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Micro test 4
medical
177
Biology
Undergraduate 2
12/07/2006

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Term
Define pathology
Definition
study of disease in an organism
Term
Infection
Definition
invasion of body by pathogenic MO
Term
Disease
Definition
change in state of health of host caused by infection
Term
Symptoms
Definition
changes in body function that are NOT measurable
Term
Signs
Definition
changes in body function that ARE measurable
Term
Communicable
Definition
spread of disease from one person to another
Term
Contagious
Definition
easily communicable
Term
Noncommunicable
Definition
not spread person to person
Term
Incidence
Definition
# of people that contract a disease during a given period
Term
Prevalence
Definition
% of POPULATION that have disease at a particular time
Term
Endemic
Definition
disease that is constantly present in population
Term
Epidemic
Definition
high number of people acquire disease in short time
Term
Pandemic
Definition
worldwide epidemic
Term
Acute disease
Definition
develops rapidly, lasts short time
Term
Chronic disease
Definition
develops slowly, lasts a long time/recurs
Term
latent disease
Definition
inactive for long times, then active
Term
local infection
Definition
infection at one particular spot
Term
Systemic infection
Definition
MO spread via blood or lymph
Term
focal infection
Definition
infection starts in one area, THEN spreads via blood or lymph
Term
Bacteremia
Definition
bacteria in blood
Term
Septicemia
Definition
bacteria multiplying in blood
Term
Toxemia
Definition
toxins in blood
Term
Viremia
Definition
viruses in blood
Term
primary infection
Definition
initial illness, acute infection
Term
secondary infection
Definition
second infection occurring after primary, weakens immune system
Term
subclinical infection
Definition
no symptoms
Term
reservoirs
Definition
continual sources of MOs
Term
Human reservoirs
Definition
during infection, 'carriers', inapparent/apparent/latent infections
Term
animal reservoirs
Definition
wild (sylvatic) or domestic
Term
nonliving reservoirs
Definition
soil and water
Term
zoonoses
Definition
diseases spread animal to human
(rabies, Lyme, plague, salmonellosis)
Term
direct contact
Definition
transmission through contact (sex, etc)
Term
indirect contact
Definition
transmission via something else (fomite)
Term
fomite
Definition
inanimate object carrying MOs
Term
droplet transmission
Definition
coughing, sneezing, laughing, talking, etc.
Term
vehicle transmission
Definition
food, water, air
Term
vectors
Definition
mechanical or biological transmission by primarily arthropods
Term
epidemiolgy
Definition
study of when and where diseases occur and how they are transmitted
Term
what are the 4 stages of disease development
Definition
Incubation
Prodromal
Period of Illness
Convalescence
Term
incubation stage
Definition
period of disease develpment w/no s/s, MOs in lag phase
1st stage
Term
prodromal stage
Definition
mild s/s
Term
Convalescence stage
Definition
stage of disease where person feels better but not 100%, easy to relapse
Term
where are your parotid glands? what disease associated w/swelling?
Definition
salivary glands below and in front of ears
mumps
Term
what type of virus causes mumps (family)
Definition
Paramyxoviridae
Term
what are the 2 general types of human host defenses?
Definition
Non specific
Specific
Term
what type of defense is the same for all invading organisms?
Definition
non-specific
Term
what are the 4 types of non-specific host defenses?
Definition
1. Intact epithelial system
2. Phagocytosis
3. Inflammatory Response
4. Fever
Term
how does the epithelial system work as a defense system?
Definition
1. barrier - lines surface of body(skin) and interior tracts/pathways (mucous membranes)
2. outer cells (and attached MO) shed everyday
Term
what types of cells phagocytize invading MOs? what 2 types?
Definition
White Blood Cells
1. Macrophages
2. Neutrophils
Term
why are neutrophils named as such?
Definition
stain w/neutral dyes
Term
what are the 4 parts of an inflammatory response?
Definition
1. swelling
2. gives off heat
3. redness
4. pain
Term
how does the inflammatory response work?
Definition
1. chemical signals cause structures that hold cells together in capillaries to relax
2. capillary fluid 'leaks' into inflamed area, raising the temp. and delivering WBCs
Term
at what temp. does a fever become dangerous?
Definition
~103 F
Term
what is another name for specific host defenses?
Definition
Acquired Immune Response
Term
what is another name for 'memory response'in regards to immune response?
Definition
Anamnestic response
Term
what allows your immune system to recognize 'self' and 'nonself'?
Definition
antigens - identification markers
Term
what is created in response to nonself antigens?
Definition
antibodies
Term
what are the 4 types of acqured immunity?
Definition
1.naturally occurring active
2.nat.ocurring passive
3.artificially acq. active
4.art.acq. passive
Term
what type of immunity do you get from having a disease?
Definition
naturally acquired active immunity
Term
how does naturally acquired passive immunity occur?
Definition
mother to fetus
1. across placenta
2. breastfeeding
Term
what is the name of 'first milk'?
Definition
colostrum
Term
what type of immunity comes from taking a vaccine containing parts or whole MOs?
Definition
Artificially acquired active immunity
Term
what immunity comes from taking a vaccine containing antibodies?
Definition
artificially acquired passive immunity
Term
what 2 ways are vaccines usually taken?
Definition
1.intermuscular(injected)
2.oral
Term
what types of vaccinces are usually given after infection? give 2 examples
Definition
antibody-containing vaccine (artificially acq.passive)
Hepatitis A, Rabies
Term
describe antibody concentration in the body over time when an active vaccine is taken?
Definition
1.Primary response(1st injection) - concentration rises, drops some
2.Secondary response(2nd injection) - concentration rises much faster and higher, slowly decreases over time
Term
what causes the rapid increase in antibody concentrations at 2nd injection of active vaccine?
Definition
anamnestic response
Term
explain herd immunity
Definition
if a large % of the population is vaccinated, the remainder that aren't are still protected because chances of getting disease greatly reduced
Term
explain how vaccinations are tied to schools in PA
Definition
more students vaccinated, more state funding
Term
what is the list of recommended vaccines in the US called? how many?
Definition
24 vaccinations
called the Recommended Immunization Schedule
Term
what does the MMR vaccine provide immunity against?
Definition
Measles, Mumps, Rubella
Term
what does the DPT vaccine protect against?
Definition
Diptheria, Pertussis, Tetanus
Term
what disease causes a membrane to form over the back of the throat slowly suffocating victim?
Definition
diptheria
Term
what MO does the Hib vaccine protect against? what disease?
Definition
Hemophilus influenza
a fatal childhood pneumonia - misnamed, does not cause flu
Term
what newer vaccine on the Recommended Immunization Schedule is first given at 12 yrs?
Definition
Meningiococcal vaccine
Term
what can Meningiococcal MO cause?
Definition
a severe 5 day potentiall fatal meningitis
Term
what vaccines protect against deadly childhood pneumonia?
Definition
Meningiococcal vaccine
Pneumococcal vaccine
Hib
Term
what vaccine changes year to year?
Definition
Influenza
Term
what type of organism is influenza?
Definition
virus
Term
what vaccine was just approved and will be included in the 2007 schedule?
Definition
Rotavirus
Term
how many emerging infectious diseases currently listed by the CDC?
Definition
50
Term
what EID causes severe, life threatening diarhea in infants, lasting 5-8 days?
Definition
Rotavirus
Term
infant has lines on lip and severe diarhea and vomiting. what is likely pathogen and how long ago infected?
Definition
Rotavirus
2 days
Term
what EID reults in incomplete immunity?
Definition
Rotavirus
Term
what type of immunity allows recurring, but usually milder, infections?
Definition
incomplete immunity
Term
what time of year are Rotavirus epidemics seen?
Definition
Nov-April
Term
how common is Rotavirus? who is most at risk?
Definition
most children have had it by 2 yrs of age
immuno-compromised at risk
Term
how is Rotavirus spread?
Definition
fecal oral transmission
fomites
particulates
Term
what is MRSA?
Definition
Methicillin Resistant Staphylococcus Aureus
Term
what is MRSA resistant to?
Definition
many of the -cillin antibiotics (Methicillin, Amoxycillin, Oxacillin, Penicillin)
Term
what do the -cillin antibiotics target? what type of bacteria most affected?
Definition
cell wall
gr(+)
Term
what type of antibiotics is VRSA resistant to?
Definition
-mycins
Term
what is a very serious potential problem with MRSA and VRSA strains?
Definition
that they will combine, being resistant to both types of antibiotics
Term
where is MRSA most oftenly seen? why is this a problem?
Definition
hospitals and clinical settings
people here are all immunocompromised already
Term
what is CA-MRSA? where seen?
Definition
community acquired MRSA
gyms, childcare facilities, etc
Term
what are PrP proteins?
Definition
naturally ocurring prions in CNS
Term
what is CJD? what is the new form?
Definition
Creutzfeldt-Jacob Disease
variant CJD
Term
what is the technical name for mad cow disease?
Definition
Bovine Spongiform Encephalopathy
Term
what is the prion disease affecting deer and elk?
Definition
chronic wasting disease
Term
what is the configuration of a normal PrP?
Definition
43% alpha helix
Term
what is the configuration of 're-folded' PrP? what is it called?
Definition
50% alpha helix
43% beta sheet
PrP Sc
Term
what are the similarities among prion diseases?
Definition
1.long incubation time
2.spongiform neuronal loss
3.failure to trigger immune system
4.always fatal
Term
what are the 3 explanations for emerging infectious diseases as proposed by CDC?
Definition
1.MO evolution
2.Spread to new regions/populations(travel)
3.Increased exposure due to habitat destruction
Term
what are the common characteristics of bioterrorism organisms?
Definition
1.lethal/disabling
2.initial s/s disabled (harder to trace)
3.stable in environment
Term
What organisms are listed by the CDC/FBI as category A?
Definition
C.botulinum, B.anthracis, Yersinia pestis, Francisella tularensis, smallpox, viral hemorrhagic fevers
Term
what feature do the category A bioterrorism bacteria have in common?
Definition
1.easily disseminated
2.easily tranmittable
3.major public health impact(require considerable resources for each victim and special preparedness)
4.Panic/Fear factor
Term
name 2 organisms from category B on the bioterrorism list?
Definition
E.coli
Hantavirus
Term
what is the number 1 worldwide vaccine-preventable disease?
Definition
measles
Term
why is measles potentially eradicatable?
Definition
humans are the only reservoir for the disease
Term
macular rash on face (later trunk and extremities), tiny red patches w/central white specks on oral mucosa opposite molars, ear infection, secondary bacterial infection
Definition
measles
Term
why are cases of measles increasing for children under 1?
Definition
vaccine can't be given until 12 months, antibodies from mother weak
Term
what is the name for the diagnostic indicator of measles? where located?
Definition
Koplik's spots
inside of mouth
Term
what is another name for rubeola?
Definition
measles
Term
where in the body does measles infection start?
Definition
upper respiratory system
Term
what is the rare condition sometimes found 1-10 yrs after measles case? what are the results?
Definition
subacute sclerosing panencephalitis
severe neurological damage and death w/in a few years
Term
what are potential effects of measles?
Definition
ear infection, pneumonia, secondary bacterial infection, encephalitis, subacute sclerosing panencephalitis
Term
what type of organism causes measles?
Definition
virus
Term
what type of organism causes chickenpox/shingles?
Definition
virus
Term
what is the name of the organism that causes chickenpox and shingles?
Definition
human herpes virus 3
Term
what is breakthrough varicella?
Definition
mild form of chickenpox that may occur after being vaccinated
Term
how is chickenpox spread?
Definition
airborne
Term
what is another name for varicella?
Definition
chickenpox
Term
what is another name for herpes zoster?
Definition
shingles
Term
child, pus filled lesions and scabs on face, throat, lower back
Definition
chickenpox
Term
elderly, pus filled lesions and scabs around waist, face, or upper chest, persistane burning/stinging pain
Definition
shingles
Term
how does the HHV3 virus remain latent in the body for 50+ years?
Definition
after chickenpox infection virus moves along periphery nerves to the central nerve ganglion where it exists as viral dna until re-emerging as shingles years later. nervous system not susceptible to T-cells/immune resonse
Term
what is postherpetic neuralgia in relation to shingles?
Definition
common symptom in which severe burning or stinging pain may last for months or years
Term
what are acyclovir and famciclovir?
Definition
antiviral drugs used against HHV3 virus
Term
chile/teenager - chickenpox, then persistant vomiting, signs of brain dysfunction
Definition
Reyes syndrome
Term
why should aspirin not be used to lower chickenpox fevers?
Definition
increases the chance of developing Reyes syndrome
Term
what is another name for German measles?
Definition
Rubella
Term
what type of organism is Rubella?
Definition
virus
Term
macular rash of small red spots, light fever
Definition
Rubella
Term
what can result if mother contracts Rubella during first 3 months of preganancy?
Definition
congenital rubella syndrome
severe birth defects, often death of child w/in 1 yr
Term
what antibodies are required to be tested for in marriage license blood tests of some states?
Definition
rubella
Term
what organism causes tetanus?
Definition
Clostridium tetani
Term
what type of bacteria is C.tetani?
Definition
Gr(+), obligately anaerobic, spore-forming rod
Term
what is the neurotoxin produced by C.tetani? when is it released?
Definition
tetanospasmin
released when bacteria dies and breaks open
Term
what type of vaccine is the tetanus part of DPT? how does it work?
Definition
toxoid - inactivated toxin stimulates production of toxin neutralizing antibodies
Term
what is debridement?
Definition
removal of damaged tissue
Term
what is tetanus immune globulin prepared from?
Definition
serum of immunized humans
Term
what is used for temporary tatanus immunity?
Definition
tetanus immune globulin
Term
how does the tetanospasmin toxin enter the CNS?
Definition
peripheral nervous system or blood
Term
what is opisthotonos? what may be the cause?
Definition
uncontrollable contraction of back muscles
tetanus
Term
what organism causes diptheria?
Definition
Corynebacterium diphtheriae
Term
what type of bacterium is Corynebacterium diphtheriae?
Definition
gr(+) non-spore forming rod
Term
what was the leading infectious killer of children in the US up to 1935?
Definition
diptheria
Term
what type of vaccine is used for diptheria?
Definition
toxoid
Term
grayish membrane in throat
Definition
diptheria
Term
what 2 areas can diptheria infect?
Definition
respiratory system
skin
Term
what protein contained in diptheria caused membranes?
Definition
fibrin
Term
name 2 diseases that are vaccinated against with a toxoid?
Definition
tetanus
diptheria
Term
how doea diptheria cause disease?
Definition
bacteria grows in throat, when killed by immune system they release a toxin into the bloodstream which interferes with protein synthesis
Term
what are two ways in which diptheria can be fatal?
Definition
membrane can block throat causing suffocation
toxin can shut down organs
Term
what is the name of diptheria that invades the skin?
Definition
cutaneous diptheria
Term
35 yr old, slow healing skin ulcerations covered by gray membrane
Definition
cutaneous diptheria
Term
what organism causes Pertussis?
Definition
Bordetalla pertussis
Term
name three diseases vaccinated against in which the organism produces a toxin?
Definition
Diptheria
tetanus
pertussis
Term
what type of organism is Bordotella pertussis?
Definition
gr(-) obligately aerobic coccabcaillus
Term
what bacteria read about posesses a capusle?
Definition
Bordotella pertussis
Term
what 2 toxins produced by Bordotella pertussis?
Definition
tracheal cytotoxin
pertussis toxin
Term
child, cold sympotoms, can't clear mucous, violent coughing
Definition
pertussis
Term
what is another name for pertussis?
Definition
whooping cough
Term
what disease can be diagnosed by inserting a swab into the throat via the nose to collect bacteria during coughing?
Definition
Bordotella pertussis
Term
what do tracheal cytotoxins produced by Bordotella pertussis do?
Definition
kill ciliated cells of trachea making it difficult to clear mucous
Term
what sympotms mark the paroxysmol stage of pertussis?
Definition
severe violent bouts of coughing
Term
what symptoms mark the catarrhal stage of pertussis?
Definition
common cold symptoms
Term
what system does mumps infect?
Definition
digestive system
Term
what system does pertussis infect?
Definition
lower respiratory system
Term
child, swelling of parotid glands, fever, pain during swallowing
Definition
mumps
Term
what type of organism causes mumps?
Definition
virus
Term
what are parotid glands?
Definition
salivary glands
Term
explain the path of mumps virus from environment to parotid glands?
Definition
inhaled, multiplies in repiratory tract and lymphnodes, reaches parotids through bloodstream
Term
what is orchits? what disease is it associated with?
Definition
inflammation of the testes 4-7 days after onset of mumps
Term
what disease can cause meningitis, inflammation of the ovaries/testes, and pancreatitis?
Definition
mumps
Term
what specically is VRSA resistant to?
Definition
Vancomycin
Term
what is the name of the common shingles symptom entailing severe burning/ stinging pain?
Definition
postherpetic neuraligia
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