Pathogens and Diarrhea Mechanisms
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Pathogens and Diarrhea Mechanisms

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Questions and Answers

What distinguishes autotrophs from heterotrophs in terms of nutrient absorption and energy production?

  • Heterotrophs absorb nutrients; autotrophs make their own energy. (correct)
  • Neither absorb nutrients nor make energy.
  • Both absorb nutrients and make their own energy.
  • Autotrophs absorb nutrients; heterotrophs make their own energy.
  • Which fungus can exist as both yeast and mold?

  • Microsporum
  • Candida albicans (correct)
  • Epidermophyton
  • Trichophyton
  • Which medical condition increases the likelihood of infection by Candida albicans?

  • AIDS (correct)
  • Diarrhea
  • Glaucoma
  • Hepatitis C
  • What is the primary location in the human body affected by subcutaneous mycoses?

    <p>Skin and underlying tissue</p> Signup and view all the answers

    In which environment are fungi typically found?

    <p>Human body and environment</p> Signup and view all the answers

    Which of the following represents the normal flora of the human body?

    <p>Bacteria and fungi</p> Signup and view all the answers

    What is the mechanism of action of polyene class antifungals?

    <p>Disruption of the cell membrane by binding to ergosterol</p> Signup and view all the answers

    Which antifungal drug inhibits DNA and protein synthesis?

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

    How do toxins from pathogens that cause secretory diarrhea affect electrolyte transport in the gut lumen?

    <p>Increased Na absorption, Increased Cl secretion</p> Signup and view all the answers

    Which structure is likely missing from a strain of V. cholerae that can produce cholera toxin but does not cause disease?

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

    What is the mechanism of action of cholera toxin?

    <p>Increased adenylate cyclase activity, increasing cAMP</p> Signup and view all the answers

    What is the most dangerous complication associated with cholera infection?

    <p>Severe dehydration</p> Signup and view all the answers

    What was one underlying cause of the cholera outbreak in Haiti in 2010?

    <p>Contaminated oral rehydration therapy</p> Signup and view all the answers

    Which organism is the most common cause of urinary tract infections?

    <p>E.coli</p> Signup and view all the answers

    What is the morphological classification of E.coli?

    <p>Gram negative rod</p> Signup and view all the answers

    Which of the following is NOT a common cause of E.coli infection?

    <p>Contaminated respiratory droplets</p> Signup and view all the answers

    Which herpesvirus is most likely responsible for sporadic fatal encephalitis?

    <p>Herpes simplex virus 1</p> Signup and view all the answers

    Which member of the Herpesviridae family is associated with hairy oral leukoplakia?

    <p>Epstein-Barr virus</p> Signup and view all the answers

    What is the human herpesvirus 5 (HHV-5) commonly known as?

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

    Where does the latent infection of herpes simplex viruses typically occur?

    <p>Sensory ganglia</p> Signup and view all the answers

    Which part of the brain is most likely affected by sporadic encephalitis due to herpes simplex virus 1?

    <p>Temporal lobe</p> Signup and view all the answers

    What type of rash is most often associated with infection by herpes simplex virus 1?

    <p>Erythema multiforme</p> Signup and view all the answers

    What type of lesions are typically caused by herpes simplex viruses?

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

    Which best describes the vaccine for varicella-zoster virus prevention?

    <p>Live-attenuated</p> Signup and view all the answers

    What is the typical incubation period of classic acute influenza infection in adults?

    <p>10–14 days</p> Signup and view all the answers

    Which term best describes gradual, minor mutations in the genomes of influenza viruses that can lead to an epidemic?

    <p>Antigenic drift</p> Signup and view all the answers

    What is the typical incubation period for infection by the Lassa fever virus?

    <p>6–21 days</p> Signup and view all the answers

    What approximate percentage of lymphocytic choriomeningitis cases will have central nervous system involvement?

    <p>90%</p> Signup and view all the answers

    Administration of aspirin to individuals infected by Lassa virus may lead to which syndrome?

    <p>Reye syndrome</p> Signup and view all the answers

    Which vector is most likely responsible for transmitting hantaviruses?

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

    A fourfold rise in which immunoglobulin is considered diagnostic for hantavirus hemorrhagic fever?

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

    Sudden onset, severe shortness of breath in hantavirus pulmonary syndrome is likely due to which condition?

    <p>Pulmonary edema</p> Signup and view all the answers

    Which cranial nerve is damaged in congenital syphilis?

    <p>Cranial nerve VII</p> Signup and view all the answers

    The Jarisch-Herxheimer reaction is caused by injecting high doses of which antibiotic in patients with syphilis?

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

    Which type of skin lesions develop in yaws caused by Treponema pallidum?

    <p>Elevated, ulcerated skin lesions</p> Signup and view all the answers

    Which type of lesions initially develop in pinta caused by Treponema pallidum?

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

    Which of the following refers to the characteristic lesions caused by molluscum contagiosum?

    <p>Wart-like</p> Signup and view all the answers

    The genome of the viruses responsible for hepatitis B is best described as?

    <p>Circular, partially double-stranded DNA</p> Signup and view all the answers

    In an individual vaccinated against hepatitis B virus, which of the following serological markers do you expect to find?

    <p>HBsAg antibody</p> Signup and view all the answers

    Which of the following would an individual with persistently positive HBsAg, but negative HBeAg and HBV DNA be labeled as?

    <p>Healthy carrier</p> Signup and view all the answers

    Study Notes

    Infection Transmission Methods

    • Respiratory droplets can carry pathogens and facilitate infection.
    • Contaminated food and water sources can lead to outbreaks.
    • Infections can occur through wounds or breaks in skin integrity.
    • Contact with farm animals poses a risk for zoonotic disease transmission.
    • Fomites, or contaminated surfaces, can harbor pathogens.

    Secretory Diarrhea Mechanisms

    • Pathogens impair electrolyte transport, leading to increased sodium absorption and chloride secretion, contributing to diarrhea.

    V. cholerae Characteristics

    • A strain of V. cholerae that produces cholera toxin but is non-pathogenic likely lacks pili, crucial for attachment and infection.

    Cholera Toxin Action

    • Cholera toxin increases adenylate cyclase activity, raising cAMP levels and disrupting normal gut functions.

    Cholera Infection Complications

    • Severe dehydration stands out as the most critical complication following cholera infection.

    Cholera Outbreaks

    • In the 2010 Haiti outbreak, contaminated oral rehydration therapy played a significant role in disease spread.

    Urinary Tract Infections

    • E. coli is identified as the most prevalent organism responsible for urinary tract infections.

    E. coli Morphology

    • E. coli is characterized as a gram-negative rod in terms of its microbiological classification.

    Causes of E. coli Infection

    • Contaminated respiratory droplets do not commonly cause E. coli infection; other routes include water and food contamination.

    Travelers' Diarrhea

    • Enterotoxigenic E. coli (ETEC) is primarily responsible for travelers' diarrhea.

    LT Enterotoxin Mechanism

    • LT enterotoxin disrupts cellular processes, enabling heterotrophs to absorb nutrients while autotrophs synthesize energy.

    Fungi Dimorphism

    • Dimorphism defines the capacity of certain fungi to exist as both yeast and mold forms.

    Dual-Phase Fungal Organisms

    • Candida albicans is notable for its ability to grow as both yeast and mold within the human body.

    Candida albicans Risk Factors

    • Individuals with AIDS have a heightened risk of Candida albicans infection due to compromised immunity.

    Subcutaneous Mycoses Impact

    • Skin and underlying tissue are the primary areas affected by subcutaneous mycoses.

    Fungi Habitats

    • Fungi capable of causing human diseases are commonly found in both the environment and the human body.

    Normal Flora of Humans

    • The human microbiota consists of both bacteria and fungi, contributing to normal flora.

    Antifungal Mechanisms

    • Polyene class antifungals exert their fungicidal effect by binding to ergosterol in the fungal cell membrane.

    Antifungal Drug Actions

    • Flucytosine works by inhibiting DNA and protein synthesis in fungal cells.

    Fungi Characteristics

    • Fungi are ubiquitous, comprising filamentous and yeast varieties; they are not strict anaerobes as falsely stated in some sources.

    Fungal Growth Environments

    • Fungi are least likely to thrive in antiviral ointments such as acyclovir.

    Encephalitis Causative Agents

    • Herpes simplex virus 1 is commonly associated with sporadic fatal encephalitis cases in patients.

    Hairy Oral Leukoplakia

    • Epstein-Barr virus is closely associated with hairy oral leukoplakia, often seen in immunocompromised individuals.

    CMV Identification

    • Human herpesvirus 5 (HHV-5) is synonymous with cytomegalovirus.

    Latent Herpes Infections

    • Herpes simplex viruses establish latent infections primarily in sensory ganglia.

    Brain Involvement in Encephalitis

    • Sporadic encephalitis from herpes simplex virus 1 most often involves the temporal lobe of the brain.
    • Erythema multiforme is a hypersensitivity rash linked to herpes simplex virus 1 infections.

    Herpetic Lesion Characteristics

    • Typical lesions from herpes simplex viruses manifest as vesicles.

    Varicella-Zoster Virus Vaccine

    • The vaccine for varicella-zoster virus is live-attenuated to generate an immune response.

    Chickenpox Diagnosis

    • A child presenting with vesicular lesions at various healing stages is likely diagnosed with chickenpox.

    Varicella-Zoster Virus Epidemic Dynamics

    • The classical maculopapular rash distribution in adults post-shingles is classified as endemic.

    Influenza Incubation Period

    • The incubation period for acute influenza in adults typically spans 1–3 days.

    Influenza Mutations

    • Gradual mutations in influenza virus genomes, termed antigenic drift, can lead to epidemics.

    Influenza Antigen Detection

    • Enzyme-linked immunosorbent assay (ELISA) primarily enables the detection of influenza virus antigens in nasal secretions.

    Lassa Fever Incubation

    • The incubation period for Lassa fever virus ranges from 6 to 21 days.

    CNS Involvement in LCM

    • Approximately 75% of lymphocytic choriomeningitis cases involve the central nervous system.

    Reye Syndrome Risk

    • Aspirin administration during Lassa virus infection may precipitate Reye syndrome, exacerbating liver damage.

    Hantavirus Transmission

    • Rodents primarily serve as vectors for hantavirus transmission.

    Hantavirus Diagnosis

    • A fourfold rise in IgM antibodies is diagnostic for hantavirus hemorrhagic fever.

    Hantavirus Pulmonary Syndrome Symptoms

    • Sudden onset of severe shortness of breath in hantavirus pulmonary syndrome is attributed to pulmonary edema.

    California Encephalitis Virus Vectors

    • Ochlerotatus mosquitoes are the primary vectors for California encephalitis virus transmission.

    Yersinia pestis Reservoir

    • The natural reservoir for Yersinia pestis includes various rodent species.

    Congenital Syphilis Impact

    • Damage in congenital syphilis frequently affects cranial nerve VIII.

    Jarisch-Herxheimer Reaction

    • High doses of penicillin can induce the Jarisch-Herxheimer reaction in syphilis patients.

    Treponema pallidum Skin Lesions

    • Yaws, caused by Treponema pallidum, results in elevated, ulcerated skin lesions.

    Pinta Symptoms

    • Initial pinta lesions appear as small pruritic macules on the skin.

    Molluscum Contagiosum Lesions

    • Characteristic lesions from molluscum contagiosum resemble wart-like structures.

    Hepatitis B Virus Genome

    • Hepatitis B virus possesses a linear, partially double-stranded DNA genome.

    Hepatitis B Virus Enzyme Production

    • Reverse transcriptase plays a crucial role in hepatitis B virus replication and pathogenesis.

    Vaccinated Individuals' Serology

    • Vaccination against hepatitis B virus results in the presence of HBsAg antibodies.

    HBsAg and Carrier Status

    • A person with positive HBsAg but negative HBeAg and HBV DNA is classified as a healthy carrier.

    Hepatitis B Hypersensitivity Reaction

    • Hepatitis B surface antigen triggers a type of hypersensitivity reaction classified as delayed-type hypersensitivity.

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    Description

    Explore the different transmission methods of pathogens such as through respiratory droplets and contaminated food. This quiz also addresses how these pathogens affect electrolyte transport in the gut, particularly in cases of secretory diarrhea.

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