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Questions and Answers
What role do T-cell antigen receptors (TCR) play in immune response?
What role do T-cell antigen receptors (TCR) play in immune response?
Which of the following is NOT a function of neutrophils in killing microbes?
Which of the following is NOT a function of neutrophils in killing microbes?
Which cytokines are produced by TH0 cells during the immune response?
Which cytokines are produced by TH0 cells during the immune response?
What do bacterial molecules with repetitive structures specifically interact with?
What do bacterial molecules with repetitive structures specifically interact with?
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How do γ/δ T cells and NKT cells contribute during the immune response?
How do γ/δ T cells and NKT cells contribute during the immune response?
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Which mechanism primarily helps neutrophils to kill gram-negative bacteria?
Which mechanism primarily helps neutrophils to kill gram-negative bacteria?
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What indicates lymphocyte growth in response to an antigenic challenge?
What indicates lymphocyte growth in response to an antigenic challenge?
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What type of molecules do dendritic cells present that activate NKT cells?
What type of molecules do dendritic cells present that activate NKT cells?
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What color do organisms appear when using the Ziehl-Neelsen stain?
What color do organisms appear when using the Ziehl-Neelsen stain?
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Which staining method requires heating of the specimen?
Which staining method requires heating of the specimen?
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What is the color of the background when using Auramine-rhodamine stain?
What is the color of the background when using Auramine-rhodamine stain?
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What is the main purpose of selective media?
What is the main purpose of selective media?
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What characteristic defines Shigella colonies on differential media?
What characteristic defines Shigella colonies on differential media?
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What type of organisms can be detected using Calcofluor white stain?
What type of organisms can be detected using Calcofluor white stain?
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How does sodium deoxycholate function in selective media?
How does sodium deoxycholate function in selective media?
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Which organisms are considered partially acid-fast?
Which organisms are considered partially acid-fast?
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What happens to bacteria at an acid pH when using acridine orange stain?
What happens to bacteria at an acid pH when using acridine orange stain?
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What is the role of glucose in selective media for fungi?
What is the role of glucose in selective media for fungi?
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What occurs when Salmonella is cultured on selective media?
What occurs when Salmonella is cultured on selective media?
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What distinguishes Kinyoun stain from Ziehl-Neelsen stain?
What distinguishes Kinyoun stain from Ziehl-Neelsen stain?
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Which component is used as a counterstain in the Auramine-rhodamine staining method?
Which component is used as a counterstain in the Auramine-rhodamine staining method?
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Which components are typically included in Xylose-lysine deoxycholate (XLD) agar?
Which components are typically included in Xylose-lysine deoxycholate (XLD) agar?
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What is a common result of carbohydrate fermentation in media?
What is a common result of carbohydrate fermentation in media?
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What distinguishes differential media from selective media?
What distinguishes differential media from selective media?
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What role do neutrophils play in inflammation?
What role do neutrophils play in inflammation?
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What enhances the production of TH17 cells?
What enhances the production of TH17 cells?
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Which cytokine is critical for the activation of macrophages to kill phagocytized microbes?
Which cytokine is critical for the activation of macrophages to kill phagocytized microbes?
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What occurs when neutrophils die during an inflammatory response?
What occurs when neutrophils die during an inflammatory response?
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Which cytokine plays a major role in promoting TH1 responses?
Which cytokine plays a major role in promoting TH1 responses?
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What maintains the antimicrobial action of macrophages during an immune response?
What maintains the antimicrobial action of macrophages during an immune response?
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Which of the following is NOT a function of TH17 cells?
Which of the following is NOT a function of TH17 cells?
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Which cells are involved in the early immune response by producing IFN-γ?
Which cells are involved in the early immune response by producing IFN-γ?
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What role do immature dendritic cells (iDCs) play at the site of infection?
What role do immature dendritic cells (iDCs) play at the site of infection?
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What is the primary function of IFN-γ in the immune response?
What is the primary function of IFN-γ in the immune response?
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During a secondary response, which cells can present antigens?
During a secondary response, which cells can present antigens?
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Which cytokines are produced by CD4 TH1 T cells in response to infections?
Which cytokines are produced by CD4 TH1 T cells in response to infections?
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What type of infections do TH1 responses primarily combat?
What type of infections do TH1 responses primarily combat?
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What is the purpose of granulomas formed during the immune response?
What is the purpose of granulomas formed during the immune response?
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How do CD4 TFH cells contribute to the immune response?
How do CD4 TFH cells contribute to the immune response?
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What happens when macrophages are chronically stimulated by specific microbial antigens?
What happens when macrophages are chronically stimulated by specific microbial antigens?
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What role do Peyer patches and intestinal lymphoid follicles play in the gut?
What role do Peyer patches and intestinal lymphoid follicles play in the gut?
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Which cells are responsible for secreting IgA into the gut?
Which cells are responsible for secreting IgA into the gut?
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What is the primary means of controlling a viral infection?
What is the primary means of controlling a viral infection?
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Which immune responses are important for antiviral immunity?
Which immune responses are important for antiviral immunity?
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What can disrupt the microbial flora and trigger inflammatory bowel diseases?
What can disrupt the microbial flora and trigger inflammatory bowel diseases?
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During which time frame does the innate immune response begin after infection?
During which time frame does the innate immune response begin after infection?
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Which cytokine is produced shortly after the onset of an influenza infection?
Which cytokine is produced shortly after the onset of an influenza infection?
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What is the major consequence of an excessive immune response in the gut?
What is the major consequence of an excessive immune response in the gut?
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Which immune component is best known for its role against viral infections?
Which immune component is best known for its role against viral infections?
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Which of the following is a property of regulatory cells in the gut?
Which of the following is a property of regulatory cells in the gut?
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What role do antimicrobial peptides play in the gut?
What role do antimicrobial peptides play in the gut?
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Which cytokine is primarily associated with promoting T cell activation?
Which cytokine is primarily associated with promoting T cell activation?
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What type of immune response is most immediate during the early phase of infection?
What type of immune response is most immediate during the early phase of infection?
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What is the consequence of an imbalance in the gut microbiome?
What is the consequence of an imbalance in the gut microbiome?
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Which immune response component is secreted in the gut to maintain healthy bacteria levels?
Which immune response component is secreted in the gut to maintain healthy bacteria levels?
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Study Notes
Introduction to Medical Microbiology
- Microbiology is the study of microscopic organisms, including bacteria, viruses, fungi, and parasites.
- Anton van Leeuwenhoek's observations of "animalcules" in 1674 marked the beginning of the field.
- The "germ theory" of disease, championed by Henle, Koch, and Pasteur, established microorganisms as disease causes.
- Advances in genome analysis and sequencing techniques revolutionized microbiology, enabling insights into microbial populations and their interactions with humans.
- The human microbiome is a complex community of microbes that live in, on, and around the human body, influencing health and disease. A "core microbiome" is shared by most individuals, while other species vary more widely. The microbes contribute metabolic functions and stimulate immunity.
Viruses
- Viruses are the smallest infectious agents, ranging from 18 to 600 nanometers.
- Viruses are obligate intracellular parasites, requiring host cells for replication.
- Viral nucleic acids (DNA or RNA) are enclosed in a protein coat.
- Infection can lead to cell destruction or integration into the host genome (latent period), causing varying degrees of illness—from the common cold to fatal diseases like AIDS or Ebola.
Bacteria
- Bacteria are prokaryotic, simple unicellular organisms without a nuclear membrane, mitochondria, Golgi bodies or endoplasmic reticulum.
- They vary in size and shape, with cell walls composed of peptidoglycan.
- Bacteria can cause disease through toxin production or tissue invasion.
- Bacterial classification is based on size, shape, arrangement, and phenotypic/genotypic characteristics.
- Different types inhabit human bodies, some transiently, others in permanent association, leading to disease if introduced to normally sterile areas.
Fungi
- Fungi are eukaryotic microbes characterized by their cellular structure with a defined nucleus, mitochondria, Golgi bodies, and endoplasmic reticulum.
- Most exist as yeasts (single-celled) or molds (filamentous).
- Some fungi are dimorphic, exhibiting both forms.
- Fungi can cause various diseases, from superficial infections to life-threatening conditions.
Parasites
- Parasites are eukaryotic microbes, ranging in size from protozoa to worms (tapeworms).
- These microbes, some unicellular, others multicellular, have complex life cycles often involving multiple host organisms.
- They range in size from microscopic organisms to macroscopic.
- They can cause potentially dangerous illnesses, including malaria and other infections
- Their epidemiology, life cycle, and treatment are important aspects of understanding these microbes
Immunology
- Immune systems protect against microbial invasion.
- Innate and adaptive immunity work together to control infections.
- Innate immunity forms the initial defense line with barriers and inflammatory response, while adaptive immunity uses memory to target invaders better.
- Microbial disease results from disruptions in the normal balance of immunity, often due to microbial evasion techniques.
Diagnostic Microbiology
- Clinical microbiology labs aid in diagnosing and managing infectious diseases.
- Quality of specimen collection, transport, and microbiological procedures are crucial.
- Microscopy and culturing are crucial tools for identifying microbes.
- Modern methods like molecular assays are now the primary diagnostic tools.
- Many types of microbes are identified via various microscopy and staining techniques.
Human Microbiome In Health and Disease
- The human microbiome is a complex community of microorganisms residing on and in the human body.
- Commensal, mutualistic, and pathogenic groups are present on many body surfaces, especially the skin surfaces and the intestines.
- A core microbiome, shared by many individuals, includes major species, while a secondary microbiome represents minor species with more variability.
- Microbial communities evolve with diet, exposure to antimicrobial agents, and other stimuli. Disrupting this equilibrium can lead to dysbiosis and associated diseases.
Microscopy and In Vitro Culture
- Microscopy is used to detect and identify microbes.
- Common methods include brightfield, darkfield, phase-contrast, and fluorescent microscopy and electron microscopy.
- In vitro culture is used to cultivate microbes.
- Different media and growth conditions are required based on the specific microbial species.
Molecular Diagnosis
- Microbial genetic material (DNA/RNA) is often used for diagnosis.
- Electrophoresis, RFLP, PCR, Southern blotting (DNA), and Northern blotting (RNA) identify and analyze differences in genetic material.
- DNA probes are used as molecular tools, like antibodies, to identify specific sequences in clinical samples.
- Advanced molecular techniques provide rapid, sensitive, and specific diagnostic tools for identifying and analyzing microbes, including bacteria, viruses, and fungal pathogens.
Serologic Diagnosis
- Serologic techniques rely on antibody-antigen interactions to detect, identify, and quantify pathogens and their components.
- Methods include precipitation reactions, immunodiffusion (e.g., Ouchterlony, single radial), and immunoelectrophoresis.
- Antibody assays can detect specific antibodies against pathogens in a sample and diagnose diseases
- Serological testing provides a snapshot of a patient's immune response and history of exposure.
Elements of Host Protective Responses
- Host defenses include barriers, innate responses (complement, phagocytes, interferons, and NK cells), and adaptive responses.
- Complement and other molecules (e.g., chemokines and C3a, C5a) attract cells to infection sites and promote phagocytosis.
- Different types of lymphocytes, such as TH1, TH2,TH17, Treg, and CTLs, work together to control infections and eliminate pathogens.
- Inflammatory responses and soluble factors (cytokines) play critical roles during immune activation and resolution of infection.
Immune Responses to Infectious Agents
- The immune response to infection follows a specific sequence.
- Infections can spread into distant organs and tissue if the initial immune response does not clear the agent
- Innate and adaptive immunity responses provide various tools to clear infections (e.g., phagocytosis, antibody production, cell-mediated killing).
- Immunopathology from uncontrolled or inappropriate immune responses can lead to disease in some cases
- Autoimmunity, immunodeficiency, and hypersensitivity are immune related diseases that may result if the response is abnormal
Antimicrobial Vaccines
- Vaccines stimulate protective immune responses against infectious agents.
- Active immunization involves exposure to a weakened or inactivated pathogen or its antigens to induce a response.
- Passive immunization involves providing preformed antibodies to rapidly neutralize pathogens.
- Different approaches exist for vaccine production (e.g., live attenuated, inactivated, subunit, conjugate, toxoid).
- Vaccine administration schedules varies with age, type of vaccine, and the specific microbial invader.
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Test your knowledge on the critical roles of T-cell antigen receptors, neutrophil functions, and the immune response dynamics. This quiz covers key concepts including cytokine production and the interaction of immune cells with antigens. Perfect for students studying immunology or related fields.