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Questions and Answers

What is the primary treatment initiated for severe COVID-19 pneumonia in this case?

  • Monoclonal antibodies
  • Interferon therapy
  • Intravenous dexamethasone and tocilizumab (correct)
  • Combination antiretroviral therapy

Which type of virus requires transcription to a positive strand before protein translation?

  • Positive-sense ssRNA virus
  • Negative-sense ssRNA virus (correct)
  • Retrovirus
  • dsDNA virus

Which laboratory finding is noted in the 32-year-old woman suspected of having acute HIV infection?

  • Increased platelet count
  • Lymphocytopenia (correct)
  • Elevated white blood cell count
  • Normal serum sodium levels

Which structural classification of viruses includes a head-tail structure?

<p>Complex Viruses (A)</p> Signup and view all the answers

What stage of HIV infection is indicated by the serology results in the case of the 32-year-old woman?

<p>Fiebig stage 3 (C)</p> Signup and view all the answers

What is the primary function of the viral envelope in enveloped viruses?

<p>To facilitate binding to host cell receptors (A)</p> Signup and view all the answers

What potential concern does the patient with HIV express regarding the initiation of treatment?

<p>Desire to see if her immune system can clear the infection (D)</p> Signup and view all the answers

Which treatment option is part of the deliberation for the management of severe COVID-19 pneumonia in this case?

<p>Convalescent plasma therapy (C)</p> Signup and view all the answers

Which of the following viruses is correctly classified as a naked capsid virus?

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

Among these options, which virus utilizes reverse transcription to integrate its genetic material into the host genome?

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

Which class in the Baltimore Classification consists of double-stranded RNA viruses?

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

Which of the following viruses is classified as a negative-sense single-stranded RNA virus?

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

What type of structure do helical viruses have?

<p>Filamentous or rod-like shapes (D)</p> Signup and view all the answers

What defines true pathogens in relation to immune competence?

<p>They possess virulence factors that enable them to cause disease in healthy individuals. (C)</p> Signup and view all the answers

Which mechanism is commonly used by true pathogens to damage host tissues?

<p>Utilizing toxins or invasion proteins. (A)</p> Signup and view all the answers

Which virus is categorized as a Class VII virus in the Baltimore Classification?

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

Which type of viruses are known to infect various animal species, including humans?

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

Under which condition can opportunistic pathogens cause disease?

<p>When the host immunity is compromised. (B)</p> Signup and view all the answers

What characteristic defines icosahedral viruses?

<p>Capsid made of 20 triangular faces (D)</p> Signup and view all the answers

What role do commensal bacteria play in the host?

<p>They assist in digestion and prevent pathogen colonization. (B)</p> Signup and view all the answers

Which of the following examples is a helical virus?

<p>Tobacco Mosaic Virus (A)</p> Signup and view all the answers

Which statement is true regarding the survival mechanisms of Mycobacterium tuberculosis?

<p>It evades immune detection by surviving within macrophages. (C)</p> Signup and view all the answers

Which class of viruses includes those that utilize reverse transcriptase and are positive-sense single-stranded RNA viruses?

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

What condition is associated with the overgrowth of Clostridium difficile?

<p>Prolonged antibiotic therapy. (B)</p> Signup and view all the answers

How does Staphylococcus epidermidis typically behave in a healthy individual?

<p>It acts as a beneficial commensal bacterium. (B)</p> Signup and view all the answers

What kind of infections can certain strains of Escherichia coli cause in compromised hosts?

<p>Urinary tract infections (UTIs). (A)</p> Signup and view all the answers

What is a characteristic of Gram-positive bacteria that affects their susceptibility to antibiotics?

<p>Absence of an outer membrane (B)</p> Signup and view all the answers

Which of the following bacteria is known to be generally non-pathogenic but can cause infections in individuals with weakened immune systems?

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

What role do Lactobacillus species play in the gastrointestinal and genitourinary tracts?

<p>They produce lactic acid to maintain an acidic environment (C)</p> Signup and view all the answers

What is the primary effect of the lipopolysaccharide (LPS) component found in Gram-negative bacteria?

<p>It acts as a powerful endotoxin (D)</p> Signup and view all the answers

What structural feature distinguishes the cell wall of Gram-negative bacteria?

<p>A thin peptidoglycan layer with an outer membrane (A)</p> Signup and view all the answers

Which of the following describes the mechanism by which Gram-positive bacteria assist in wound healing?

<p>By forming an acidic barrier against pathogens (D)</p> Signup and view all the answers

Which of these statements about supercoiled DNA in bacteria is true?

<p>It is found in the cytoplasm within the nucleoid (B)</p> Signup and view all the answers

What type of infections can Staphylococcus aureus cause?

<p>A variety of infections, including skin and systemic diseases (B)</p> Signup and view all the answers

Which of the following describes the role of beta-lactamases in bacterial resistance?

<p>They hydrolyze the beta-lactam ring in various antibiotics. (A)</p> Signup and view all the answers

Which class of beta-lactamases can hydrolyze carbapenems?

<p>Class B Beta-lactamases (B)</p> Signup and view all the answers

What is the primary function of aminoglycoside-modifying enzymes?

<p>To prevent aminoglycosides from binding to ribosomal subunits. (C)</p> Signup and view all the answers

How do bacteria acquire resistance genes aside from intrinsic resistance?

<p>By horizontal gene transfer or mutations. (D)</p> Signup and view all the answers

Which mechanism is NOT typically involved in bacterial virulence?

<p>Inhibition of bacterial ribosomal function. (A)</p> Signup and view all the answers

What type of enzymes inactivate chloramphenicol?

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

What enables bacteria to form biofilms, providing protection against the immune system?

<p>Adhesion molecules (A)</p> Signup and view all the answers

In bacterial infections, the understanding of virulence factors is important for which purpose?

<p>Creating targeted therapies and preventive measures. (D)</p> Signup and view all the answers

Flashcards

Systemic inflammation

A type of immune response involving the activation of white blood cells and the release of inflammatory chemicals to fight infection.

Antibodies against SARS-CoV-2

The presence of an antibody in the blood serum that is specific to SARS-CoV-2.

Combination antiretroviral therapy (cART)

A combination of antiretroviral drugs used to control HIV infection.

Fiebig stage 3

A stage in HIV infection characterized by a high viral load, low CD4+ T cell count, and the presence of clinical symptoms, such as fever, rash, and swollen lymph nodes.

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Viral variation

The ability of a virus to change its genetic makeup over time, leading to new strains with potentially different characteristics.

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Enveloped Viruses

Viruses that contain a lipid membrane surrounding their protein shell (capsid). This membrane is derived from the host cell and contains important viral proteins.

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Capsid

The protein shell that encloses the viral genome. It acts as a protective barrier and helps in attaching to host cells.

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Helical Viruses

Viruses with a rod-like structure where the viral genome is coiled inside a cylindrical protein shell. Examples include Tobacco Mosaic Virus and Rabies.

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Viral Attachment Protein

A viral protein that binds to specific receptors on host cells, initiating the infection process.

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Naked Capsid Viruses

Viruses that lack a lipid envelope and are composed only of a protein capsid surrounding their genetic material. They are more resistant to environmental conditions.

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Gram-Positive Bacteria

A type of bacteria with a thick layer of peptidoglycan in their cell wall, which stains purple with the Gram stain.

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Gram-Negative Bacteria

A type of bacteria with a thin layer of peptidoglycan in their cell wall, located between the inner and outer membranes. They appear pink or red after counterstaining with the Gram stain.

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Bacterial Cell Wall

The rigid outer layer of a bacterial cell that provides structure and protection. In Gram-positive bacteria, this layer is thicker and composed mainly of peptidoglycan.

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Peptidoglycan

A complex sugar molecule that forms the structural backbone of bacterial cell walls. It is a target for many antibiotics, such as penicillin.

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Lipopolysaccharide (LPS)

A component of the outer membrane of Gram-negative bacteria. It is a potent toxin that can trigger strong immune responses.

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Plasmid

A small circular piece of DNA found in bacteria, separate from the main chromosome. It can replicate independently and often carries genes for antibiotic resistance.

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Nucleoid

The region within a bacterial cell where the DNA is located. It is not enclosed by a membrane, unlike a nucleus in eukaryotic cells.

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Antibiotic Resistance

The ability of a bacterial cell to resist the effects of an antibiotic.

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True Pathogens

Bacteria that can cause disease in healthy individuals even with a functioning immune system.

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How do True Pathogens work?

These bacteria use special weapons like toxins or invasion proteins to harm our bodies.

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Opportunistic Pathogens

These bacteria are usually harmless and can even be beneficial to us, but they can become harmful when our defenses are weakened.

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Staphylococcus epidermidis

These bacteria live on our skin, but can cause infection in people with compromised immune systems.

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Escherichia coli (E. coli)

These bacteria often reside in our gut, but some strains can cause urinary tract infections.

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Commensal Bacteria

Normally harmless bacteria that live with us and benefit us in various ways, like aiding digestion and preventing other pathogens from taking over.

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Colonization Resistance

The ability of our commensal bacteria to outcompete harmful pathogens for resources and space, preventing them from establishing themselves.

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Clostridium difficile Overgrowth

A condition that occurs when imbalance in the gut microbiome following antibiotic use allows the bacteria Clostridium difficile to overgrow.

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HTLV (Human T-cell Leukemia Virus)

HTLV (Human T-cell Leukemia Virus) is a retrovirus that can cause adult T-cell leukemia/lymphoma, a type of cancer affecting white blood cells.

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Baltimore Classification

This classification system categorizes viruses based on their method of producing mRNA, which is essential for protein synthesis and viral replication.

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Class I: Double-stranded DNA Viruses

These viruses have a double-stranded DNA genome, which is used to make mRNA directly. Examples include Herpesviruses and Adenoviruses.

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Class II: Single-stranded DNA Viruses

These viruses possess a single-stranded DNA genome. Parvoviruses are a common example.

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Class III: Double-stranded RNA Viruses

These viruses contain a double-stranded RNA genome. Reoviruses, like Rotavirus, belong to this class.

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Class IV: Positive-Sense Single-stranded RNA Viruses

These viruses have a single-stranded RNA genome that acts directly as mRNA. Examples include Flaviviruses (e.g., Dengue) and Coronaviruses (e.g., SARS-CoV-2).

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Class V: Negative-Sense Single-stranded RNA Viruses

These viruses use a single-stranded RNA genome that needs to be converted into mRNA before protein synthesis. Examples include Influenza and Rabies virus.

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Class VI: Positive-Sense Single-stranded RNA Viruses with Reverse Transcriptase

These viruses contain a single-stranded RNA genome, but they also possess the enzyme reverse transcriptase, which allows them to convert RNA into DNA. HIV (retroviruses) is a prominent example.

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Enzymatic Modification of Antibiotics

A bacterial defense mechanism where enzymes alter the structure of antibiotics, making them ineffective. These enzymes can be classified into different classes based on the antibiotics they target and their structural properties.

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Beta-lactamases

Enzymes that break down beta-lactam antibiotics like penicillin by breaking their ring structure, causing them to lose their antibacterial activity.

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Extended-spectrum Beta-Lactamase (ESBL)

A class of beta-lactamases capable of breaking down third-generation cephalosporins, rendering them ineffective. This broad spectrum action makes them a significant threat in healthcare settings.

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Metallo-beta-lactamases (Class B)

A class of beta-lactamases that require zinc to function and are particularly dangerous as they can break down carbapenems, a powerful class of antibiotics. NDM-1 is a particularly concerning example.

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AmpC beta-lactamases (Class C)

A class of beta-lactamases that confer resistance to a wide range of beta-lactam antibiotics. These are often found in bacteria that have developed resistance to other classes of antibiotics.

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Aminoglycoside-Modifying Enzymes

Enzymes that modify aminoglycoside antibiotics by adding chemical groups, preventing them from binding to the ribosomes and blocking protein synthesis in bacteria.

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Chloramphenicol Acetyltransferase (CAT)

An enzyme that acetylates chloramphenicol, a commonly used antibiotic. This modification prevents the antibiotic from binding to the bacterial ribosome and inhibiting protein synthesis.

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Intrinsic vs. Acquired Resistance

Bacterial resistance mechanisms involve intrinsic resistance, which is inherent to the bacteria's biology, and acquired resistance, which develops through mutations or horizontal gene transfer. These mechanisms provide bacteria with a survival advantage against antimicrobial agents, making infections more difficult to treat.

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