Pathogenesis Stages Quiz
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Questions and Answers

What is the primary function of hyaluronidase in pathogens?

  • Degrades host cell antibodies
  • Breaks down phospholipids
  • Breaks down hyaluronic acid (correct)
  • Creates pores in host cell membranes
  • Which type of toxin is associated with the stimulation of an inflammatory response upon pathogen death?

  • Exotoxins
  • Endotoxins (correct)
  • Superantigens
  • A-B Toxins
  • What is the role of proteases in the context of virulence factors?

  • Inactivate antibodies (correct)
  • Break down collagen
  • Degrade DNA
  • Create pores in membranes
  • Which of the following describes A-B Toxins?

    <p>They consist of a binding part and an active part. (D)</p> Signup and view all the answers

    How do capsules contribute to the virulence of pathogens?

    <p>They prevent phagocytosis. (B)</p> Signup and view all the answers

    What mechanism allows microbes to alter their surface proteins to evade the immune system?

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

    Which enzyme is responsible for breaking down collagen in tissues?

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

    What is a characteristic of superantigens?

    <p>They trigger excessive immune responses. (C)</p> Signup and view all the answers

    Which type of virulence factor can directly create pores in host cell membranes?

    <p>Membrane-disrupting toxins (D)</p> Signup and view all the answers

    What is the effect of nucleases produced by pathogens?

    <p>They break down DNA for dissemination. (B)</p> Signup and view all the answers

    What is the first stage in the process of pathogenesis?

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

    Which of the following best describes a focal infection?

    <p>Infection that spreads from the site of entry to a secondary location (D)</p> Signup and view all the answers

    What role do adhesins play in pathogenesis?

    <p>They help pathogens attach to host cells (A)</p> Signup and view all the answers

    How do opportunistic pathogens typically cause disease?

    <p>By taking advantage of weakened host defenses (A)</p> Signup and view all the answers

    What is a common effect of antibiotic treatment on normal microbiota?

    <p>It can lead to secondary infections due to microbiome disruption (A)</p> Signup and view all the answers

    Which virulence factor is specifically responsible for penetrating host tissues?

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

    Which of the following accurately defines systemic infection?

    <p>Infection that spreads throughout the body (A)</p> Signup and view all the answers

    Which of the following can serve as a portal of entry for pathogens?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the function of toxins produced by pathogens?

    <p>To harm host cells and interfere with bodily functions (D)</p> Signup and view all the answers

    What can lead to a patient being more susceptible to secondary infections?

    <p>Fighting a primary infection that weakens the immune system (B)</p> Signup and view all the answers

    Flashcards

    Pathogenesis stages

    The process of a pathogen causing disease.

    Exposure (contact)

    Encounter with a pathogen; does not always lead to infection.

    Portal of Entry

    The way a pathogen enters the body (skin, mucous membranes, etc.).

    Adhesion

    Pathogen attaching to host cells.

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    Invasion/Colonization

    Pathogen entering and establishing itself in tissues.

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    Intracellular Pathogen

    Pathogen that gets inside a host cell.

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    Infection (Local, Focal, Systemic)

    Pathogen multiplying; can be localized to one area or spread throughout the body.

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    Opportunistic Pathogen

    A pathogen that causes disease in weakened hosts.

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    Virulence Factor

    A characteristic that makes a pathogen more likely to cause disease.

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    Pathogen Exit

    How a pathogen leaves the host to spread to new hosts.

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    Hyaluronidase function

    Breaks down hyaluronic acid, allowing pathogens to spread through tissues.

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    Exotoxin type

    Protein-based toxins, often potent and deadly.

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    A-B toxin part

    Two parts: 'A' for activity, 'B' for binding to host cell.

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    Membrane-disrupting toxin action

    Creates pores in host cell membranes, causing damage.

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    Endotoxin trigger

    Released from dead bacteria; triggers inflammation and organ damage.

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    Collagenase function

    Breaks down collagen, enabling pathogen spread.

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    Capsule evasion

    Prevent phagocytosis (immune cells eating bacteria).

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    Superantigen effect

    Triggers an excessive immune response, 'cytokine storm'.

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    Phagocytosis prevention

    Capsules and proteases stop immune cells engulfing bacteria.

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    Antigenic variation

    Microbes change surface proteins to avoid immune detection.

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    Study Notes

    Stages of Pathogenesis

    • Exposure (contact): Encounter with a pathogen. Exposure doesn't guarantee infection; a portal of entry (e.g., skin, mucous membranes) is required.
    • Adhesion: Pathogens attach to host cells using adhesion factors (e.g., pili, glycoproteins).
    • Invasion/Colonization: Pathogens enter tissues; exoenzymes and toxins aid this process, causing damage and spread.
      • Intracellular Pathogens: Enter cells, use host nutrients, and evade the immune system. H. pylori, for example, neutralizes stomach acid using urease to penetrate the stomach lining.
    • Infection: Pathogen multiplication after successful invasion. Infection can be:
      • Local: Confined to the entry site (e.g., boils, UTIs).
      • Focal: Spreads from the entry site to a secondary location (e.g., spreading from a gum cut).
      • Systemic: Spreads throughout the body (e.g., varicella zoster, affecting mucous membranes and the upper respiratory tract, causing a rash).

    Secondary Infections

    • Opportunistic Pathogens: Cause disease only in immunocompromised hosts.
    • Factors impacting host susceptibility:
      • Breaks in skin (e.g., wounds, burns)
      • Weakened immune system (e.g., AIDS)
      • Issues with the normal microbiome
      • Age (young or old)
      • Pregnancy
      • Chemotherapy
      • Post-surgical recovery
    • Normal Microbiota: Disrupted balance can make them opportunistic pathogens (e.g., E. coli moving from the gut to the urinary tract).
    • Weakened Immunity: Primary infections can compromise the immune system and increase susceptibility to secondary infections. Antibiotic treatment can eliminate pathogens but also disrupt the normal microbiome, leading to opportunistic infections.

    Pathogen Exit

    • Pathogens must exit the host to be transmitted to a new host (e.g., through skin, respiratory or urogenital tracts, or the GI tract).

    Virulence Factors

    • Virulence Factors: Enhance pathogenicity by assisting in adherence, invasion, and immune system evasion.
      • Adhesins: Promote attachment to host cells.
      • Exoenzymes: Aid penetration and damage tissues.
        • Hyaluronidase: Breaks down hyaluronic acid, facilitating tissue penetration.
        • Nucleases: Break down DNA, promoting spread.
        • Phospholipases: Break down phospholipids, damaging cell membranes.
        • Proteases: Break down proteins, inactivating antibodies.
        • Collagenase: Breaks down collagen, allowing pathogen spread.
      • Toxins: Harm host cells and impair bodily functions
        • Endotoxins: Released upon pathogen death; stimulate inflammation and can cause organ failure.
        • Exotoxins: Protein toxins, often highly potent.
          • A-B Toxins: Have two parts (A=activity, B=binding); A enters the cell, B binds to the cell receptor.
          • Membrane-disrupting toxins: Create pores in cell membranes.
          • Superantigens: Trigger excessive immune response (cytokine storm).

    Evasion of Phagocytosis

    • Capsules: Prevent phagocytosis (immune cell engulfment).
    • Proteases: Degrade host antibodies.
    • Fimbriae: Block complement binding.
    • Antigenic variation: Alter surface proteins to evade recognition (e.g., Lyme disease, influenza).

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    Description

    Test your knowledge on the stages of pathogenesis, including exposure, adhesion, invasion, and infection. Understand how pathogens interact with host cells and the different types of infections that can occur. This quiz will help reinforce your learning on the mechanisms of infectious diseases.

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