Immunology and Pathogens Quiz

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Questions and Answers

What is the mouse LD50 for endotoxins?

  • 25 pg/kg
  • 500-700 µg/kg
  • 1,000,000 pg/kg
  • 200-400 µg/kg (correct)

Endotoxins are more toxic than exotoxins.

False (B)

What type of organism produces endotoxins?

Gram-negative bacteria

The Limulus test uses __________ from the horseshoe crab to test for the presence of endotoxins.

<p>amebocyte lysate</p> Signup and view all the answers

Match the following skin flora categories with their characteristics:

<p>Diphtheroids = Gram-positive with low virulence Staphylococci = Common opportunistic pathogens Yeasts = Fungi that can cause skin infections Corynebacterium diphtheriae = Toxin-producing Gram-positive bacterium</p> Signup and view all the answers

Which type of immunity is primarily involved in B-cell activation and antibody production?

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

True pathogens can only cause disease in immunocompromised individuals.

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

What is the term used to describe the ability of an organism to cause disease?

<p>Pathogenicity</p> Signup and view all the answers

______ T-cells are involved in directly killing infected or cancerous cells.

<p>Cytotoxic</p> Signup and view all the answers

Match the following types of pathogens with their definitions:

<p>True Pathogen = Can cause disease in healthy individuals Opportunistic Pathogen = Causes disease when the body's defenses are weakened Primary Pathogen = Another term for true pathogen Normal Flora = Beneficial microbes residing in the body</p> Signup and view all the answers

Which of the following is NOT a consequence of the adaptive response?

<p>Immediate inflammatory response (C)</p> Signup and view all the answers

Virulence is a qualitative measure of a pathogen's ability to cause disease.

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

What type of cells are Natural Killer Cells primarily associated with?

<p>Innate Immunity</p> Signup and view all the answers

What is the primary function of Cytotoxic T cells?

<p>Destroy infected or cancerous 'self' cells (D)</p> Signup and view all the answers

Helper T cells have a CD8 receptor.

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

How do Helper T cells assist in activating B cells?

<p>They produce cytokines that stimulate B cells.</p> Signup and view all the answers

Natural killer cells recognize destroyed host cells with no _____ class I surface molecules.

<p>MHC</p> Signup and view all the answers

Match the following lymphocyte types with their main functions:

<p>Cytotoxic T Cells = Induce apoptosis in infected or cancerous cells Helper T Cells = Activate B cells and macrophages Natural Killer Cells = Destroy cells lacking MHC class I B Cells = Produce antibodies</p> Signup and view all the answers

Which T cell type recognizes antigens presented by MHC class I?

<p>Cytotoxic T cells (CD8) (D)</p> Signup and view all the answers

Natural killer cells require antigen specificity to function.

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

What role do cytokines play in the activation of T cells?

<p>Cytokines activate other immune cells and orchestrate the immune response.</p> Signup and view all the answers

Which type of toxin is primarily made up of proteins?

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

Endotoxins can be neutralized by antitoxins.

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

What is the typical LD50 value for exotoxins?

<p>Small</p> Signup and view all the answers

Exotoxins can be grouped into categories such as ________, ________, and ________ toxins.

<p>neurotoxins, enterotoxins, cytotoxins</p> Signup and view all the answers

Match the type of toxin to its function.

<p>Neurotoxin = Causes paralysis by damaging the nervous system Enterotoxin = Damages intestines and digestive tissues Cytotoxin = Interferes with cell function or causes cell lysis Superantigen = Stimulates a large immune response</p> Signup and view all the answers

Which of the following statements about cytolytic toxins is false?

<p>Cytolytic toxins are exclusively harmful to host tissues. (B)</p> Signup and view all the answers

Exotoxins are always produced by Gram-positive bacteria.

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

What are beta-lactamases?

<p>Enzymes that degrade antibiotics</p> Signup and view all the answers

The __________ is a large metabolic product found in the cell wall of Gram-negative bacteria.

<p>lipopolysaccharide</p> Signup and view all the answers

What is one of the main modes of action of A-B toxins?

<p>Bind to cell surface and damage the cell (C)</p> Signup and view all the answers

Which type of pneumonia is caused by Streptococcus pneumoniae?

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

Klebsiella pneumoniae is a gram-positive bacillus.

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

What term describes a condition resulting from a previous disease or injury?

<p>sequelae</p> Signup and view all the answers

The __________ virus is known for causing periodic pandemics and has a segmented ssRNA genome.

<p>Influenza</p> Signup and view all the answers

Match the following pneumonia types with their respective characteristics:

<p>Pneumococcal Pneumonia = Caused by Streptococcus pneumoniae Klebsiella Pneumonia = Causes reddish sputum Mycoplasma Pneumonia = Not treated with penicillin Aspiration Pneumonia = Occurs due to inhalation of foreign materials</p> Signup and view all the answers

What is a characteristic of the Influenza virus's genome?

<p>It is segmented ssRNA. (D)</p> Signup and view all the answers

Neuraminidase inhibitors can help in treating influenza infections.

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

What are the two types of glycoprotein spikes found on the influenza virus?

<p>Hemagglutinin and Neuraminidase</p> Signup and view all the answers

What is antigenic shift?

<p>Major alteration occurring when segments recombine (D)</p> Signup and view all the answers

Antigenic drift is a major change caused by the recombination of viral segments.

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

Name the bacterium that causes tuberculosis.

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

TB is usually contracted by inhalation of __________ organisms.

<p>airborne</p> Signup and view all the answers

Match the following symptoms with their corresponding conditions:

<p>Sore throat = Flu Night sweats = Tuberculosis Progressive weight loss = Tuberculosis Vomiting and diarrhea = Flu</p> Signup and view all the answers

What is a common factor that increases the transmission of tuberculosis?

<p>Frequency of coughing (D)</p> Signup and view all the answers

The tuberculin test indicates whether a person has active tuberculosis.

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

What is one major reason cases of bird or swine flu in humans are concerning?

<p>Potential for severe illness or pandemics</p> Signup and view all the answers

The generation time of Mycobacterium tuberculosis is __________ hours.

<p>12</p> Signup and view all the answers

What are the symptoms associated with tuberculosis?

<p>Cough with blood, slight fever, weight loss (A)</p> Signup and view all the answers

Flashcards

Cytotoxic T cells

A type of T cell that destroys infected or cancerous cells.

CD8 receptor

A protein marker found on cytotoxic T cells.

MHC class I

A protein complex that displays antigens on the surface of infected or cancerous cells.

Helper T cells

T cells that activate other immune cells and orchestrate the immune response.

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CD4 marker

A protein marker found on helper T cells.

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MHC class II

A protein complex that displays antigens on the surface of immune cells (APCs).

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B cell activation

Process where B cells are stimulated to proliferate and differentiate into plasma cells.

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Natural Killer (NK) cells

Lymphocytes that kill infected or cancerous cells in antibody-dependent fashion.

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Adaptive Immunity

A part of the immune system that learns and improves its defense overtime to attack specific pathogens.

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Humeral Immunity

Focuses on antibody production to fight pathogens outside of the cells.

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Cellular Immunity

Involves direct cell-to-cell combat against pathogens and infected cells.

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Pathogen

A microorganism capable of causing disease.

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Opportunistic Pathogen

A microbe that causes disease only when the body's defenses are weak.

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Virulence

A measure of a pathogen's ability to cause disease.

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Virulence Factor

Attributes of a pathogen that contribute to its ability to cause disease.

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Infectious Disease

A disease caused by the invasion of a pathogen.

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Endotoxin

A toxic component of the outer membrane of certain bacteria, released when the bacteria die or break apart. It is less potent than exotoxins but can still cause serious health problems.

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Limulus Amebocyte Lysate (LAL) Test

A test that uses the blood of horseshoe crabs to detect the presence of endotoxins. The crab's blood clots in the presence of endotoxins, indicating a positive result.

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Endotoxemia

A condition caused by the presence of endotoxins in the bloodstream. It can lead to severe symptoms like fever, shock, and organ failure.

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What is an assay for the presence of endotoxin?

The Limulus Amebocyte Lysate (LAL) test is commonly used to detect the presence of endotoxin in various substances, including medical devices, pharmaceuticals, and biological samples.

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Sequelae

A long-term consequence or complication that arises after an initial disease or injury has resolved.

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Secondary Infection

A new infection that occurs during or after the initial infection, often due to weakened immune defenses.

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Strep Pneumonia

A type of bacterial pneumonia caused by Streptococcus pneumoniae, characterized by the presence of thick polysaccharide capsules.

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Klebsiella Pneumonia

A type of bacterial pneumonia caused by Klebsiella pneumoniae, known for its encapsulated nature and reddish sputum.

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Mycoplasma Pneumonia

A type of pneumonia caused by Mycoplasma pneumoniae, a bacterium that lacks a cell wall and is therefore resistant to some antibiotics like penicillin.

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Influenza Virus

A virus that causes the flu, characterized by its segmented RNA genome and two types of envelope glycoproteins: hemagglutinin (HA) and neuraminidase (NA).

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Antigenic Shift

A major change in the influenza virus's genome that occurs when segments recombine, often leading to new pandemic strains.

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Antigenic Drift

A minor change in the influenza virus's genome caused by mutations, contributing to seasonal variations in the flu.

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What's the difference between endotoxin and exotoxin?

Endotoxins are components of the bacterial cell wall, primarily LPS, released upon cell death. Exotoxins are proteins actively secreted by living bacteria. Endotoxins are generally less potent and less specific than exotoxins. Exotoxins are more specific, targeting particular cells or tissues.

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What is the LD50 of a toxin?

The lethal dose 50 (LD50) is the amount of a toxin required to kill 50% of a test population. It's a measure of toxicity: a smaller LD50 indicates a more potent toxin.

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What type of bacteria produce exotoxins?

Both Gram-positive and Gram-negative bacteria can produce exotoxins, though Gram-positive bacteria are more commonly known to produce them.

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How are exotoxins inactivated?

Exotoxins can be inactivated by heat or chemicals to form toxoids.

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What are cytolytic toxins?

A type of exotoxin that directly damages cell membranes, leading to cell lysis (destruction). They are also known as membrane-damaging toxins.

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What are A-B toxins?

A type of exotoxin with two subunits: subunit B binds to the target cell, and subunit A enters the cell and disrupts its function.

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What are superantigen toxins?

Exotoxins that stimulate a massive, uncontrolled immune response, leading to excessive inflammation. This can be harmful to the body.

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What are some examples of cytolytic toxins?

Two main types of cytolytic toxins are lipases and pore-forming toxins. Lipases include phospholipases and lecithinases, which break down cell membranes. Pore-forming toxins create holes in the cell membrane.

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Swine Flu 2009

A pandemic caused by a new influenza A virus that contained genetic material from pig, bird, and human influenza viruses.

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Tuberculosis Symptoms

Chronic illness characterized by a persistent cough, fever, night sweats, weight loss, and, in severe cases, blood in sputum.

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Tuberculosis Causative Agent

Mycobacterium tuberculosis, a slow-growing, acid-fast bacillus with a unique cell wall.

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Tuberculosis Transmission

Spread through inhalation of airborne droplets containing the bacteria.

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Tuberculosis Pathogenesis

  1. Bacteria infect the lungs and resist destruction by macrophages. 2. Bacteria spread to lymph nodes. 3. Immune reaction leads to formation of granulomas, containing infected cells.
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How TB is Diagnosed

Tuberculin test injects a small amount of tuberculosis antigen under the skin. A positive reaction indicates exposure to the bacteria, but not necessarily active disease.

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Tuberculosis Epidemiology

Estimated 10 million Americans are infected. Rates are higher among non-white, elderly, and poor individuals.Transmission is influenced by coughing frequency, ventilation, and crowding.

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What Causes TB?

Mycobacterium tuberculosis, a slow-growing, acid-fast bacillus with a unique cell wall, is the causative agent for Tuberculosis.

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Study Notes

Immune System Overview

  • The immune system is a complex network of organs, cells, and proteins that works to defend the body against pathogens.
  • This system has two main branches: innate immunity and adaptive immunity.
  • Innate immunity provides a rapid, non-specific defense against a broad range of pathogens.
  • Adaptive immunity is more specific, targeting particular pathogens and developing memory for future encounters.

Host-Pathogen Interactions

  • Pathogenicity is the ability of a microorganism to cause disease.
  • Virulence is a quantitative measure of a pathogen's ability to cause disease.
  • Factors influence virulence: Adhesion factors, exoenzymes, toxins, and metabolic pathways.

Mechanisms of Pathogenicity

  • Virulence factors can contribute to a pathogen's ability to adhere to host cells or tissues.
  • Some pathogens produce exoenzymes and/or toxins that help them invade tissues, evade host defenses, or cause damage to cells/tissues.
  • Exotoxins are proteins that are secreted by microorganisms into their surroundings.
  • Endotoxins are part of the outer membrane of Gram-negative bacteria, released when the cell dies or breaks apart.
  • Factors like the number of infecting organisms, the nature of the wound, and the host's immune status can influence the severity of a wound infection and pathogenicity.

Types of Immunity

  • Natural immunity—acquired through the normal life experiences of humans.
  • Active immunity—produced when a person develops his/her own immune response to a microbe.
  • Passive immunity—occurs when a person receives preformed immunity made by another person.
  • Artificial immunity—produced through medical procedures.

Specific/Adaptive Immunity

  • Pathogens/microbes have a wide range of shapes/structures that the immune system must learn to recognize.
  • Adaptive immunity recognizes specific antigens.
  • A division of labor, between T and B cells, occurs in the bone marrow and thymus, respectively.
  • T cells recognize processed antigen on antigen presenting cells (APCs).
  • T cells can be differentiated into Helper T cells or Cytotoxic T cells.
  • B cells make antibodies in response to an antigen, and also differentiate into plasma cells and memory B cells.

Infectious Diseases

  • Infection - colonization of the host by microorganisms.
  • Not all infections lead to noticeable adverse effects.
  • Infectious Disease—infection resulting in disease.
  • Disease—deviation from normal health, often due to damage or injury by the microbe or its products.

Categories of Skin Infections

  • Diphtheroids
  • Staphylococcal infections
  • Fungi (Yeast)

Staphylococcus aureus Infections

  • Common skin pathogen.
  • Significant cause of wound infections.
  • Transmission occurs from person to person/fomites
  • Characteristic of being able to produce pus and have certain toxins e.g., coagulase, clumping factor, protein A, toxin.
  • Community and Hospital-acquired infections are distinguished by how they are acquired.

Staphylococcus epidermidis Infections

  • Maintain themselves on skin and are not extremely invasive, but can cause infections and biofilm formation.

Group A Streptococcal Infections (GAS)

  • Most common bacterial cause of pyoderma infections.
  • Causes an array of infections/diseases ranging from mild to life threatening.
  • Common symptoms include throat infections and skin infections.

Pseudomonas aeruginosa Infections

  • Opportunistic pathogen, often associated with hospitals
  • Causes infections in individuals with compromised immune systems.
  • Symptoms can include a systemic inflammatory response as well as discoloration/changes in skin and tissues.

Bacterial Pneumonia

  • Bacterial infection of the lungs.
  • Usually involves several bacteria.
  • Pneumococcal—caused by Streptococcus pneumoniae.
  • Klebsiella—caused by Klebsiella pneumoniae. Mycoplasma—caused by Mycoplasma pneumoniae.

Common Cold

  • Caused by rhinoviruses.
  • Symptoms are usually mild: scratchy throat, runny nose, and slight cough.
  • Not typically a serious infection treated by antibiotic therapy. Viral infections typically go away on their own.

Diphtheria

  • Caused by Corynebacterium diphtheria.
  • Characterized by a thick, whitish film in the throat.
  • Can lead to heart and nervous system issues (toxin).

Pertussis

  • Caused by Bordetella pertussis.
  • Typically impacts parts of upper respiratory tract.
  • Results in excessive coughing and other respiratory issues.

Streptococcal Pharyngitis

  • Caused by Streptococcus pyogenes.
  • Bacterial infection characterized by throat soreness and difficulty swallowing.
  • The bacterium is highly contagious.
  • Can lead to serious complications such as rheumatic fever or glomerulonephritis.

Herpes Simplex

  • Caused by human herpesvirus type 1 (HSV-1) or 2 (HSV-2).
  • HSV-1 causes cold sores around the mouth.
  • HSV-2 can cause genital sores.
  • Both viruses can lay dormant, and reactivate later on.

Chickenpox

  • Caused by the varicella-zoster virus.
  • Characterized by a rash that spreads to the body.
  • Often contracted during childhood and generally clears up without serious issues.

Shingles

  • Reactivation of the varicella-zoster virus.
  • Primarily impacts one side of the body.
  • Characterized by an intense eruption of rash and blistering.
  • This virus remains dormant and can reactivate later in life.

Viral Infections Overview

  • Diseases caused by viral infections are diverse.
  • A wide variety of symptoms can result from viral infections.
  • Prevention methods often focus on vaccines and hygiene.

Additional Notes

  • A specific list of characteristics of any particular bacteria or virus isn't included in these notes.

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