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Exam Three
Antibiotics, immunology, viruses, vaccines, microbe control, etc.
286
Biology
Undergraduate 2
03/12/2014

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Cards

Term
What is the number one way to stop the spread of disease causing microbes?
Definition
Handwashing
Term
The removal of all life forms, including bacterial spores. No living microbes present.
Definition
Sterilization; sterile environment
Term
To remove microbes or reduce their populations to a safe level as determined by public health standards. "Acceptable" level of microbes will be present
Definition
Sanitation/sanitization
Term

What is involved with the food industry: restaurants/frozen foods/processed foods.

 

Varies state to state; "acceptable levels"

Definition
Sanitation
Term

Referring to any agent that kills microbes

 

Ex. kills fungi, yeast, milds, viruses, bacteria, etc.

Definition
Microbicidal
Term
Referring to any agent that kills bacterial cells
Definition
Bactericidal
Term
Referring to any agent that kills fungi
Definition
Fungicidal
Term
Referring to any substance that prevents the growth of bacteria; inhibits growth but doesn't kill
Definition
Bacteriostatic
Term
For lab media: what is the time, pounds of pressure, and temperature to kill microbes and all possible endospores?
Definition
15 minutes, 15 pounds of pressure @ 121° celsius
Term
What is a hospital acquired infection known as?
Definition
A nosocomial infection
Term
A disorder acquired during an individual's stay at a hospital or chronic care facility
Definition
Nosocomial Infection
Term
What are the two most common nosocomial infections?
Definition
MRSA & Clostridium Difficile
Term
The temperature required to kill a bacterial population in a given length of time. Lowest temp that will kill a population in 10 minutes
Definition
Thermal Death Point (TDP)
Term
The length of time required to kill a bacterial population at a given temperature.
Definition
Thermal Death Time (TDT)
Term
What kind of microbial control methods are the following: heath, incineration, hot dry air, boiling, steam/pressure, UV light, etc.
Definition
Physical
Term
Not super effective to rid microbes in water; would need approx 30 minutes to rid of microbes this way.
Definition
Boiling
Term
How long would you need to boil water to rid it of microbes? Of all endospores and viruses?
Definition

30 minutes

60 minutes

Term
Autoclaving; 15 minutes, 15 pounds of pressure at 121° celsius. What type of physical control is this?
Definition
Steam & Pressure
Term
Using a hot flame to kill bacteria. This is used when we flame our loops in lab. Occurs at 1600° celsius. What type of physical control is this?
Definition
Incineration
Term
What are the two types of pasteurization?
Definition
Flash and Ultra High
Term
What are two bacterias found in milk?
Definition
Lactobacillus and lactococcus
Term
Does pasteurization always rid milk of microbes?
Definition
No; but it does reduce the amount present
Term
Method of pasteurization not discussed in class: involves heating at 63º celsius for 30 minutes.
Definition
Holding (or batch) method
Term
Early form of sterilization involving exposure to free-flowing stream at 100° celsius for 30 minutes on each of 3 successive days with incubation periods at room temp between intermittent steaming
Definition
Tyndallization (intermittent sterilization)
Term
Very fast method of pasteurization; the liquid is held at 71.6° C for 3 (15 in lecture) seconds. This is the type of pasteurization done with milk in fridges.
Definition
Flash pasteurization
Term
Type of pasteurization in which the liquid is heated at 140° C for 3 seconds. This sterilizes the liquid if done under aseptic conditions. This is the type of pasteurization done with freeze dried milk, milk on shelves.
Definition
Ultra High Temperature (UHT)
Term
How is water involved with alcohol as a disinfectant?
Definition
When water is present, it allows for the denaturation of proteins.
Term
Mechanical method used to remove microorganisms suspended in liquids or gases.
Definition
Filtration
Term
Most common kind of filter. Consists of a pad of nitrocellulose acetate or polycarbonate mounted in a holding device. As fluid passes through, organisms are trapped.
Definition
Membrane Filtering
Term
Type of filter that purifies the air; consists of a mat of randomly arranged fibers that trap particles, microorganisms, and spores.
Definition
HEPA - high efficiency particulate air filter
Term
Fast, reliable, relatively inexpensive form of physical control. Most common physical control method.
Definition
Heat
Term
This method of physical control takes more time. Useful for sterilizing lab equipment such as glassware. Removes water from microorganisms, burns them slowly
Definition
Hot, dry air
Term
An instrument used to sterilize microbiological materials by means of high temperature using steam under pressure
Definition
Autoclave
Term
Involves the introduction of thymine dimers in DNA, disrupting replication and transcription. This type of physical control however DOES NOT penetrate liquids or solids.
Definition
UV light/sterilization
Term
Physical control in which ions quickly combine with cellular water and free radicals. This affects cellular metabolism and physiology; often causes mutations.
Definition
Radiation/Ionization
Term
Preservation by salting; water diffuses out of microorganisms toward the higher salt concentration and lower water concentration. This leaves microorganisms dehydrated and they die.
Definition
Osmosis
Term
What bacteria has endospores?
Definition
Bacillius and Clostridium
Term
Reduction 90% every minute so alcohol swab skin for 1 minute before injections or blood samples. What is this an example of?
Definition
Microbial Death Rate
Term
Why do we not want to give honey to small children?
Definition
Honey contains antigens/antibacterials. Young children do not have an immune response to deal with the natural antigens found in honey
Term
A chemical used to kill or reduce pathogenic microorganisms on a living object, such as the surface of the human body
Definition
Antiseptic
Term
A chemical used to kill or inhibit pathogenic microorganisms on a lifeless object such as a tabletop
Definition
Disinfectant
Term
The growth and spreading of bacteria or other toxins in the blood and tissues
Definition
Sepsis
Term
A collapse of the cirulatory and respiratory systems caused by an overwhelming immune response
Definition
Septic shock
Term
The process or method of bringing about a condition in which no unwanted microbes are present
Definition
Asepsis
Term
A procedure for determing bacterial susceptibility to an antibiotic/disinfectant by determining if bacterial growth occurs around it.
Definition
Disk diffusion test
Term
The area around a chemically soaked paper disk/antibiotic where growth is inhibited
Definition
Zone of Inhibition
Term
What is the disk diffusion test also known as?
Definition
Kirby-Bauer test
Term
Natural antiseptic that inhibits the growth of streptococcus mutans; one of the bacterial species causing tooth decay.
Definition
Wasabi
Term
Natural antiseptic that has 2 proteins in it that interfere with the bacterial cell wall and the other interacting with the bacterial cell membrane. Contains antigens of the environment, it is antibacterial, and contains antioxidents
Definition
Honey
Term
Natural antiseptic that has antifungal properties.
Definition
Cinnamon
Term
Natural antiseptic that is a heavy sulfur food that inhibits bacteria
Definition
Garlic
Term
What are the two halogens that represent intermediate level chemical agents? They are oxidizing agents or protein synthesis inhibitors; killing almost always occurs within 30 minutes after application
Definition
Chlorine & Iodine
Term
Halogen that is effective against a broad variety of organisms. At high concentrations, can be sporicidal. Widely used in water supplies, swimming pools
Definition
Chlorine
Term
Halogen compound that that causes cellular proteins to denature, destroying their function. Useful in very dilute solutions for sanitizing commercial and factory equipment.
Definition
Hypochlorite
Term
Slightly larger than the chlorine atom and is more reactive and more germicidal
Definition
Iodine
Term
What % is the iodine that is used as antiseptic for wounds?
Definition
2%
Term
Antiseptic that damages microbes and many endospores by reacting with enzymes and with proteins in the cell membrane and cell wall. Binds with the cytoplasmic proteins
Definition
Iodine
Term
Low level to intermediate level chemical agent. Remains the standard against which other antiseptics and disinfectants are evaluted. What test is this known as? Acts by denaturing proteins; especially in the cell membrane.
Definition

Phenol

Phenol Coefficient Test

Term
Low level chemical agents that inactivate enzymes and structural proteins. Includes an inhibitor of algae, one is placed in the eyes of infants to protect against infection after birth, one is very toxic to the host
Definition
Copper, Silver, Mercury: heavy metals
Term
Placed in baby's eyes as drops to prevent infection from mother.
Definition
Silver nitrate
Term
What kind of bonds do heavy metal salts disrupt? Why?
Definition
Disrupt disulfide bonds. This is because of the high affinity and attraction for sulfur and it will also lead to the denaturation of proteins.
Term
Chemical that binds to DNA. Involved in preservation, toxic to tissues, viricidal and sporocidal.
Definition
Formealdehyde
Term
What is the most effective disinfectant used in lab? Also used in the sterilization of surgical supplies.
Definition
Gluteraldehyde
Term
Fatty acids with hydroxide-alkaline pH
Definition
Soaps
Term
To mechanically remove organisms from a surface
Definition
Degerm
Term
What kind of agent does soap work as??
Definition
Degerming; it mechanically removes organisms from a surface
Term
A synthetic chemcial, such as detergent, that emulsifies and solublizes particles attached to surfaces by reducing the surface tension
Definition
Surfactants
Term
A positively charged detergent with 4 organic groups attached to a central nitrogen atom; used as a disinfectant. Cell membrane is disrupted - highly effective.
Definition
Quats - Quaternary ammonium compound
Term
What compound does antibacterial soap contain?
Definition
Triclosan
Term
A broad spectrum antimicrobial agent that destroys bacterial cells by disrupting cell membranes by blocking synthesis of lipids. There is a possibility of bacterial species developing resistance to this.
Definition
Triclosan
Term
There is at least one bacteria that has built resistance to triclosan. How does this bacteria protect itself agains triclosan?
Definition
It pumps it out of the cell.
Term
What do viruses need to carry out function??
Definition
Host
Term
What kind of microscope do we use to view viruses?
Definition
TEM
Term
What kind of specificity do viruses display? 2 types
Definition
Host and tissue
Term
Who discovered penicillin? First to discover antibiotics?
Definition
Alexander Fleming
Term
Where do antibiotics come from?
Definition
Mostly natural sources or are based on natural compounds. Based on molds or other bacteria
Term
Referring to an antimicrobial drug useful for treating many groups of microorganisms, including gram + and gram - bacteria
Definition
Broad Spectrum Antibiotic
Term
Referring to an antimicrobial drug that is useful for a restricted group of microorganisms
Definition
Narrow Spectrum Antibiotic
Term
All drugs that are created in the laboratory are ______ drugs?
Definition
Synthetic drugs
Term
The process of using chemical agents to treat diseases and infections, or other disorders
Definition
Chemotherapy
Term
Arsenic, phenol, sulfur are all associated with what?
Definition
Chemotherapy treatment
Term
Streptomyces, penicillium, cephalosporium, etc. are all involved in the making of what?
Definition
Antibiotics
Term
A number that represents the highest level of an antimicrobial drug tolerated by the host divided by the lowest level of the drug that eliminates the infectious agent.
Definition
Chemotheraputic index
Term
How do you calculate the chemotheraputic index?
Definition
Toxic dose/theraputic dose
Term
The amount of a drug that would be toxic to humans is known as the _____ dose
Definition
Toxic
Term
The amount of a drug that is needed to treat one's infection is known as the _____ dose
Definition
Theraputic dose
Term
In cancer treatment: drugs that are chemically similar to antibiotics. They damage the genetic material of cancer cells.
Definition
Anthracyclines
Term
In cancer treatment: drugs that interfere with the way that the cancer cells divide
Definition
Taxanes
Term
Is tetracycline a broad or narrow spectrum antibiotic?
Definition
Broad
Term
Is vancomycin a broad or narrow spectrum antibiotic?
Definition
Narrow; Gram +
Term

Is Polymyxin a broad or narrow spectrum antibiotic?

 

Definition
Narrow; Gram -
Term

Identify the site of action for the following antibiotics:

 

Penicillins, cephalosporins, vancomycin, bacitracin, monobactams, fosfomycin, cycloserine

Definition
Cell wall; Block synthesis and repair
Term

Identify the site of action for the following antibiotics:

 

Quinolones (ciprofloxacin), Rifampin

Definition
DNA & RNA; inhibit replication and transcription
Term

Identify the site of action for the following antibiotics:

 

Sulfonamides (sulfa drugs), trimethoprim

Definition
Folic acid synthesis; inhibit folic acid metabolism
Term

Identify the site of action for the following antibiotics:

 

Chloramphenicol, erythromycin, clindamycin, oxalolidinones

Definition
50S subunit; inhibits protein synthesis
Term

Identify the site of action for the following antibiotics:

 

Aminoglycosides, tetracyclines, streptomycin, amikacin

Definition
30S subunit; inhibits protein synthesis
Term

Identify the site of action for the following antibiotics:

 

Polymyxins

Definition
Cell membrane
Term
Very aggressive antibiotics have the following active site
Definition
DNA/RNA (ciprofloxicin)
Term
If an antibacterial is has a selective target, is it broad or narrow spectrum?
Definition
Narrow; the target is unique
Term
If an antibiotic is narrow spectrum, what bacteria will it not kill?
Definition
Normal Flora Bacteria
Term
What are characteristics of an ideal antibacterial drug?
Definition
Selective target, bactericidal, narrow spectrum, high therapeutic index, few adverse reactions, various routes of admin, good absporption, good distribution to site of infection, emergence of resistance is slow
Term
What are the routes that antibiotics can be delivered?
Definition
IV, IM, oral
Term
Added effect due to 2 kinds of drugs is known as what?
Definition
Synergism; Bactrim is syntergistic - it involves 2 antibiotics in 1
Term
What is folic acid used in building?
Definition
DNA nucleotides
Term
When can you not be prescribed sulfa drugs? Why?
Definition
When pregnent because folic acid incorportation in new DNA of baby cannot be disrupted
Term

Identify MOA and name an antibiotic that matches:

 

Prevents enzyme that makes folic acid for bacteria.

Definition
Folic Acid Inhibitor; sulfanamides.
Term
What is PABA?
Definition

It is one of 3 important components that a bacterial enzyme must join to synthesize folic acid.

 

Term
How does SMZ interfere with PABA?
Definition
SMZ competes with PABA for the active site on the bacterial enzyme. This competitive inhibition blocks folic acid synthesis and DNA replication.
Term
What kind of bacteria is affected by sulfonamides (sulfa drugs)?
Definition
Bacteriostatic: gram + and gram -
Term
How is beta-lactamase involved in bacterial resistance?
Definition
Many penicillin-resistant bacterial species produce beta-lactamase which inactivates beta-lactam antibiotics
Term

Identify MOA and name an antibiotic that matches:

 

These block the synthesis of the bacterial cell wall. More common for killing gram + bacteria because it targets the cell's peptidoglycan. Interfere with NAG and NAM cross linking.

Definition
Beta Lactam drugs that target the cell wall; penicillin, amipicillin, amoxicillin, methicillin
Term
How does beta-lactamase work? What is penicillin's active site?
Definition
Sends enzyme to the cell wall which binds to pencillin's active site, which are the beta lactam rings.
Term

Identify MOA and name an antibiotic that matches:

 

Recognizes and binds to the 2 D-ala residues on the end of the peptide chains.

 

Definition
Attacks cell wall; Vancomycin
Term
How does resistance with Vancomycin work?
Definition
In resistant bacteria, the last D-ala residue has been replaced by D-lactate so vancomycin cannot bind
Term

Identify MOA and name an antibiotic that matches:

 

Used externally only. Inhibits cell wall production by stopping mvmt of molecules through the cell membrane. Affects mainly Gram + bacteria

Definition
Cell Membrane MOA; Polymixin (Bacitracin) also neosporin
Term

Identify MOA and name an antibiotic that matches:

 

Blocks the attachment of tRNA, broad spectrum. Causes "yellow teeth" in patients

Definition
Protein synthesis; tetracyclines
Term

Identify MOA and name an antibiotic that matches:

 

Bind to the 30s ribsosome subunit and inhibits mRNA reading (gram -)

Definition
Protein synthesis; aminoglycosides
Term

Identify MOA and name an antibiotic that matches:

 

Binds to the 50s subunit and misreads mRNA, broad spectrum.

Definition
Protein synthesis; Chloramphenicol
Term

Identify MOA and name an antibiotic that matches:

 

Blocks tRNA

Definition
Protein synthesis; erythromycin
Term

Identify MOA and name an antibiotic that matches:

 

Very heavy/effective drugs, transcription is the target, resistance is not readily found.

Definition
DNA/RNA targets; ciprofloxacin, nitrofurantoin
Term

Identify type of drug and MOA:

 

Used to treat UTI's, pneumonias, ear infections, leprosy

Definition
Folic Acid Inhibitor; sulfonamides
Term

Why do antibiotics that target ribosomes only affect bacterial ribosomes; and not ours?

 

Definition
Because we have structurally different ribosomes from bacteria, thereby allowing the selectivity of this antibiotic for bacteria
Term
What factors contribute to resistant drugs?
Definition

Selective pressure

Horizontal gene transfer: transformation, conjugation, transduction, transposons

Term
Antibiotic resistance often comes from bacterial cells picking up resistance genes from other bacterial cells. Aquire resistance genes from donor bacterial cells; what is this known as and how does it occur?
Definition
Horizontal gene transfer through transformation, conjugation, transduction, transposons
Term
Whatever individuals withstand pressure, will develop into the next generation. They will then pass resistance onto their offspring. What is this resistance mechanism known as?
Definition
Selective Pressure
Term

Identify the way that bacteria becomes resistant:

 

Proteins change on cell's surface, will not recognize the drug or let it in.

Definition
Decreased permeability
Term

Identify the way that bacteria becomes resistant:

 

Pumps will pump antibiotic out of the cell

Definition
Activation of drug pumps
Term

Identify the way that bacteria becomes resistant:

 

Hydrolyzing the antibiotic.

Definition
Enzyme production to degrade the antibiotic
Term
When did we see resistance to antibiotics begin to develop?
Definition
Around the 1980's
Term
How can we reduce the development of resistant strains of bacteria?
Definition

High doses of 2 or more drugs

Limit use of broad spectrums

Use drugs properly

Give body time to eradicate infection

Educate others

Term
How long must antibiotics undergo clinical trials by the FDA before they are brought to the public?
Definition
Approx. 8-10 years
Term
Medication that blocks the release of the flu virus from the cell. Slows the course of the virus throughout the body and shortens flu by 2-3 days
Definition
Tamiflu
Term
Have varying MOA's but they prevent viral uncoating, replication, or release.
Definition
Antivirals; available for herpes virus, hep B & C, HIV, flu
Term
Bind to sterols on the plasma membrane, cause leaky cell
Definition
Antifungals, plasma membrane inhibitors
Term
What is nystatin prescribed for?
Definition
Yeast infection
Term
What is metronidazole prescribed as? How many enzymes are affected by it?
Definition
150 enzymes; antiparasitic
Term
The scientific study of the source, cause, and transmission of disease within a population
Definition
Epidemiology
Term
The relationship between host and pathogen and the competition for supremacy that takes place between them
Definition
Infection
Term
Any change from the general state of good health. Any altered state beyond the norm of human health; Response of a host to an infection
Definition
Disease
Term
The population of microorganisms that colonize various parts of the human body and do not cause disease in a healthy individual. Compete with pathogens; especially found in our gut.
Definition
Microbiota
Term
The ability of a disease-causing agent to gain entry to a host and bring about a physiological or anatomical change interpreted as disease
Definition
Pathogenicity
Term
The degree to which a pathogen is capable of causing a disease. How viscious is it?
Definition
Virulence
Term
A microorganism that does not cause disease but that can become pathogenic or life-threatening if the host has a low level of immunity. Found naturally in our bodies but in the right "opportunity" or area will cause disease.
Definition
Opportunistic
Term
What microorganisms cause disease?
Definition
Viruses, bacteria, fungi
Term
A disease whose causative agent is acquired from the environment and is not transmitted to another individual
Definition
Noncommunicable disease
Term
A disease that is readily transmissible between hosts
Definition
Communicable disease
Term
Why is it important to understand the host/pathogen relationship?
Definition
Important to understand so we know how to prevent the spread of disease
Term
When is disease caused?
Definition
When host defenses and barriers are overcome by a pathogen
Term
Widespread infection that affects the whole body
Definition
Sepsis
Term
When bacteria affects blood
Definition
Bacteremia
Term
When sepsis begins to produce toxins in human cells causing patient to become septic
Definition
Septic shock
Term
What can sepsis lead to?
Definition
Multiple organ failure, hypotension, death
Term
What are the two main portals of entry for pathogens?
Definition

Fecal/oral

Inhalation

 

*Also, STD, parenteral

Term
What must pathogens be in order to cause disease in humans?
Definition
They must be human pathogens
Term
How do pathogens cause disease in humans?
Definition
Gain access, adhere and recognize to host cells
Term

Identify the virulence enzyme:

 

Enzyme that uses material in the host to break down fibrin and then casues clotting that protects bacteria in small packets.

Definition
Coagulase
Term

Identify the virulence enzyme:

 

Enzyme that is produced by bacteria that releases bacteria from packet so that the bacteria can go further to cause infection

Definition
Streptokinase
Term

Identify the virulence enzyme:

 

Helps bacteria to break membranes to allow bacteria to spread deeper into tissues making infections harder to rid of

Definition
Hyaluronidase
Term
A bacterial metabolic poison composed of protein that is relased to the environment; in the body it can affect various organs and systems
Definition
Exotoxins
Term
Exotoxins that causes food poisoning
Definition
Botulism
Term
Exotoxin that causes patient's to get a huge swelling on face
Definition
Diptheria
Term
Exotoxin that attacks WBC's
Definition
Leukocydins
Term
A metabolic poison, produced chiefly by gram - bacteria that are part of the bacterial cell wall and consequently are realsed on cell disintegration; composed of lipid-polysaccharide peptide complexes
Definition
Endotoxin
Term
What is E.Coli O157:H7?
Definition
E.coli that produces a toxin (exotoxin) that is found in the gut of cattle. Does not harm cattle but when introduced in humans it affects the kidneys.
Term
Pathogens are specific to _____ and ________
Definition
Tissue and host
Term
Person-to-person transmission is also known as what?
Definition
Horizontal transmission
Term
The spread of disease from mother to fetus or newborn is known as?
Definition
Vertical transmission
Term
Handshaking, kissing, transmission of body fluids, sexual transmission, respiratory droplets are all known as what?
Definition
Direct contact transmission
Term
Contact with fomite objects, food, water, vectors are known as?
Definition
Indirect contact transmission
Term
Nonliving objects on which a pathogen can live for a few hours ex. pencil
Definition
Fomite objects
Term
Something that carries a pathogen from one host to another ex. mosquito, tick
Definition
Vector
Term
How far can a sneeze travel?
Definition
Up to 30 feet
Term
About how many hospital (nosocomial) infections are acquired each year?
Definition
Approx. 1 million
Term
The following individuals are what? Chemo patients, babies, those recovering from surgery
Definition
Immunocompromised
Term
What are the two major divisions of the immune system?
Definition
Innate v. Acquired
Term
Nonspecific, involves barriers, blood cells, organ systems. These are the defenses we are born with.
Definition
Innate immune system
Term
Adaptive, more specific to pathogens that have invaded you or your mother
Definition
Acquired immune system
Term
Skin, mucous membranes, microbiota/flora are all known as what? Which immune system?
Definition
Barriers; Innate
Term

Identify infection route:

 

Passed through feces

Definition
Fecal/oral
Term

Identify infection route:

 

Through the air

Definition
Airborne
Term

Identify infection route:

 

Through a cut, scratch, IV site, injection site

Definition
Parenteral
Term
Chemical inhibitor found in human tears, mucus, and saliva. What kind of immunity?
Definition
Lysozyme; innate
Term
WBC's that fight pathogens (general)
Definition
Leukocytes
Term
Leukocytes are developed where? How about lymphocytes?
Definition
Bone marrow & lymphatic system glands
Term
50-70% of WBC's are what type?
Definition
Neutrophils; these are phagocytizers
Term
Process by which foreign material or cells are taken into a WBC and destroyed
Definition
Phagocytosis
Term
Invader molecules, compounds, carbohydrates are known as what?
Definition
Antigens
Term
B & T lymphocytes are part of what immunity?
Definition
Acquired
Term
NK cells are part of what immunity?
Definition
Innate
Term
Macrophages are part of what immunity?
Definition
Innate
Term
Gathers extra fluid in the body that is leaked and returns it back to circulation/the heart
Definition
Lymphatic system
Term
What makes antibodies?
Definition
Lymph nodes
Term
Eat disease/infection. Also release chemicals in blood that stimulate an immune response.
Definition
Macrophages
Term
Chemical signals that are released in the blood and stimulate an immune response
Definition
Cytokines
Term

Can send message to hypothalamus to lower fever

Can send messages to T cells (acquired) "gatekeepers"

Can attract neutrophils or other immune cells

Definition
Cytokines
Term
Bone marrow, thymus, spleen, lymph nodes are all important anatomical features of what system?
Definition
Lymphatic/immune system
Term
What are the 3 main types of barriers involved in innate immunity?
Definition
Physical, chemical, cellular
Term

Skin: sebum, dry surface

Mucous membranes: cilia, mucus

 

These are what type of barrier?

Definition
Physical Barriers
Term

Bile, lysozyme, complement, interferon, defensins

 

These are what type of barrier?

Definition
Chemical barriers
Term

Leukocytes, tissue microbiota

 

These are what type of barrier?

Definition
Cellular
Term
These cells are known to lyse (kill) our own cells that have cancer or a viral infection
Definition
NK (natural killer) cells
Term
What is the receptor that all of our own cells have that tells our body that they belong to us?
Definition
MHC1
Term
How do NK cells recognize viral/cancer cells?
Definition
Viral cells will lose # of MHC1 receptors and NK cells will recognize this and kill them
Term
What is the largest immune organ of the body?
Definition

MALT- mucosa associated lymphoid tissue

 

*Houses alomst 80% of all immune cells in a healthy human adult

Term
Part of the innate immune system which involves the gut. Phagocytizes invaderse and saves part of these invaders so that the body can recognize them in the future.
Definition
MALT
Term
A type of WBC with granules that functions in allergic reactions
Definition
Basophil
Term
Type of WBC with granules that stains with dye and plays a role in allergic reactions and the body's response to parasitic infections
Definition
Eosinophils
Term
The most common type of WBC's. Functions chiefly to engulf and destroy foreign material, including bacterial cells and viruses that have entered the body
Definition
Neutrophil
Term
A circulating WBC witha  large bean shaped nucleus that is the precursor to a macrophage
Definition
Monocyte
Term
A large cell derived from monocytes that is found within various tissues and actively engulfs foreign material, including infecting bacterial cells and viruses
Definition
Macrophage
Term
A WBC that matrures into memory cells and plasma cells that secrete antibody
Definition
B lymphocyte
Term
A type of WBC that matures in the thymus gland and is associated with cell-mediated immunity
Definition
T lymphocyte
Term
A type of defensive body cell that attacks and destroys cancer cells and infected cells without the involvement of the immune system
Definition
NK cell
Term
A WBC having long finger-like extensions and found within all tissues; it engulfs and digests foreign material, such as bacterial cells and viruses, and presents antigen peptides on its surface
Definition
Dendritic cell
Term
What does innate immunity depend on?
Definition
Receptor recognition of common pathogen-associated molecules
Term
What helps the innate immune system recognize pathogens?
Definition
PAMPS - Pathogen Associated Molecular Patterns
Term
Where are PAMPS found??
Definition
These are found on the invading pathogen
Term
What do all invaders have?
Definition
Antigen
Term
Where are the toll-like receptors found??
Definition
These are found on our cells
Term
Cellular sensors found on macrophages, dendritic cells, endothelial cells, and neutrophils. These recognize PAMPS.
Definition
Toll-like receptors (TLRs)
Term
What is the healthy self receptor?
Definition
MHC-1
Term
Do human cells have PAMPS?
Definition
No. These are on invading cells
Term
What is the main purpose of anitbodies?
Definition
To block the antigens from spreading
Term
What happens when a phagocyte "eats" a bacteria?
Definition
Parts of the bacteria (antigen) go to the surface of the phagocyte. The phagocyte presents the antigen to a helper T cell. The helper T cell is then activated.
Term
When an allergic reaction occurs, what is there an overproduction of?
Definition
Histamine
Term
Where do B cells arise from?
Definition
Bone marrow
Term
Where do T cells arise from?
Definition
Thymus
Term
Adaptive immunity generates how many complementary responses to most pathogens?
Definition
2
Term
Involved in producing antibodies against epitopes? Acquired.
Definition
B lymphocytes
Term
Provide resistance through lysis of infected or abnormal cells. Acquired
Definition
T lymphocytes
Term
Antibodies/proteins are also known as what?
Definition
Immunoglobulins
Term
Antibodies flag and block. Explain how.
Definition

Flag: so that phagocytosis (cell eating) can occur.

 

Block: block antigen from spreading and causing futher infection

Term
Discuss the structure of an immunoglobulin
Definition

4 chains: 2 heavy chains, and 2 light chains

 

Chains are joined by disulfide bond to form a Y structure.

 

At each end of the Y, one heavy and one light's variable domain forms an antigen binding site.

 

Term
The chemical part of antigen that the antibody recognizes
Definition
Epitope
Term

Identify the Immunoglobulin (Ig) class:

 

The major circulating antibody. It provides immunity to the fetus and newborn

Definition
IgG
Term

Identify the Immunoglobulin (Ig) class:

 

The first (but short-lived) Ig to appear in circulation after B cell stimulation.

Definition
IgM
Term

Identify the Immunoglobulin (Ig) class:

 

Provides resistance in the respiratory and gastrointestinal tracts (mucosal immunity). Found in clostrum

Definition
IgA
Term

Identify the Immunoglobulin (Ig) class:

 

Plays a role in allergic reactions

Definition
IgE
Term

Identify the Immunoglobulin (Ig) class:

 

Is a cell surface receptor on B cells and activates them

Definition
IgD
Term
Helper T cells bind to MHC-2 receptor with the help of what?
Definition
CD-4
Term
What is the MHC-2 receptor instrumental in doing?
Definition
Sending out cytokines. T cells become cytotoxic T cells, B cells sent out
Term
How do immunoglonins act as flags?
Definition
They cover antigens and act as flags to tell other cells to eat them.
Term
A type of antigen antibody reaction that results in visible clumps of organisms or other material
Definition
Agglutination
Term
A type of antigen antibody reaction in which thousands of molecules of antigen and antibody cross-link to form visible aggregates
Definition
Precipitation
Term
A type of antigen antibody reaction in which the activity of a toxin is inactivated
Definition
Neutralization
Term
Enhanced phagocytosis due to the activity of antibodies or complement
Definition
Opsonization
Term
The process of making an individual resistant to a particular disease by administering a vaccine
Definition
Immunization
Term
A preparation containing weakened or dead microorganisms or viruses, treated toxins, or parts of microorganisms or viruses to stimulate immune resistance
Definition
Vaccine
Term
What vaccines should immunocompromised individuals not recieve?
Definition
Live, attenuated.
Term
Pathogens that have been weakened in the lab (reduced virulence) Inject patients with mild strain. Pathogens only multiply at low rates which increases the dose of antigent that the immune system recieves.
Definition
Live, attenuated vaccines
Term
In these vaccines, pathogens are kiled completely. Exposes pt. to the coating/antigen on coating. Produces a weaker immune response. Very safe.
Definition
Inactivated vaccines
Term
These vaccines cannot make you sick. Contains only parts of the antigen that stimulate a strong immune response. Give the body what is necessary to create a flag.
Definition
Subunit vaccine
Term
Inactivated toxins. Allows body to generate antibodies and memory cells to recognize the natural toxin.
Definition
Toxoid Vaccines
Term
These vaccines contain the antigen and a carrier protein
Definition
Conjugate vaccines
Term
These are vaccines that are genetically engineered and consist of plasmids that contain protein encoding genes from a viral or bacterial pathogen.
Definition
DNA vaccines
Term
Vaccines in which harmless bacterium mimics a harmful microbe
Definition
Recombinant vector vaccines
Term
Indirect protection that implies that if enough people in a population are immunized against certain diseases, then it is very difficult for those disease to spread
Definition
Herd (community) immunity
Term

Disease passed through blood and body fluids. Liver disease is caused by this. The vaccine contains one of the viral envelope proteins. It is produced by yeast cells into which the genetic code for HBsAg has been inserted.

 

What disease? What kind of vaccine?

Definition
Hepititis B; recombinant subunit vaccine
Term
What vaccine is good to recieve right after birth?
Definition
Hep B
Term

Disease that presents with diarrhea, high risk of dehyration in young children especially. Oral vaccine. Has helped to prevent more than 65,000 hospitalizations.


What disease? What kind of vaccine?

 

Definition
RV - Rotavirus, live attenuated
Term

Causes whooping cough. Also includes protection against 2 other diseases. 

 

What disease? What kind of vaccine?

Definition
DTap; Pertusiss (acellular subunit vaccine)/ diphtheria & tetnus (toxoid)
Term
What is the vaccine that combines Dtap and Hep B?
Definition
Pediatrix
Term

Causes bacteremia, pneumonia, epiglottitis, bacterial meningitis. Especially dangerous in children because this disease can affect many areas at once and can cause an immune system overload. 

 

What disease? What kind of vaccine?

Definition
Hib; subunit conjugate vaccine
Term

Used to protect young children against disease caused by streptococcus pneumoniae. Has a huge variation of antigens and gives great protection. Contains approx. 16-25 strains.

 

What disease? What kind of vaccine?

Definition
PCV (pneumococcal conjugate vaccine); conjugate vaccine
Term

Disease is no longer present in the US. If found it is typically a traveler. Based on 3 wild, virulent reference strains, grown in a type of monkey kidney tissue culture, and then inactivated with formalin. 

 

What disease? What kind of vaccine?

Definition
IPV, for polio; inactivated
Term
Why is the flu shot recommended each year?
Definition
The strains change so often and the virulence changes so you must get one each year; recommended for everyone. Lots of DNA exchange occurs when viruses replicate and mutations are created very quickly.
Term
What kind of vaccine is the flu nasal spray?
Definition
Live, attenuated. Fights A1, A2, B1, B2
Term
What form is the flu IM injection?
Definition
Killed, inactivated
Term

Highly contagious diseases (3) Merck is the big pharmaceutical company that develops this vaccine.

 

What disease? What kind of vaccine?

Definition
MMR; live attenuated viruses.
Term

Virus as a child; lays dormant. Must get a booster as an adult if you have been exposed to the disease.

 

What disease? What kind of vaccine?

Definition
Varicella (chicken pox); live attenuated; zoster is the adult booster to prevent shingles
Term

Affects liver, easily spread through ingestion of contaminated food or water or through direct contact with infectious person. Recommended for travelers. 

 

What disease? What kind of vaccine?

Definition
Hepititis A; one is the inactivated but the other contains live attenuated virus.
Term

Protects agains cervical cancer in women; also agains genital warts and cancers of the anus, vagina, and vulva. Disease is transmitted sexually.

 

What disease? What kind of vaccine?

Definition
HPV; recombinant VLP (gardasil cervarix)
Term
How does HPV cause cancer?
Definition
The virus will change the DNA of the cells it infects (genitals, cervix, epithelial tissue). As it affects these cells, it will make proteins that cause these cells to divide uncontrollably
Term
How is HPV spread?
Definition
Skin to skin, sexual contact. It can go undetected until the individual has a pap smear.
Term
Why are gardasil and cervarix recommended to be given at a young age??
Definition
Want to be given before any sexual contact occurs.
Term
How are viruses named and categorized?
Definition
According to their structures and their genetic information (what it is and how it is stored)
Term
Do viruses have DNA, RNA, or both?
Definition
They can have either or, not both
Term
Where do viruses obtain their envelope from if they have one?
Definition
The host, most often
Term
Why are gram - bacteria more resistant to antibiotics in general?
Definition
They have 3 layers of protection with their extra outer membrane
Term
Explain the pneumonia case from the video.
Definition
She developed pneumonia secondary to a MRSA infection. She became pan resistant to antibiotics: resistant to everything. Went into septic shock and had to be placed on echmo.
Term
What is a complication of rotavirus in children??
Definition
Intussuseption
Term
What was the bacteria that was brought into the US by the individual who was injured in india?
Definition
NDM-1
Term
What bacteria was passed around the ICU and hosptial at NIH?
Definition
KPC
Term
What is an infection of a human by an animal virus known as?
Definition
Zoonotic infection
Term
Are antibiotics being highly developed right now? Why or why not?
Definition
No. Antibiotics cannot make a lot of money because they are only used for a short amount of time and they do not provide a good return on the money and time that goes into making them. Not a lot of development in these areas; companies have pulled out of development of antibiotics.
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