Immunology and Vaccines Quiz

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Questions and Answers

What is a characteristic of inactivated whole agent vaccines?

  • They are made by inactivating microbes using formalin. (correct)
  • They only provide immunity to multiple diseases.
  • They are ineffective against any diseases.
  • They are only used for viral infections.

What distinguishes conjugated vaccines from polysaccharide vaccines?

  • Conjugated vaccines are not used in adults.
  • Conjugated vaccines can only protect against one disease.
  • Conjugated vaccines are derived from live pathogens.
  • Conjugated vaccines contain polysaccharides linked to proteins. (correct)

Which type of vaccine contains purified proteins from pathogens?

  • Recombinant vaccines
  • Polysaccharide vaccines
  • Subunit vaccines (correct)
  • Inactivated whole agent vaccines

What is a reason why polysaccharide vaccines cannot be used in the immunization of young children?

<p>They are ineffective at eliciting a strong immune response in that age group. (B)</p> Signup and view all the answers

Which of these vaccines is an example of a recombinant vaccine?

<p>Hepatitis B vaccine (C)</p> Signup and view all the answers

What is the primary feature of direct immunoassays?

<p>The specific antibody is directly labeled by a tag. (D)</p> Signup and view all the answers

Which of the following is true about indirect immunoassays?

<p>Only the secondary antibody is labeled with a tag. (D)</p> Signup and view all the answers

What type of materials can be used as tags in labeled antibody immunoassays?

<p>Fluorescent dyes can serve as tags. (A)</p> Signup and view all the answers

Which of the following best describes an immunoassay that relies on the formation of visible antigen-antibody aggregates?

<p>It does not involve a tagging process. (B)</p> Signup and view all the answers

What role does the secondary antibody play in indirect immunoassays?

<p>It is labeled by a tag. (C)</p> Signup and view all the answers

What is the primary disease that the Salk polio vaccine protects against?

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

What was a significant outcome of introducing the Sabin attenuated vaccine in 1963?

<p>Reduced the number of paralytic polio cases reported. (A)</p> Signup and view all the answers

What factor contributed to the outbreak of poliomyelitis in the former USSR from 1991 to 1996?

<p>Lapse in immunization of the general public. (C)</p> Signup and view all the answers

What does herd immunity indicate in relation to polio outbreaks?

<p>It helps control outbreaks by protecting the population as a whole. (D)</p> Signup and view all the answers

What was the status of paralytic polio cases in the USA after 1998?

<p>No cases were reported. (D)</p> Signup and view all the answers

What observation was made regarding Americans with higher education regarding vaccinations?

<p>They are more likely to recognize high benefits and low risks of vaccines. (C)</p> Signup and view all the answers

What is a notable limitation of the Salk inactivated vaccine (IPV)?

<p>It allows for the possibility of virus spread despite immunization. (B)</p> Signup and view all the answers

What was the highest estimated number of infected individuals for malaria depicted in the study?

<p>500,000,000 (B)</p> Signup and view all the answers

What does an immunoassay primarily rely on to detect or quantify substances in a sample?

<p>Specific antigen-antibody interaction (C)</p> Signup and view all the answers

What does a titer of antibody expressed as 1:128 indicate?

<p>The antibody can be diluted up to 128 times and still show a reactivity (A)</p> Signup and view all the answers

Why is serum commonly used as a source for specific antibodies in immunoassays?

<p>It is the fluid part remaining after blood cells and clot have been removed. (B)</p> Signup and view all the answers

What does sero-conversion refer to in the context of immunoassays?

<p>The appearance of specific antibody due to an immune response. (D)</p> Signup and view all the answers

Which of the following best describes the significance of antibody dilution in determining titer?

<p>The last dilution where a reaction is detected defines the titer concentration. (C)</p> Signup and view all the answers

In which situation would plasma be used instead of serum in an immunoassay?

<p>When it is necessary to prevent blood clot formation using anticoagulants. (B)</p> Signup and view all the answers

Which of the following statements is true regarding sensitive methods in immunoassays?

<p>More sensitive methods may detect lower antibody titers. (A)</p> Signup and view all the answers

What is the principal role of immunoassays in medical diagnostics?

<p>To detect or quantify antigens or antibodies. (B)</p> Signup and view all the answers

What defines a bactericidal antimicrobial medication?

<p>It kills the microbe directly. (A)</p> Signup and view all the answers

What is a characteristic of broad-spectrum drugs?

<p>They affect both gram-positive and gram-negative bacteria. (C)</p> Signup and view all the answers

How does a synergistic effect influence the combination of antimicrobial medications?

<p>It enhances the effectiveness of the combined drugs. (B)</p> Signup and view all the answers

What is one potential adverse effect of antimicrobial drugs?

<p>Toxic effects and allergic reactions. (A)</p> Signup and view all the answers

What does intrinsic resistance refer to in the context of antimicrobials?

<p>Built-in resistance mechanisms of certain bacteria. (A)</p> Signup and view all the answers

What role does metabolism and excretion play in the pharmacokinetics of antimicrobial drugs?

<p>They define the drug's half-life. (A)</p> Signup and view all the answers

Which of the following is NOT a common target for bactericidal antimicrobial medications?

<p>Folic acid synthesis enzymes. (A)</p> Signup and view all the answers

In the context of antimicrobial effect, what does an antagonistic effect imply?

<p>Combination makes the treatment less effective. (C)</p> Signup and view all the answers

What is the primary mechanism of action of Ciprofloxacin?

<p>Inhibition of DNA synthesis (D)</p> Signup and view all the answers

Which of the following describes the spectrum of activity for Ciprofloxacin?

<p>Broad-spectrum, effective against various types of bacteria (C)</p> Signup and view all the answers

What side effect is associated with the use of Ciprofloxacin?

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

Which medication is specifically effective against Gram-positive bacteria?

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

How does Rifampin inhibit RNA synthesis?

<p>By binding to RNA polymerase and preventing transcription initiation (C)</p> Signup and view all the answers

What is the spectrum of activity for Polymyxin?

<p>Narrow-spectrum, effective against Gram-negative bacteria (A)</p> Signup and view all the answers

Which of the following statements regarding Fluroquinolones is true?

<p>They inhibit DNA synthesis by targeting topoisomerases. (C)</p> Signup and view all the answers

What are common side effects associated with Rifampin?

<p>Hepatitis and flu-like symptoms (A)</p> Signup and view all the answers

Flashcards

Inactivated Whole Agent Vaccines

Vaccines containing inactivated but whole bacteria or viruses, rendering them harmless. Examples include Salk polio, flu, rabies, and Hepatitis A vaccines.

Subunit Vaccines

Vaccines containing purified proteins or fragments from a pathogen, targeting specific immune responses. Examples include Acellular Pertussis (part of DTaP) and toxoids like Diphtheria and Tetanus.

Polysaccharide Vaccines

Vaccines containing purified polysaccharides from the capsules of bacteria. They induce antibody responses (B-cells) but not T-cell responses, thus not effective on young children.

Toxoids

Toxins that have been inactivated, rendered harmless but still retaining their antigenicity, triggering an immune response. Examples include Diphtheria and Tetanus toxoids.

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Conjugated Vaccines

Polysaccharides linked to proteins, making them recognizable by T cells. Examples include Hib (against Haemophilus influenzae serotype B) and PCV-7, PCV-13 (against Streptococcus pneumoniae).

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Salk Vaccine Limitation

The Salk vaccine only protects against paralytic polio, but intestinal infection can still occur, allowing for transmission.

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Sabin Vaccine Impact

The Sabin vaccine, introduced in 1963, significantly reduced paralytic polio cases, leading to a dramatic decrease in the US.

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US Polio Eradication

The absence of paralytic polio cases in the US since 1998 demonstrates the success of vaccination programs.

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USSR Polio Outbreak

An outbreak of polio in the former USSR (1991-1996) was caused by a decline in immunization, highlighting the importance of herd immunity.

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Herd Immunity

Herd immunity is the protection of unvaccinated individuals through the high vaccination rate of the population.

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Vaccine Perception

The 2019 study showed that Americans with higher education and incomes are more likely to perceive vaccines favorably.

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Malaria Impact

Malaria remains a significant global health concern, with an estimated 500 million people infected annually.

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New Vaccine Need

The development of new vaccines is crucial for addressing ongoing public health challenges like malaria.

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Immunoassays

Methods used to study interactions between antibodies and antigens, like those found in immune responses. These methods allow us to observe and monitor how the immune system works.

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Why do we need immunoassays?

Antibodies are proteins too small to be seen with regular microscopes. Immunoassays were developed to help us visualize and track the interactions between antibodies and antigens. They are like specialized tools for looking at immune responses.

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Immunoassays with labeled antibodies

These immunoassays use labeled antibodies, meaning they attach a visible tag to an antibody to make it easier to track. The tag might be a fluorescent dye, an enzyme, a radioactive material, or even a tiny gold particle.

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Direct Immunoassays

This type of immunoassay uses an antibody that is already tagged. It directly binds to the antigen of interest and is detected through its tag.

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Indirect Immunoassays

In indirect immunoassays, the target antibody is not labeled. A secondary antibody with a tag is used to bind to the primary antibody (the one directed against the target antigen). This makes detection indirect and allows for greater amplification of the signal.

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Bacteriostatic antimicrobial

Drug that inhibits the growth of microbes without killing them.

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Bactericidal antimicrobial

Drug that kills microbes directly.

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Spectrum of activity

The range of bacteria a drug can effectively target.

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Broad-spectrum antimicrobial

Drug effective against a wide variety of bacteria, including both Gram-positive and Gram-negative bacteria.

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Narrow-spectrum antimicrobial

Drug effective against a limited range of bacteria, such as only Gram-positive or Gram-negative bacteria.

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Synergistic effect

A combination of drugs where the effect of the combined drugs is greater than the sum of their individual effects.

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Antagonistic effect

A combination of drugs where the effect of the combined drugs is less effective than either drug used alone.

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Pharmacokinetics

How a drug is absorbed, distributed throughout the body, metabolized, and excreted.

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Serological Method

A technique for detecting the presence of a specific antibody (serum or plasma) by making serial dilutions and observing the reaction with a known antigen.

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Antibody Titer

The last dilution of an antibody at which a reaction with the antigen is still detectable; essentially, the concentration of the antibody.

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Quantifying Antibody Concentration

A measurement of how much antibody is present in a sample. It's determined by the highest dilution of the sample that still produces a detectable reaction with a known antigen.

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Seroconversion

Refers to the appearance of a specific antibody in the blood due to an immune response.

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Serum

The fluid part of blood remaining after the removal of blood cells and the formation of a blood clot.

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Plasma

The fluid part of blood after the removal of just blood cells, using an anticoagulant to prevent clotting.

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Determining Antibody Concentration

The concentration of an antibody is determined by making serial dilutions that are then mixed with a known antigen. The last dilution where a reaction is still detectable defines the antibody titer.

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Ciprofloxacin

A class of antibiotics that irreversibly bind to DNA gyrase, an enzyme involved in DNA replication. This action inhibits DNA synthesis by preventing topoisomerases from relieving strain during replication. Ciprofloxacin is bactericidal and has a broad spectrum, effective against a wide range of bacteria.

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Rifampin

A class of antibiotics that bind to RNA polymerase, an enzyme essential for RNA synthesis. This action inhibits RNA synthesis by preventing RNA polymerase from initiating transcription. Rifampin is bactericidal and has a broad spectrum, effective against various bacteria, including Gram-positive, Gram-negative, and acid-fast bacteria.

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Inhibition of Nucleic Acid Synthesis

Antibiotics like Ciprofloxacin and Rifampin target specific enzymes involved in nucleic acid synthesis, either DNA replication or RNA transcription. These drugs work by inhibiting the function of these enzymes, ultimately halting the bacteria's ability to grow and reproduce.

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Disruption of Cell Membrane Integrity

These medications cause disruption of the cell membrane's integrity, leading to leakage and cell death. They specifically target the structural differences between prokaryotic and eukaryotic cell membranes, making them primarily suitable for topical applications.

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Daptomycin

A bactericidal antibiotic effective against Gram-positive bacteria. It targets and disrupts the cell membrane, leading to cell death.

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Polymyxin

A bactericidal antibiotic effective against Gram-negative bacteria. It also targets and disrupts the cell membrane, leading to cell death.

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Antibiotic Mechanisms of Action

Antibiotics can directly target the production of essential molecules like DNA or RNA, or they can disrupt structural components like the cell membrane. Both mechanisms lead to bacterial death and are crucial for fighting infections.

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Selective Toxicity of Antibiotics

Antibiotics are designed to specifically target bacterial mechanisms, minimizing harm to human cells. However, some antibiotics can have side effects due to similarities between bacterial and human cells.

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Study Notes

Lecture 8: Microbes & Humans

  • Course: Bio 420 (Microbiology)
  • Date: 7/26/2024
  • Textbook: Anderson et al., Nester's Microbiology: A Human Perspective, 10th Edition, 2020
  • Lecture topics: Chapters 17 (Applications of Immune Responses) and 20 (Antimicrobial Medications)

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Required Assignments for Lecture 8

  • Smart Book 8: 5 points
  • Open book policy
  • 1 attempt per question
  • Can check answers only once per question
  • No time limit; must meet the deadline
  • Submit "As Is" by the deadline
  • Deadlines are also in the syllabus, Connect, and BrightSpace. The deadline is the beginning of the next lecture

Chapter 17: Applications of Immune Responses

  • Naturally acquired active immunity: Infection induces antibody production (long-term).
  • Naturally acquired passive immunity: Antibodies transferred from mother to child (short-term).
  • Artificially acquired active immunity: Vaccination triggers antibody production (long-term).
  • Artificially acquired passive immunity: Antibody injection (short-term).

Chapter 20: Antimicrobial Medications

  • Selective toxicity: Antimicrobial medications selectively harm microbes without harming the host.
  • History: Early antimicrobial compounds developed, increasingly targeting specific bacterial components or processes (e.g., cell wall, protein synthesis). Salvarsan (arsenic compound, early 1900s) and Prontosil (red dye that metabolizes to sulfanilamide, 1930s).
  • Antimicrobial medications: Include antibiotics (produced by bacteria or fungi) and other compounds that stop microbial growth or kill microbes.

Additional Notes

  • Specific examples of various types of vaccines and antimicrobial medications, including their mechanism of action, and potential side effects are discussed in subsequent pages.
  • Various infectious diseases, their resistance to antibiotics, and public health strategies for effective treatment are outlined.

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