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Microbiology Exam 5
Chapter 25 - Upper GI infections
42
Microbiology
Undergraduate 2
04/19/2012

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Term
True or False: The Upper GI tract is an open system that is constantly being exposed to new pathogens
Definition
True
Term
What are the functions of the upper GI tract?
Definition
Grind food, move it to the stomach, digest it, discharge it into the small intestines, absorb nutrients, and store residuals
Term
True or False: A healthy stomach is very susceptible to infection
Definition
False
Term
What is the most common symptom of GI infection?
Definition
Diarrhea
Term
What is saliva produced by and what does it contain?
Definition
Produced by four sets of glands; contains amylase, lysozyme and lactoferrin
Term
What does the esophagus do?
Definition
Peristalsis move food down in swallowing
Term
What does the stomach do?
Definition
Mixes the food, secrets HCl and pepsin to decontaminate and digest food
Term
What is the stomach lined with and why is it lined?
Definition
Mucous to protect from acid
Term
What are the sections of the small intestine?
Definition
Duodenum, jejunum, ileum
Term
What is the function of the small intestine?
Definition
Secretes enzymes to digest food first, then abords digested nutrients
Term
What is the small intestine lined with and what is the function of the lining?
Definition
Villi and microvilli to increase surface area
Term
What is the function of the liver and pancreas?
Definition
secretes digestive enzymes (and other functions)
Term
What is the function of the large intestines?
Definition
absorbs fluids, inflammation causes diarrhea
Term
What is the function of the rectum?
Definition
stores waste
Term
What is the normal flora of the teeth?
Definition
Streptococcus sanguis, S. mutans, S. mitis
Term
S. Salivarius and Veillonella are the normal flora of what part of the GI tract?
Definition
The tongue
Term
What is the normal flora of the cheeks?
Definition
S. mitis
Term
Anaerobic organisms such as Bacteroides, Flusobacterium, and Porphyromonas are the normal flora of what?
Definition
The gums
Term
What is plaque made up of?
Definition
Biofilm of streptococci plus Veillonella, Actinomyces, Fusobacterium, Prevotella
Term
Acid-tolerant organisms like lactobacillus, enterococci, and yeasts are the normal flora of what?
Definition
The stomach
Term
What is the normal flora of the small intestine?
Definition
enterococci, enterobacteriaceae
Term
Enterococci, enterobacteriaceae plus anaerobes are the normal flora of what part of the GI tract?
Definition
The large intestines
Term
What are the functions of the normal flora of the GI tract?
Definition
Produce vitamins, protect against invading pathogens
Term
True or false: The mouth is a good indicator of the patient's general health
Definition
True
Term
Oral infections are _____________ & __________________
Definition
Polymicrobial;synergistic
Term
How are teeth protected from infection?
Definition
Physical flushing of saliva and tongue, buffering of saliva against acid, pellicle on teeth, secretory IgA in saliva
Term
What dissolves enamel?
Definition
Streptococcus mutans make lactic acid from the sugar ingested
Term
What is Gingivitis?
Definition
Plaque in the gingival crevice causes inflammation, an abscess forms in the crevice, tooth gets infected and eventually loosens
Term
What is a tooth abscess?
Definition
Infection travels down the tooth, abscess forms at the root
Term
A syngeristic infection including a spirochete causing necrosis of the gums is known as what?
Definition
Acute necrotizing ulcerative gingivitis. AKA trench mouth/ Vincent's disease
Term
What bacteria causes Thrush?
Definition
Candida albicans infection of the oral mucosa
Term
What causes stomach ulcers?
Definition
Helicobacter pylori, a small gram negative curved bacterium
Term
What percent of US adults carry Helicobacter pylori gastritis?
Definition
20%
Term
How does Helicobacter pylori gastritis cause stomach ulcers?
Definition
Colonize the gastric mucosa, survive the acid by producing urease, splits ammonia from urea, raises the pH to neutral around the bacterium
Term
How does an outbreak of Herpes simplex last?
Definition
2 to 3 weeks
Term
What percent of adults carry Herpes simplex in their facial nerves?
Definition
80-90%
Term
Is Herpes simplex transmissible?
Definition
yes
Term
What are the steps of Herpes smplex?
Definition
Latent, prodromal, presore, vesicular lesion, crusting, healing
Term
What is the treatment for Herpes simplex?
Definition
Docosanol or prescription drugs
Term
What is Mumps?
Definition
A respiratory-spread systemic virus in which the most prominent feature is parotitis
Term
True or False: In adults Mumps can cause sterility
Definition
True
Term
How is Mumps prevented?
Definition
By the MMR vacccine
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