Microbiology Final Exam

studied byStudied by 72 people
5.0(1)
get a hint
hint

What barriers exist to using vaccination to eradicate disease?

1 / 118

encourage image

There's no tags or description

Looks like no one added any tags here yet for you.

119 Terms

1

What barriers exist to using vaccination to eradicate disease?

Religious beliefs, Allergies/medical reasons, No access to healthcare/vaccinations, Financial reasons

New cards
2

What are ELISA tests?

Enzyme-linked immunosorbent assays

New cards
3

What are the pros of ELISA tests?

Can identify a wide variety of pathogens, work very quickly, very accurate

New cards
4

What do ELISA tests rely on?

Antibody-antigen interactions, Reporter enzyme attached to a monoclonal detecting antibody (recognizes just one type of antigen)

New cards
5

What are the 3 forms of ELISA tests?

Direct, Indirect, Sandwich

New cards
6

What is an attenuated vaccine?

A vaccine with altered pathogens that do not cause disease but can still be infectious

New cards
7

What are the pros of live attenuated vaccines?

Long-lived memory because it is the actual pathogen

New cards
8

What are the cons of live attenuated vaccines?

Can cause disease in immunocompromised hosts, there is the possibility that the pathogen can mutate back to it’s infectious form

New cards
9

What is a vector vaccine?

A vaccine that requires a carrier pathogen to deliver genetic information from the pathogen

New cards
10

What is an inactivated vaccine?

A vaccine with whole inactivated or partially inactivated pathogens

New cards
11

What are the pros of inactivated vaccines?

Stable at room temperature, safe for immunocompromised people

New cards
12

What are the cons of inactivated vaccines?

Boosters are needed to achieve full immunity and many people choose not to/forget to get the booster

New cards
13

What is a whole-agent vaccine?

A vaccine with the entire dead agent, inactivated virus. It contains the same agent that you would encounter in nature in it’s full form, but will not cause disease

New cards
14

How are whole-agent vaccines deactivated?

By chemicals, heat, radiation

New cards
15

What is a subunit vaccine?

A vaccine with a portion of the pathogen

New cards
16

What is a drawback of subunit vaccines?

It requires an adjuvant (Some sort of pharmaceutical additive that will enhance our bodies natural response to the pathogen. It is attached to the antigen and increase the response of our body).

New cards
17

What are the 3 categories of subunit vaccines?

Purified subunit, toxoid, conjugate

New cards
18

What is a purified subunit vaccine?

The vaccine contains purified natural parts of the actual pathogen or engineered parts of the pathogen

New cards
19

What is a toxoid subunit vaccine?

The vaccine contains an inactivated protein toxin

New cards
20

What is a conjugate subunit vaccine?

The vaccine adds or links a protein antigen to the polysaccharide antigen to make a better immune response

New cards
21

Do vaccines provide immediate protection?

No, our bodies need to mount an immune response first

New cards
22

How does an agglutination test work?

Antibodies clump together with the antigens

New cards
23

Why are agglutination tests useful?

Can visibly look for this clumping (change in color, light reaction). We can see this clumping if a patient has been exposed to an antigen and created antibodies (some tests are looking for the antigen, some look for the antibodies)

New cards
24

What are agglutination tests used for?

Blood typing, infection identification, diagnosis of noninfectious immune disorders

New cards
25

What is herd immunity?

85% or more are vaccinated

New cards
26

How could herd immunity breakdown in a community?

Antigenic shift/drift, horizontal gene transfer

New cards
27

Why did Alexander Fleming suspect he could get an antimicrobial from a species of mold?

The mold prevented the normal growth of the streptomycin

New cards
28

What are Fluroquinolone drugs?

Synthetic antimicrobials that contain a fluorine atom

New cards
29

What do Fluroquinolone drugs target?

DNA replication enzymes

New cards
30

What are the general characteristics of Fluroquinolone drugs?

Administered orally, active against many pathogens, penetrate well into tissues.

New cards
31

What are the standard side effects of Fluroquinolone drugs?

GI upset, headaches, dizziness, insomnia

New cards
32

What are Glycopeptide drugs?

Drugs that were originally naturally occurring products made by strep species

New cards
33

What are the general characteristics of Glycopeptide drugs?

No beta-lactam ring, administered orally (to treat intestinal infections) or by IV (to treat systemic infections)

New cards
34

What are the general characteristics of Rifamycin drugs?

Broad spectrum drug prescribed to treat mycobacterium

New cards
35

What is special about the prescription of Rifamycin drugs?

Prescribed in combination with another drug, but can make other drugs ineffective (oral contraceptives, HIV meds, heart condition/blood pressure/blood thinner meds)

New cards
36

What are the side effects of Rifamycin drugs?

GI upset, heartburn, fatigue, drowsiness, dizziness, headaches

New cards
37

What is the half-life of a drug?

The time it takes for half of the dose to be eliminated/deactivated by the body

New cards
38

How does half-life relate to dosing?

It determines how frequently we administer the drug (ex: if a drug has a short half life, you would need to take it more frequently)

New cards
39

What actions can be taken by healthcare providers to reduce acceleration of drug resistant pathogens?

New cards
40

What is the therapeutic index?

The ratio of the maximum safe dose to the minimum effective dose

New cards
41

What is a narrow therapeutic index?

Drugs have a dosage that is close to the toxic dose. They must be carefully dosed and monitored for toxicity effects

New cards
42

What is a high therapeutic index?

Drugs have a dosage that is well below the possibility of being toxic, but are still effective

New cards
43

How do sulfa drugs work?

Target a bacteria-produced enzyme that targets folic acid (something we don’t produce)

New cards
44

What are sulfa drugs?

Bacteriostatic, broad spectrum drugs that don’t effect human cells

New cards
45

What is the purpose of the Kirby-Bauer test?

To determine the sensitivity or resistance of bacteria to various antimicrobial compounds

New cards
46

What are broad spectrum drugs?

Drugs that work against a wide variety of both gram positive and gram negative bacteria

New cards
47

When are broad spectrum drugs most likely to be prescribed?

New cards
48

What are the pros of bacteriostatic drugs?

They prevent bacteria from growing

New cards
49

What are the cons of bacteriostatic drugs?

They target protein synthesis and metabolic pathways

New cards
50

What are the pros of bactericidal drugs?

They kill bacteria

New cards
51

What are the cons of bactericidal drugs?

They target cell walls, cell membranes, and nucleic acids, and kill our normal microbiota also which can lead to a deadly spike in bacterial toxins

New cards
52

What are bacteriostatic drugs?

Drugs that prevent bacteria from growing

New cards
53

What are bactericidal drugs?

Drugs that completely kill bacteria

New cards
54

What are Beta-lactam drugs?

Drugs that have a beta-lactam ring that target antimicrobial-resistance enzymes called beta-lactamases

New cards
55

Why is it difficult to develop drugs that target viruses and eukaryotic pathogens?

Viruses and eukaryotic pathogens are not actively replicating, making it hard for the drugs to eliminate the pathogens

New cards
56

What is an E-test?

A procedure that involves spreading test bacterium on the surface of agar plates to determine the Minimal Inhibitory Concentration (the lowest concentration that inhibits the microbe’s growth)

New cards
57

What does an E-test tell us?

The minimum inhibitory concentration: the lowest concentration that inhibits the microbe’s growth

New cards
58

What are the pros of drugs that target ribosomes?

They prevent microbe protein synthesis

New cards
59

What is the causative agent of Covid-19?

SARS-CoV-2

New cards
60

What are the signs and symptoms of typical pneumonia?

High fever, sudden onset of severe chills, shortness of breath, productive cough, chest pain

New cards
61

What are the signs and symptoms of atypical pneumonia?

Low fever, little to no chills, shortness of breath, nonproductive cough, runny nose, muscle aches, joint aches, subtle onset

New cards
62

What are the characteristics of S. pneumoniae?

Humans are the only source

New cards
63

What are the characteristics of H. influenzae?

Leading cause of community acquired pneumonia in adults (outside of the hospital setting)

New cards
64

What are the characteristics of M. pneumoniae?

Commonly referred to as “walking” pneumonia, symptom onset is slow

New cards
65

What are the characteristics of C. pneumoniae?

Severity varies - usually starts with a sore throat then cough for up to 6 weeks. 50% of people are infected by 20 years old

New cards
66

What are the most common causes of typical and atypical pneumonia?

S. pneumoniae, H. influenzae, M. pneumoniae, C. pneumoniae

New cards
67

What are the different types of HPIV?

HPIV1, HPIV2, HPIV3, HPIV4

New cards
68

What are the characteristics of HPIV1 and HPIV2?

Most common cause of croup in young children

New cards
69

What are the characteristics of HPIV2?

New cards
70

What are the characteristics of HPIV3?

Can cause bronchiolitis, bronchitis, and pneumonia

New cards
71

What are the characteristics of HPIV4?

Least serious, causes mild cold-like symptoms

New cards
72

What is the most common respiratory illness caused by each type of HPIV?

New cards
73

What are the signs of croup?

Barking cough

New cards
74

What is the role of mucous in the upper respiratory tract?

Sweep microbes towards the mouth to prevent entry to the lungs

New cards
75

Why is otitis media more common in children?

Inefficient drainage occurs, immune system is not fully developed

New cards
76

Why is pertussis (whooping cough) reemerging?

The DTAP vaccine does not provide lifelong immunity and boosters are now needed

New cards
77

What is RSV?

A RNA virus that presents as cold-like symptoms but can be dangerous to young children and elderly

New cards
78

What is sinusitis?

Inflammation and swelling of sinus membranes

New cards
79

What is the most common cause of sinusitis?

Viruses and allergens

New cards
80

What are the signs and symptoms of strep throat?

Inflammation in throat, swollen cervical lymph nodes, low grade fever, puss in throat, no cough

New cards
81

What is the causative agent of strep throat?

Group A streptococcus (GAS) S. pyogenes

New cards
82

What treatment is used for strep throat?

Penicillin based drugs

New cards
83

What are the general characteristics of influenza viruses?

Signs and symptoms are similar to a common cold, but accompanied with a prolonged high fever. Can be deadly to people with preexisting conditions and lead to complications like pneumonia

New cards
84

What is the flu vaccine?

An inactivated vaccine that contains candidate viruses grown in cell culture (chicken eggs)

New cards
85

How do symptoms of the flu compare to the common cold?

Symptoms are the same, but a high fever is also occurring

New cards
86

What is a viral variant?

New cards
87

What is a viral strain?

New cards
88

What are the symptoms of Listeria meningitis?

Minor flulike symptoms, some gastrointestinal issues

New cards
89

What are the characteristics Listeria meningitis?

Transmitted from food (cheese, deli meats, some fruits). Affects elderly, immunocompromised, babies, and pregnant women

New cards
90

What is the most common arbovirus in the United States?

West Nile virus

New cards
91

What are the characteristics of C. botulinum?

Transmitted in soils and honey. Cannot tolerate a high pH and needs low oxygen to grow. Forms endospores and can tolerate high heat. Commonly found in canned vegetables

New cards
92

What factors of C. botulinum contribute to its virulence?

Toxins block neurotransmitters that allow the muscles to contract

New cards
93

What are the characteristics of Neisseria meningitis?

Oxygen loving, had a glcocalyx capsule tightly wrapped around the cell wall to help adhere to hosts and form biofilms

New cards
94

What is meningitis?

Inflammation in the meninges

New cards
95

What are the meninges?

Layers of tissue surrounding the brain that supply nutrients, remove waste, and protect

New cards
96

What is the causative agent of pneumococcal meningitis?

NIH

New cards
97

How is polio transmitted?

Fecal-oral route

New cards
98

What are the signs and symptoms of Polio?

Flulike symptoms. Paralysis in more severe cases

New cards
99

What are the characteristics of rabies?

Kills about 50,000 people worldwide mostly in undeveloped areas

New cards
100

How is rabies transmitted?

Classic zoonosis (animal bite)

New cards

Explore top notes

note Note
studied byStudied by 20 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 5 people
Updated ... ago
5.0 Stars(2)
note Note
studied byStudied by 4 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 3 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 15 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 8 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 108425 people
Updated ... ago
4.9 Stars(528)

Explore top flashcards

flashcards Flashcard30 terms
studied byStudied by 61 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard66 terms
studied byStudied by 14 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard43 terms
studied byStudied by 2 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard60 terms
studied byStudied by 1 person
Updated ... ago
5.0 Stars(1)
flashcards Flashcard108 terms
studied byStudied by 7 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard47 terms
studied byStudied by 1 person
Updated ... ago
5.0 Stars(1)
flashcards Flashcard97 terms
studied byStudied by 42 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard81 terms
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)