Microbiology exam 4: ch 13-15 clicker questions

D
The term infection refers to:
A- Microbes colonizing the body
B-Contact with microbes
C-contact with pathogens
D-pathogens penetrating host defenses
E-a pathological state
B
Endogenous infections are caused by:
A- infection by indigenous biota in a healthy individual
B- normal biota in an unusual site
C- parasitic flora that have been ingested
D-viral invasion
E- microbes that are transmitted from one person to another
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A
The effect of beneficial microbes of normal biota against invading microbes is:
A- microbial antagonism
B- microbial commensalism
C-endogenous infection
D-infectious disease
E-microbial synergism
A
A virulence factor is one which
A-allows a microbe to invade and establish itself in the host
B-allows a host to evade infection
C-normal flora use against invading microbes
D-invading microbes use against normal flora
C
the greatest number of pathogens enter the body via the:
A-gastrointestinal system
B-urinary system
C-respiratory system
D-skin
E-genital system
C
the time form when a pathogen first enters the body and begins to multiply until symptoms first appear is the :
A- prodromal stage
B- convalescent stage
C-incubation period
D-period of invasion
B
Someone who inconspicuously harbors a pathogen and spreads it to others is termed the
A-Fomite
B-Carrier
C-Vector
D-Reservoir
E-Source
D
An example of a nonspecific physical barrier to infection is/are
A-unbroken skin
B-Lysozyme in saliva
C-Cilia in the respiratory tract
D-Both A and C
C
Which of the following is NOT a lymphoid tissue?
A-spleen
B-thymus
C-Thyroid gland
D-GALT
E-MALT
C
immune cells differentiate between self and foreign cells by:
A-cell walls
B-Shapes
C-Markers
D-Sizes
E-cell processes
C
Hematopoiesis is the:
A-loss of blood due to hemorrhaging
B-production of only red blood cells
C-production of white blood cells, red blood cells, and platelets
D-plugging of broken vessels to prevent bleeding
E-migration of white blood cells from blood to tissue
C
What type of molecules are found on foreign substances that activate phagocytes?
A-MALT
B-GALT
C-PAMPS
D-PRRs
A
histamine, serotonin, and bradykinin are:
A-Vasoactive mediators
B-Mediators of T cell activity
C-Mediators of B cell activity
D-Mediators that increase chemotaxis
E-fever reducers
C
Which protein can be produced by a virus-infected cell, in order to communicate with other cells that need to produce antiviral proteins?
A-Complement
B-Albumin
C-interferon
D-histamine
E-lysozyme
E
A foreign molecule that causes a specific immune response is
A-PAMP
B-marker
C-hapten
D-antibody
E-antigen
B
destruction of lymphocytes with self-specificity is termed
A-clonal selection
B-clonal deletion
C-differentiation
D-proliferation
E-autoimmunity
A
Which of the following does NOT serve as an antigen presenting cell?
A- T cells
B-B cells
C-Macrophages
D-Dendritic cells
E-All of the above are APC’s
D
small molecules that by themselves are too small to elicit an immune response are
A-epitopes
B-antigens
C-antibodies
D-Haptens
E-variable regions
B
What T cell works with B cells to promote differentiation and antibody secretion?
A- TH1
B- TH2
C- TH17
D- T regulatory cell
E- cytotoxic T cell
D
Which process involves antibodies covering microorganisms in order to facilitate phagocytosis?
A- Agglutination
B-Neutralization
C-Complement fixation
D-Opsonization
A
The immunoglobulin class that has a dimer form found in mucous, saliva, colostrum, and other body secretions is:
A- IgA
B-IgD
C-IgG
D-IgM
E-IgE
D
Which of the following are true of T cells?
A-produce plasma cells and memory cells
B-Secrete antibodies
C-mature on the bone marrow
D-require antigen presented with MHC proteins
E-receptors called immunoglobulins
D
Specific immunity provides long-lasting protection through the production of:
A-antibodies
B-plasma cell
C-T helper cells
D-memory cells
E-phagocytic
true
opportunistic
_____ pathogens cause disease in healthy individuals while _____ pathogens take advantage of immunocomprimised hosts
virulence
anything used by microbes to enter, attach, establish infection, or cause disease
endogenous
bacteria that normally reside in the body and do not normally cause disease are
limited
the flu can only enter through the respiratory tract. this is an example of _____ entry
promiscuous
staph and strep can enter through the skin, respiratory, or urogenital tract. To be able to enter through multiple entryways is ______ entry
skin
tetanus, herpes, staph, and strep use ____ as a portal of entry
GI tract
gram-negative rods, salmonella, rotovirus, and protozoa use _____ as a portal of entry
respiratory
pneumonia, tb, influenza, and others use this portal of entry. it is the most common used.
urogenital
STI’s and displaced organisms like e. coli and candida a. use this portal of entry
infectious dose
minimum quantity of a microbe required to cause infection
virulence
the smaller the infectious dose, the larger the –
exotoxin
this is secreted by living bacterial cells and have specific targets of organs
endotoxin
LPS on the membranes of gram-negative cells is shed off. this causes larger general effects like fever, aches, and chock throughout the body. Found with typhoid fever
same
portals of exit are often _______ as the entry site
biological
_______ vectors is when the creature is infected with the microbe and then spreads it. like deer ticks
mechanical
______ vectors are not infected with the microbes, and only physically transfer it. Like houseflies
asymptomatic
____ carriers are infected and show no symptoms, but may have in the past, like STI’s
incubating
____ carriers are infected, and show no symptoms as the bacteria multiply, such as in mono or HIV
convalescent
_____ carriers are when they are recuperating without symptoms, but can still transfer the disease, like Hepatitis A
chronic
_____ carriers have the disease for a long time. It is latent now, but is still transferable, like typhoid
passive
______ carriers are mechanically transported microbes from healthcare facilities and equipment
horizontal
vertical
transmission can be _______, from peer to peer, or _____ from parent to offspring, as well as direct or indirect
PAMP
Pathogen associated molecular patterns, are recognized by the second line of defense
lymphatic system
Return extracellular fluid to the circulatory system
“drain”
fight off foreign invaders:
are all functions of _______ _________
thymus
site of T-cell maturation. grows after puberty. part of lymphoid system
lymph nodes
bean shaped, in clusters, to filter materials in lymph
spleen
filters blood for pathogens and old RBCs
lymphatic
MALT and GALT are considered ________ tissues
red blood cells, white blood cells, platelets
stem cells can turn into ______, ________, and ________
granulocytes
These WBCs have multi-lobed nuclei and look grainy under a microscope
agranulocytes
these WBCs have a single, round nucleus
neutrophils
these phagocytic granulocytes are the first to arrive, in large numbers. They die very quickly
eosinophil
these phagocytic granulocytes target parasites
basophils
least numerous granulocyte. release histamine during allergic reactions
natural killer cells
these agranulocytes could be considered both specific and nonspecific defense
monocytes
macrophages and dendritic cells are types of
macrophages
pac-man of cells. Is an antigen-presenting cell. they will phagocyte anything, and secrete compounds
dendritic cells
these track and trap pathogens. Are antigen-presenting cell
platelets
sticky cell fragments involved in blood clotting, and in inflammation. They can be used to tag bacteria for the spleen to pick up
second
phagocytosis, inflammation, fever, and antimicrobial proteins are the ________ line of defense in the body
neutrophils, monocytes, macrophages, and eosinophil
The 4 phagocytes are:
PRR
Pathogen recognition receptor, found on phagocytes, that recognize PAMPS
PAMPS
phagocytes recognize red flags through the _____ of a microbe
kill
staph and strep can avoid security by secretions that ______ the phagocytes
protect
capsules used by the bacteria allows pathogens to ______ themselves against our defenses
survive
some pathogens, such as TB and Listeria, can _____ inside of phagocytes, and so can get through security
rubor
tumor
dolor
calor
loss of function
What are the five symptoms of inflammation?
inflammation
these are the 3 functions of _________:
mobilize and attract immune cells
initiate mechanisms to repair tissue
destroy microbes and prevent further damage
diapedesis
WBCs travel through ________, where they adhere to blood vessel inner walls and squeeze into the tissue
fever
These are the functions of ________:
inhibit multiplication of microbes
reduce nutrition available
stimulates immune response
increases hematopoiesis
antimicrobial proteins
interferon, complements, iron-binding proteins, and peptides are all ________
interferons
these have a wide range of functions, including targeting cancer cells and viral cells. They can communicate with other cells to produce antiviral proteins. They activate WBCs and lower our cholesterol levels. They are divided into Alpha, Beta, and Gamma groups
complement
” a well orchestrated cascade”, in the second line of defense
Lectin
Alternative
Classical
In types of complements, ________ and _______ are nonspecific, while ________ is specific and involves the 3rd line of defense
Membrane attack complex
This is the 4th step of the complement sequence, and involves punching holes in bacteria, causing cell lysis
initiation
amplification and cascade
polymerization
MAC
what are the 4 steps of complement sequence
third
The _____ line of defense is different because it is adaptive and acquired, is specific, has memory, recognizes antigens, and uses B and T lymphocytes
markers
The 5 functions of _________:
to distinguish between self and non-self
antigen attachment
bind to cell surface receptors
radio for chemical messages
facilitate cellular development
macrophages
B lymphocyutes
dendritic cells
what cells are Antigen presenting cells?
MHC
Major histocompatibility complex (_______) is on all nucleated cells (except RBCs) and help to recognize self and reject foreign.
Class 1
Of MHC genes, ________ includes all nucleated cells: CD8 T cells
class 2
Of MHC genes, _______ includes the APCs: CD4 T cells
class 3
OF MHC genes, _____ includes complement proteins
B, T
___ cells can bind free-floating antigens, while ___ cells cannot bind antigens if not presented by an MHC (class 2)
clonal expansion
After an antigen is phagocytized, it is processed. After bound (in B cell or when brought to T cell), the B or T cell undergoes ___________ to photocopy itself.
clonal deletion
in testing, when a B or T cell is misprogramed and would attack the self, it is killed through ______
autoimmune disease
when clonal deletion does not occur properly, an ________ _________ occurs, such as in Lupus, Rheumatoid arthritis, and multiple sclerosis
epitope
part of the antigen that is recognized and cause the response. “the key”
hapten
is too small to elicit an immune response, unless bound to a larger molecule
alloantigen
cell surface receptor found in some but not all individual (blood type)
superantigen
A very strong T cell stimuli. 10x more powerful than regular antigen. ex) toxic shock syndrome caused by staph
allergen
causes an allergic response. ex) pollen
helper t cells
65% of T cells are this. are split into 3 types
TH1
this type of t helper cell, ________, activates phagocytes and CD8 (cytotoxic) t cells
TH2
this type of t helper cell, ________, works with B cells for proliferation and antibody secretion
TH17
this type of t helper cell, ________, helps promote inflammation
regulatory
_________ T and B cells suppress the immune reactions, preventing us form harming ourselves
cytotoxic
__________ T cells kill and target cells
cytotoxic
_________ t cells target virally infected cell, cancer cells, and cell form other in organ grafts
apoptosis
programed cell death
natural killer cells
is part of the second and third line of defense. they recognize altered or absent MHC1 that’s on all normal cells, such as cancer cells, and kill them.
better
stronger
the ______ the fit of an epitope to antibody, the _______ the activation
opsonization
when antibodies cover pathogens to make them sticky and easier to phagocyte
neutralization
when antibodies tackle viruses to prevent them from harming cells
agglutination
when antibodies cross-link bacteria, clumping them, to help them be phagocytized
5
There are ___ types of immunoglobulin isotypes
IgG, IgE
these two Ig’s activate the compliment
IgA
the Ig that is found in breast milk and the mucosal immunity
IgE
the Ig that assists mast cells and basophils in allergies and parasites
M
Ig__ often presents first and then helps in class switching, directing the correct Igs to come to the scene
active
________ immunity is gained form normal life experiences and getting an infection
passive
________ immunity comes pre- and post-natal, with IgG coming through the placenta and IgA in breast milk
artificial
active _______ immunity comes from vaccines, when passive ______ (same as above) immunity comes from short-term immunotherapy
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