or loss of virulence is _____

Cytolytic toxins
AB toxins
Superantigen toxins

What are the three categories of exotoxins?

Cytolytic

______ toxins work by degrading cytoplasmic membrane integrity, causing cell lysis and death

hemolysins

Toxins that lyse red blood cells are called _____

Interleukin-1

____ is an endogenous pyrogen.

Shock
Hyperglycemia
Fever
Diarrhea
Decrease in lymphocyte and platelet count
Inflammation
Tissue necrosis

What conditions are stimulated by the release of cytokines from macrophages that have been exposed to lipopolysaccharide?

B subunit

Which subunit of an A-B toxin works by binding to host cell receptor

A subunit

___ is the damaging agent of an A-B toxin

B subunit

Which subunit of an A-B toxin transfers the other subunit across the cell membrane?

Entertoxins

___ are toxins that generally cause massive secretion of fluid into the intestinal lumen, resulting in vomiting and diarrhea

Endotoxin

____ is the lipopolysaccharide portion of the cell envelope of certain gram-negative bacteria.

compromised

A host is ____ if one or more resistance mechanisms are inactive

1 Intact skin-physical barrier
2 Intact mucous membranes-physical barrier
3 Tears-lacrimal apparatus
4 Saliva- salivary glands
5 Sweat- flushes microbes from skin
6 Mucus- trap pathogens in respiratory and GI tract
7 Hairs- nose, eyelashes and eyebrows
8 Cilia- ciliary escalator
9 Peristalsis and defecation-expels microbes
10 Urine flow-expels microbes
11 Vaginal secretions- move microbes out
12 Sloughing of skin cells- microbes fall off
13 Epiglottis- covers larynx
14 vomiting- expels microbe
15 coughing- expels microbes

List some physical components of the first line of defense

Sebaceous Oil
Lysozyme
Gastric Juices
Acidic nature of the skin
Low pH of vaginal secretions
cervical mucus is antimicrobial
Low pH of urine- pH 6

What are some of the chemical aspects of the first line of defense?

Innate resistance

__ are defenses against any pathogen and are present at birth

Age
Stress
Diet
Health
Occupation
Genetics
Weather etc

What are some prediposing factors?