Whooping Cough and Tuberculosis
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Questions and Answers

What is the primary infectious agent responsible for whooping cough?

  • Bordetella pertussis (correct)
  • Streptococcus pneumoniae
  • Escherichia coli
  • Mycobacterium tuberculosis
  • What is the role of ciliated cells in the respiratory tract?

  • To produce mucus
  • To remove particles from the respiratory tract (correct)
  • To transport oxygen to the lungs
  • To destroy bacteria
  • What is one reason why whooping cough infections have surged in California?

  • The introduction of new variants of the bacteria
  • Childhood vaccinations do not last into adulthood (correct)
  • Better public health awareness
  • Increased vaccination rates among infants
  • What percentage of infants and children under age 4 hospitalized due to whooping cough?

    <p>50%</p> Signup and view all the answers

    What characteristic of Mycobacterium tuberculosis is used as an indicator of its virulence?

    <p>Cord formation</p> Signup and view all the answers

    What is the potential outcome of whooping cough in adults compared to infants?

    <p>Only 5% of adults require hospitalization</p> Signup and view all the answers

    Which vaccine is primarily used to protect against whooping cough?

    <p>DTaP vaccine</p> Signup and view all the answers

    What happens to mucus in the lungs when ciliated cells are destroyed by Bordetella pertussis?

    <p>It builds up and blocks airways</p> Signup and view all the answers

    What type of bacteria is Bordetella pertussis classified as?

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

    How often have whooping cough outbreaks reached epidemic levels in California recently?

    <p>Twice in recent history</p> Signup and view all the answers

    Bordetella pertussis produces fimbriaelike adhesion molecules that allow it to bind to ciliated cells in the respiratory tract.

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

    Whooping cough is caused by a virus known as Mycobacterium tuberculosis.

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

    Exotoxins produced by Bordetella pertussis can destroy ciliated cells in the respiratory tract.

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

    The DTap vaccine provides long-lasting immunity through adulthood against whooping cough.

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

    Tuberculosis is caused by a bacteria that produce exotoxins similar to Bordetella pertussis.

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

    Infants and young children are more likely to be hospitalized due to whooping cough than adults.

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

    Bordetella pertussis can cause mucus to build up in the lungs, leading to blocked airways.

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

    Cord-like colonies produced by Mycobacterium tuberculosis are an indicator of its virulence.

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

    Whooping cough infections have not reached epidemic levels in California in recent years.

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

    Macrophages are ineffective in ingesting and destroying Mycobacterium tuberculosis due to its unique cord formation.

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

    What is the main clinical symptom during the catarrhal stage of pertussis?

    <p>Runny nose and sneezing</p> Signup and view all the answers

    During which stage of pertussis does the infection typically become less contagious?

    <p>Paroxysmal stage</p> Signup and view all the answers

    What is a key characteristic of the convalescent stage of pertussis?

    <p>Recovery from the illness</p> Signup and view all the answers

    What term describes the severe coughing fits associated with the paroxysmal stage?

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

    Which of the following factors can modify the severity of a pertussis infection?

    <p>Infant's age and immunization status</p> Signup and view all the answers

    Why might an adult experience less severe coughing fits compared to an infant?

    <p>Infants have narrower airways</p> Signup and view all the answers

    What is the defining symptom of the paroxysmal stage?

    <p>Extreme coughing fits</p> Signup and view all the answers

    What is a reason some individuals may experience milder symptoms of pertussis upon re-exposure?

    <p>Previous exposure primes the immune system</p> Signup and view all the answers

    What does the term 'convalescence' literally refer to in the context of pertussis?

    <p>Recovery from an illness</p> Signup and view all the answers

    What is the typical duration of the entire pertussis clinical timeline?

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

    What is the main characteristic that gives whooping cough its name?

    <p>The whooping noise when breathing in</p> Signup and view all the answers

    How is whooping cough primarily transmitted between individuals?

    <p>Via mucus droplets in the air</p> Signup and view all the answers

    What role does the incubation period play in the infection of whooping cough?

    <p>The bacteria are dividing without causing symptoms</p> Signup and view all the answers

    What happens when the bacterium Bordetella pertussis infects the respiratory tract?

    <p>It releases toxins that damage the airways</p> Signup and view all the answers

    Why is hand washing emphasized in preventing the spread of whooping cough?

    <p>It helps eliminate bacteria from the hands</p> Signup and view all the answers

    Identify a common method through which Bordetella pertussis can be passed to another person.

    <p>Touching infected surfaces</p> Signup and view all the answers

    What is the effect of the whooping cough bacteria on mucus production?

    <p>It causes excessive mucus buildup</p> Signup and view all the answers

    What measures do healthcare workers take to prevent cross-contamination when treating whooping cough patients?

    <p>Wearing gowns, gloves, and masks</p> Signup and view all the answers

    Why might a child become infected with Bordetella pertussis by sharing toys?

    <p>Toys can contain dried mucus from coughs</p> Signup and view all the answers

    What occurs when a person breathes in after a coughing fit associated with whooping cough?

    <p>The air rapidly moves through swollen airways</p> Signup and view all the answers

    What was tuberculosis originally known as in ancient times?

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

    Which physician introduced the concept that tuberculosis might be transmitted by microorganisms?

    <p>Giorgio Fracastoro</p> Signup and view all the answers

    What advancement in medical technology improved tuberculosis diagnosis in the early 19th century?

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

    What were some common treatments for tuberculosis in sanatoriums during the late 19th century?

    <p>Clean air, rest, and balanced diet</p> Signup and view all the answers

    When did the BCG vaccine for tuberculosis become available?

    <p>Early 20th century</p> Signup and view all the answers

    What significant factor contributed to the resurgence of tuberculosis in the 1980s?

    <p>The AIDS epidemic</p> Signup and view all the answers

    What was the estimated number of deaths caused by tuberculosis annually?

    <p>1.3 million</p> Signup and view all the answers

    Which of the following is a challenge in treating tuberculosis today?

    <p>Multi-drug resistant strains</p> Signup and view all the answers

    What is one misconception about the decline of tuberculosis in developed countries?

    <p>It happened solely due to lifestyle changes</p> Signup and view all the answers

    Which famous figures are known to have died from tuberculosis in the 19th century?

    <p>Frederick Chopin and the Bronte sisters</p> Signup and view all the answers

    What happens to an individual with latent tuberculosis?

    <p>They are infected but do not show active symptoms.</p> Signup and view all the answers

    Which groups are most at risk for developing active tuberculosis from latent TB?

    <p>Individuals undergoing chemotherapy.</p> Signup and view all the answers

    What characteristic symptom often accompanies active TB in the lungs?

    <p>Chest pains and difficulty breathing.</p> Signup and view all the answers

    How does Mycobacterium tuberculosis typically spread from person to person?

    <p>Via airborne droplets from coughing or sneezing.</p> Signup and view all the answers

    What occurs when the immune response is unable to neutralize the TB bacteria?

    <p>The individual may develop active TB disease.</p> Signup and view all the answers

    What is one of the key reasons young children are more susceptible to active tuberculosis?

    <p>Their immune systems are not fully developed.</p> Signup and view all the answers

    What are the potential areas of the body to which tuberculosis can spread once in the lungs?

    <p>Various areas, including bones and digestive system.</p> Signup and view all the answers

    What is the significance of the body's macrophages in response to Mycobacterium tuberculosis?

    <p>They engulf and try to neutralize the bacteria.</p> Signup and view all the answers

    Which symptom is most likely to lead a doctor to suspect tuberculosis in a patient?

    <p>A cough lasting for more than a few weeks with other symptoms.</p> Signup and view all the answers

    What describes the state of 'latent tuberculosis'?

    <p>Infection without symptoms and non-contagious.</p> Signup and view all the answers

    What is the primary advantage of the new diagnostic test for tuberculosis introduced in 2011?

    <p>It provides results in two hours.</p> Signup and view all the answers

    Which of the following is NOT a limitation of current tuberculosis diagnostic tools?

    <p>Speedy results within minutes.</p> Signup and view all the answers

    What is the duration of the treatment regimen for uncomplicated tuberculosis cases?

    <p>6-9 months</p> Signup and view all the answers

    What challenge confronts doctors when treating tuberculosis patients?

    <p>Patients frequently abandon treatment mid-regimen.</p> Signup and view all the answers

    Which anti-TB drug is NOT mentioned as part of the treatment regimen for tuberculosis?

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

    What is a potential outcome of the treatment for resistant tuberculosis cases?

    <p>Treatment may last for two years.</p> Signup and view all the answers

    What is the main limitation of the BCG vaccine for tuberculosis?

    <p>It protects against serious forms of TB in children.</p> Signup and view all the answers

    When is the effective vaccine for tuberculosis expected to be available for public use?

    <p>Not until 2020 at the earliest</p> Signup and view all the answers

    What can be said about the new anti-TB drugs currently in clinical trials?

    <p>They may take several years before being accessible to all.</p> Signup and view all the answers

    Which statement accurately reflects the current state of TB treatment?

    <p>The same drugs have been in use for over 50 years.</p> Signup and view all the answers

    Study Notes

    Whooping Cough (Pertussis)

    • Caused by Bordetella pertussis, a small gram-negative coccobacillus
    • B. pertussis has adhesion molecules (fimbriae) that bind to ciliated cells in the upper respiratory tract
    • Ciliated cells remove particles from the respiratory tract
    • B. pertussis produces exotoxins that destroy ciliated cells
    • Without ciliated cells, mucus builds up, blocking airways
    • DTaP vaccine available
    • California experienced pertussis epidemics in 2010 and 2014
    • Reasons for epidemics include waning immunity in adults and low vaccination rates
    • Booster vaccinations recommended for adults before contact with young children and pregnant women
    • Whooping cough significantly more dangerous in infants (50% hospitalization rate for infants/children ≤ 4 years old) than adults (5% hospitalization)

    Tuberculosis

    • Caused by Mycobacterium tuberculosis, an acid-fast bacillus
    • M. tuberculosis tends to grow in cords
    • Unlike other bacterial pathogens, it doesn't produce exotoxins or enzymes
    • Cord formation is a measure of virulence
    • Cord formation may impede macrophages from ingesting and destroying M. tuberculosis

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    Description

    This quiz covers essential information about whooping cough (pertussis) and tuberculosis, including their causes, symptoms, and prevention methods. Understand the significance of vaccination and why certain populations are at higher risk. Test your knowledge on these critical infectious diseases that affect public health.

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