Clinical Microbiology Quiz

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Questions and Answers

What is the hallmark sign of an anthrax infection?

  • Skin rash
  • Painless chancre
  • Black eschar (correct)
  • Fever

Which organism is the causative agent of syphilis?

  • Treponema pallidum (correct)
  • Escherichia coli
  • Streptococcus pyogenes
  • Bacillus Anthracis

What best describes the relationship of commensalism between a microbe and a human host?

  • Both parties are harmed
  • One party benefits and the other is not affected (correct)
  • Both parties benefit
  • One party benefits and the other is harmed

What is true about opportunistic pathogens compared to primary pathogens?

<p>They have a lower chance of causing disease (D)</p> Signup and view all the answers

What do ID50 and LD50 represent in infectious diseases?

<p>Infectious dose and lethal dose for half the population (D)</p> Signup and view all the answers

Which type of infectious disease is characterized by rapid onset and short duration?

<p>Acute (C)</p> Signup and view all the answers

What is the definition of sequelae in the context of infectious diseases?

<p>Complications that arise after the resolution of an illness (C)</p> Signup and view all the answers

Which phase of an acute infectious disease occurs immediately after the incubation phase?

<p>Prodromal phase (C)</p> Signup and view all the answers

What is the primary causative agent of tuberculosis (TB)?

<p>Mycobacterium tuberculosis (A)</p> Signup and view all the answers

Which symptom is most commonly associated with tuberculosis?

<p>Night sweats (B)</p> Signup and view all the answers

Which of the following best describes the purpose of Koch's postulates?

<p>To establish a link between a microorganism and a disease (A)</p> Signup and view all the answers

In the context of microbes, which classification do archaea belong to?

<p>Prokaryotes (C)</p> Signup and view all the answers

Which scientist is known for disproving the spontaneous generation theory using a swan-necked flask?

<p>Louis Pasteur (C)</p> Signup and view all the answers

What is the hallmark sign of cutaneous anthrax?

<p>Black eschar (A)</p> Signup and view all the answers

Which scientist is credited with the discovery that led to the endosymbiosis theory?

<p>Lynn Margulis (B)</p> Signup and view all the answers

What is the main role of the TB skin test?

<p>To screen for tuberculosis exposure (C)</p> Signup and view all the answers

What is the term used to describe the death rate of a disease?

<p>Mortality (C)</p> Signup and view all the answers

Which of the following represents an indirect mode of transmission of acute infectious diseases?

<p>Sneezing (C)</p> Signup and view all the answers

What is defined as a disease occurring within a community at a fast spread rate?

<p>Epidemic (A)</p> Signup and view all the answers

What is the primary vector for the bubonic plague?

<p>Fleas (D)</p> Signup and view all the answers

Which portal of exit or entry of infection does NOT include the respiratory route?

<p>Pararental (B)</p> Signup and view all the answers

Which biosafety level requires the use of a suit with a different oxygen supply?

<p>Level 4 (C)</p> Signup and view all the answers

Which factor is least likely to affect a host's susceptibility to infection?

<p>Geographical location (B)</p> Signup and view all the answers

What is the causative agent of botulism?

<p>Clostridium botulinum (A)</p> Signup and view all the answers

What is the main structural component of the bacterial cell wall?

<p>Peptidoglycan (A)</p> Signup and view all the answers

Which mechanism of transport across the bacterial cell membrane requires the use of ATP?

<p>Active transport (B)</p> Signup and view all the answers

How many layers of peptidoglycan are typically found in gram-positive bacteria?

<p>Many (C)</p> Signup and view all the answers

Which microscope technique highlights the surrounding area in light while leaving the subject dark?

<p>Light-Field microscope (D)</p> Signup and view all the answers

Which of these structures allows bacterial cells to adhere to surfaces?

<p>Pili (B)</p> Signup and view all the answers

What type of bacterial division occurs by binary fission?

<p>Simple division (A)</p> Signup and view all the answers

What is the characteristic appearance of Gram-negative bacteria when stained?

<p>Pink and single layers (A)</p> Signup and view all the answers

What is the role of mycolic acid in acid-fast bacteria?

<p>Protection from desiccation (B)</p> Signup and view all the answers

What role does the Fluorescence microscope play in diagnosing infections?

<p>It highlights specific parts of a bacteria using fluorescent stains. (C)</p> Signup and view all the answers

Which organelle is responsible for protein synthesis in eukaryotic cells?

<p>Ribosomes (B)</p> Signup and view all the answers

What factors affect the resolution of a microscope?

<p>The shortest distance between two points and wavelength of light used (C)</p> Signup and view all the answers

Which causative agent is responsible for malaria?

<p>Plasmodium falciparum (D)</p> Signup and view all the answers

What term describes the transport mechanism in which one molecule enters the cell simultaneously with another exiting?

<p>Symport (D)</p> Signup and view all the answers

How does the TEM (Transmission Electron Microscope) differ from the SEM (Scanning Electron Microscope)?

<p>TEM highlights the interior of a subject while SEM highlights the exterior. (D)</p> Signup and view all the answers

What symptom is characteristic of cholera infection?

<p>Severe watery diarrhea (B)</p> Signup and view all the answers

Why is a stained blood smear particularly useful in diagnosing malaria?

<p>It helps identify the ring stage of the parasite in blood. (A)</p> Signup and view all the answers

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Study Notes

Clinical Scenarios

  • Debi-MDR-TB

    • Causative agent: Mycobacterium tuberculosis
    • Signs/symptoms: Coughing, night sweats, fever
    • Diagnostic test: TB skin test
    • Treatment: Antitubercular antibiotics (specific names not provided)
    • MDR-TB: Multi-drug resistant tuberculosis; management challenges
  • Caleb-Cutaneous Anthrax

    • Transmission: Contact with infected dead cattle
    • Hallmark sign: Black eschar
    • Pathogen: Bacillus anthracis and its spores
  • Brandon-Syphilis

    • First sign of infection: Painless chancre
    • Causative agent: Treponema pallidum (spiral-shaped bacterium)
    • Mode of transmission: Sexual activity
    • Treatment: Antibiotics

Microbial Definitions & Classifications

  • Microbe: Organism visible only through a microscope.
  • Types of microbes:
    • Eukaryotes: Fungi, plants, animals, protozoa
    • Prokaryotes: Archaea, bacteria (both non-pathogenic and pathogenic)

Key Scientists & Contributions

  • Robert Hooke, Antonie van Leeuwenhoek: Pioneered microscope development
  • Louis Pasteur: Swan-necked flask experiment debunked spontaneous generation
  • Robert Koch: Introduced Koch’s postulates for establishing disease causation
  • Edward Jenner: Developed vaccination using cowpox for smallpox prevention
  • Alexander Fleming: Discovered penicillin, the first commercially used antibiotic
  • Lynn Margulis: Proposed endosymbiosis theory regarding cell evolution
  • Carl Woese: Identified Archaea, refining the three-domain system
  • Florence Nightingale: Used statistical analysis to connect disease and mortality
  • Sergei Winogradsky: Developed enrichment culture techniques
  • Rosalind Franklin, James Watson, Francis Crick: Key role in DNA structure discovery

Koch’s Postulates

  • Only sick individuals harbor the pathogen
  • Pathogen must be isolated in pure culture
  • Pure culture introduced to healthy individual must cause disease
  • Pathogen must be re-isolated from the infected host

Infectious Disease Terms

  • Virulence: Ability of a pathogen to cause disease; influenced by virulence factors
  • ID50: Infective dose required to infect 50% of the population
  • LD50: Lethal dose required to kill 50% of the population (lower value = higher virulence)
  • Types of infections:
    • Acute: Short duration
    • Chronic: Long-term, developed gradually
    • Subacute: Intermediate duration, can be dangerous
    • Latent: Disease inactive until activated by certain conditions

Disease Characteristics

  • Signs: Observable indicators of a disease
  • Symptoms: Subjective feelings reported by the host
  • Sequelae: After-effects of a disease
  • Syndrome: Combination of signs and symptoms

Modes of Transmission

  • Direct Transmission: Physical interaction (e.g., handshakes, sexual contact)
  • Indirect Transmission: Through surfaces, droplets (e.g., sneezing, coughing)

Reservoirs and Vectors

  • Reservoir: Organisms/environment that harbor pathogens (e.g., animals)
  • Vector: Organisms that transmit pathogens (e.g., ticks, mosquitoes)

Disease Classifications

  • Endemic: Present in a community at stable rates
  • Epidemic: Rapid spread within a community
  • Pandemic: Widespread across multiple regions
  • Zoonotic disease: Transmitted from animals to humans

Infection Portals

  • Skin
  • Oral/fecal
  • Eye
  • Respiratory
  • Parenteral (injection)
  • Urogenital

Susceptibility Factors

  • Age
  • Genetics
  • Hygiene practices
  • Previous diseases
  • Occupation
  • Immunity level
  • Nutrition/exercise

Biosafety Levels

  • Level 1: Minimal risk; standard PPE
  • Level 2: Moderate risk; vaccines available
  • Level 3: High risk; requires hood for containment
  • Level 4: Extremely high risk; specialized equipment needed

Microscopy Overview

  • Types of Microscopes:
    • Light-Field: Subject dark against a light background
    • Dark-Field: Subject bright against a dark background
    • Phase Contrast: Enhances live specimens
    • Fluorescence: Uses stains to highlight specific bacteria
    • SEM: Provides 3D images of surface structures
    • TEM: Visualizes internal structures at high resolution

Bacterial Structure & Function

  • Bacterial Cell Membrane: Phospholipid bilayer with selective permeability

  • Transport Mechanisms:

    • Passive transport: No ATP, allows small nonpolar molecules
    • Active transport: Uses ATP, for larger/polar molecules
    • Coupled transport: Simultaneous movement of one molecule in and one out
  • Cell Wall:

    • Gram-positive: Thick peptidoglycan layer
    • Gram-negative: Thin peptidoglycan with outer membrane
    • Acid-fast: Mycolic acid adds waxy layer

Division & Specialized Structures

  • Bacterial Division: Binary fission involves DNA replication, elongation, and septum formation
  • Specialized Structures:
    • Pili: Attachment and DNA transfer
    • Flagella: Motility through spinning
    • Capsule: Protection and virulence factor
    • S-layer: Surface layer providing protection

Eukaryotic Organelles

  • Nucleus (nuclear envelope, nucleolus)
  • Smooth and rough endoplasmic reticulum
  • Golgi apparatus
  • Lysosomes
  • Peroxisomes
  • Cytoskeleton
  • Ribosomes
  • Mitochondria and chloroplasts

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