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micro module 3

fungi, protists, helminths, virology

QuestionAnswer
def of mycology the study of fungi
fungi we will study molds and yeasts
characteristics of fungi: what are the 2 phases of the life cycle; are the colonies of mold visible or invisible to naked eye; are yeast unicellular are multicellular; growth phase and reproductive phase; visible; unicellular;
characteristics of fungi: are molds multi or unicellular; molds grow in long tangled what; a filament is aka; many hyphae make the colony of mold what is the name for the colony; multi; filaments; hypha; mycelium;
characteristics of fungi: dimorphic- what does this mean; why does this happen; some forms of fungi can have a yeast and a mold phase; some diseases can have this and can be very serious
characteristics of fungi: most funi have what; def of aerial mycelium; areial mycelium give rise to __ structures; def of vegatative mycelium; why does vegatative anchor; hyphae; they give rise to fruiting bodies and produce spores; reproductive; this mycelium is anchored to organic matter; to pull nutrients from the matter to grow mycelium;
characteristics of fungi:cell wall- what is it composed of;what is chitin made up of; this structure of cell wall provides what for the fungi; chitin; a polysaccaride; rigitiy and strength to resist rupturing from increased internal pressure;
characteristics of fungi: def of a septa; when the fungi is divided into segments with septa what is this condition called; divides the cytoplasm into separate cells; septate;
characteristics of fungi: def of coenocytic; what does it mean that all fungi are heterotrophic; most fungi are saprobes what does this mean; how do they break down organinc matter; hyphae containing many nuclei; their carbon and energy source are from organic matter; they feed off dead decaying organic matter; they release enzymes to break it down
characteristics of fungi: are we heterotrophic; what are the positive aspects of fungi; what are the negative aspects of fungi; are most fungi beneficial; yes, this presents a problem for tx; production of some antibiotics, certain foods, environmental decomposers; plant destruction, opportunistic pathogens; yes
influencing factors if fungal growth: how are nutrients taken up; are they aerobic or anaerobic; what temp do they grow best at; what pH do they grow best in; is increased carbs good or bad for them through absortion; aerobic; room temp; acidic 5-6; good
what agar has the best growth for it SDA
mold sporulation: occurs in what; asexual reproductive structures develop where on the hyae; what specialized hyphae does the asexual spores develop; def of spangium; what are the spores in the sporangium called; fruiting bodies; the end; aerial hyphia; the sac that the asexial spores develop in; sporangiospores;
mold sporulation: what is the primary reproductive mode of fungi; def of conidia; how do the conidia develop'; spores; these are free spores not enclosed by a spore bearing sac; by pinching off the tip of a special fertile hypha or by segmentation of preexisting vegatative hypha;
mold sporulation: what is the most common sexual spores; conidia;
blastospore production: def; what happens after the blastospore is released in budding a blastospore develps from the parent cell; a scar forms on the parent cell where the spore was released
def of athrospores; what type of hyphae is this located; a rectangular spore formed when a septate hypha fragments at the cross walls; segmented;
true hyphae are in molds or yeasts; where are sudohyphae located; molds; yeasts ;
can fungi produce sexually; def of sexual reporduction in fungi; what do the opposite fuse into; yes; opposites come together and fuse; heterokaryon
taxonomic classification of fungi: fungi can be classified into how many phyla'; 5;
sporulation- asexual reproduction: what is the function; what are the types of asexual mold spores; reproduction, dissemination, protection of species- not are resistant as bacterial spores; conidiospores, sporangiospores, chlamydiospores; arthrospores; blastospores
conidiospores production: are these unprotected; they are freely exposed to what; are they light or heavy; are they resistant; why are they not resistant; do they cause disease; give example; def of conidia; yes; the environment; light; no; b/c they are not in a sac ec; yes; penicillium sp; chain of conidiospores;
conidiospores production: what cell gives rise to the fruiting body; the conidia is on what; the foot cell; the conidiophores;
conidiospores w/ columella: are they light weifht; are tehy unprotected; example; the conidiophore terminates into what; yes; yes; aspergillus sp.; a columella
sporangiospores: are they resistant; what is the supporting stalk; what are the extenstions below they hypha; what is the membrane that surrounds they sporangiospores; example; these will cause disease in what type of patient; yes; the sporangiophores; the rhizoid; the sporangium; Rhizopus sp.; immunocompromised;
chlamydospores: formed from what; what are they resistant to; the spherical conidium is formed by what; when is it released; vegatative hyphae; heat, drying, freezing; the thickening of a hyphal cell; what the surrounding hypha is fractures;
arthrospores: are these resistants; why are they so resistant yes; the thickening of the cell wall
blastospores: produced by what; mostly produced with what buddding; yeast
yeasts: cells will not be equal in what; are they large or small; are they single or multicellular; are they larger or smaller than bacteria; are they produced asexually or sexually; how do they reproduce; what is their shape; size; large; single; larger; asexually; by budding; shperical or oval ;
yeasts: def of psuedophypha; where is a scar formed; do new buds form in the scarred area when they are produced bud- on bud and create a chain; where the bud is released; no
dimorphic fungi: this fungi grows as molds at what temp; the fungi transforms into yeasts at what temp; def of morphic; what is the infectious stage; what is the stage where it disseminates in tissues; is the yeast stage infectious; room temp 24 degrees C; humna body temp 37 degrees C; change;the mold spore; the yeast stage; usually not;
most of the more dangerous human pathogenic guni are what dimorphic
dimorphic fungi: how is this proven in the lab;why can we inhale them; what is the response in a healthy person; what state is communicable; what stage is not communicable;is it picked up from the environment; the genes are identified by what' the temp of the culture is changes; b/c they are lightweight; flu; the mold spore stage; the yeast stage; yes; genetic probes (too dangerous to identify with dimorphisis;
def of mycoses; what is singular term fungal diseases of humans; mycosis
def of genetic probes known sequences of DNA that unknown organism are exposed to it to ID the species (used for labs that do not have a high classification
dimorphic fungi: when a fungal spore from the environement gain enterence to an animal what happens; the dimorphic fungi remain as a yeast where; when the yeast cells leave the animal host tand return to the environment they revert back to what state; they germinate into yeasts; remain in this phase in the host; the sporulating hyphal state
dimorphic fungi: dimorphism is triggered by what growth temp;
def of a true primary fungal pathogen a species that can invade and grow in a healthy noncomprimised animal host
most fungal pathogens do not require a __ to complete their life cycle host
where in environment do humans come across infectious funfi air, dust soil
fungi enter the body mainly by what route respiratory mucous, cuntaneous routes
why is fungi in the yeast form more invasive than when it is in the mold form because they grow more rapidly and spread throughout the tissue and blood those with hyphae tend to localize along BV and LN
mycosis: cryptococcosis: yeast or mold; are they encapsulated; the encapsulation causes what; what happens to them in the environment; if they are dehydrated what can pick them up easily; how many deaths due to fungal diseases are caused by this yeast; yes; slow phagocytosis by body; they dehydrate quickly; the wind; 25%
mycosis: cryptococcosis: shape; who is most likely to get disease; who is resistant; where in body does it mostly occur; where is second most likely place for it to occur; spherical ovoid shape with small buds and a large capsule around it; debilitated patients; strong healthy humans; pulmonary infection; cutaneous infection
mycosis: cryptococcosis: what is the etiologic agent; what reservoir is it found in; what animal droppings is it associated with; what causes the yeast to be airborn; cryptococcus neoformans; soil worldwide; birds; wind gusts;
mycosis: cryptococcosis: why does it proliferate in the bird droppings; what patients has the highest rate of occurances; s/s of AIDS pt b/c of the high nitrogen content of the droppings; AIDS patients; severe form of meningitis
mycosis: cryptococcosis: what conditions predispose someone to having infection; where in world does it occur the most; AIDS, steroid tx, DM, cancer; US;
mycosis: cryptococcosis: s/s in lungs; what happens if it reaches the brain; most subclinical and infections resolve, but some have a fever, cough, nodules in lungs; HA, mental changes; coma, paralysis, seizures
mycosis: cryptococcosis: what is mortality rate; when is the mortality rate highest; transmission; who accounts for 85% of the cases in US; >12%; in untreated cases ; inhalation of airborne yeast cells or basidiospores into the alveoli; HIV infected;
mycosis: cryptococcosis: sometimes it can become cutaneous how; how is it Dx; do the yeast cells look like pseudohyphae; in a wound; negative staining of specimens to detect encapsulated budding yeast cells; no;
def of sequelae the disease states the follow the primary
mycosis: cryptococcosis: what is the sequelae of the fungi; who is at risk; what is first s/s; tx for healthy people; tx for immunocomprimised blood and meningitis; everyone; pulmonary infection; fluconazole; amphotericin B;
fluconazole- used for what; is it less or more toxic; who is it used for fungal infections; less; healthy people
amphotericin B- who is it used for; used to treat what; is it toxic; what does it damage; people with damaged kidneys will often be what; immunocomprimised; systemic fungal infections; yes; kidneys, bone marrow; anemic (b/c kidneys produce EPO
mycosis: candidiasis- what species is the major causes of candidiasis; microscopy of it; macroscopic look; transmitted how; where is there normal flora of it; who is not at risk; candida albicans; budding cells that form elongate pseudohyphae and true hyphae; off- white pasty colony with yeasty odor; self infection, vaginal canal to newborn, STD; pharynx, genitalia, L. intestine, skin of 20% of humans; healthy;
mycosis: candidiasis- who is at risk; when is infection at increased risk; is it contagious; when is it contagious extreme youth, pregnancy, drug therapy, immunodeficiency, trauma;any time that yeast is in contact with moist skin; usually no; nurseries, birth, surgery, sexual contact
mycosis: candidiasis- it is the most common what; where can it cause infection; when serious what can is disseminate into; where does infection take place most often; fungal infection; mouth, pharynx, vagina, skin, lungs; the organs; mm and vagina;
mycosis: candidiasis- s/s; a pustula is a aka; what is the etiologic agent; is it a dimorphic fungus itching, burning, reddening, swelling, discharge more or less, pustules, pain; white patch; Candida albincans; yes
mycosis: candidiasis- is it common for candida albicans to use its dimorphic abilities; when might it use its dimorphic abilities; when does someone get an infection no; immune system is comprimised; when microbial population in body changes resulting in a overgrowth of yeast
mycosis: candidiasis- why is it considered an opportunistic infection;give example of immunocomprimed pt; the yeast usually resides in these areas in body, but sometimes it can overgrow causing problems; DM- increased sugar and increased pH increases yeast;
mycosis: candidiasis- how do abx increase risk for this; def of thrush; who is most at risk for getting candida; they wipe out bacteria and the yeast is able to overgrow; white adherent patchy infection affecting the membranes of the oral cavity or throat; immunocomprimised;
mycosis: candidiasis- what is the sequelae; do we see a secondary disease in healthy ppl; def of vulvovaginal candidiasis; treatment; systemic candidiasis has 77% mortality rate; no; yeast infection the distrupts vaginal flora; fluconazole, nystatin;
mycosis: candidiasis- what is treatment for oral patients; what is given for systemic infection; s/s of vulvoganinitis; swish and spit nystatin to destroy organism; ampiterricin B; white curd like growth;
mycosis: candidiasis- vulvovaginitis- why do antibiotics cause this; what is lactobacillus sp; excessive abx may decrease protective bacteria in the vagina allowing C. albicans to flourish; a copetitive colonization the prevents the overgrowth of yeast vaginally;
mycosis: candidiasis- oral- what does it look like;cause; cause in newborns; white curd liek growth on mucous membranes in mouth; immunosuppression, organism picked up during vaginal deleivery;
mycosis: candidiasis- onychia- def; who is at risk'; is it hard to treat; what is gram stain involves the hardening, browning and distortion of fingernails; ppl with occupations that require their hands to be immersed in water; yes; positive
signs and symptoms; def of sign; def of symptom something you can see; something that patient can only tell us
mycosis: candidiasis-why will it almost always return; what 2 areas usually result from abx use; since it is an underlying infection that caused the overgrowth of candida, if it is not treated it will come back again; vaginal and intestinal
mycosis: candidiasis- cutaneous- where does it occur; s/s; give example' pustules in irritated damp areas; painful inflamed tissue, clear discharge; diaper rash, axillary rash inquinal rash
mycosis: candidiasis- intestinal- def; s/s; antibiotic use destroys the bacteria allowing yeast to overgrow; cramps, diarrhea
mycosis: dermatophytosis- where on body does it occur; what does it look like; does it disseminate; what does it look like; infection of skin, hair and nails; a ring worm; rarely if ever; spreading legions that dries over time and becoems scaly looking at edges (red ridge);
mycosis: dermatophytosis- location of . . tinea pedis; tinea capitis; tinea barbae; tinea corporis; tinea cruris; the clinician will call this a ___ infection athletes foot; scalp head; beard; body; groin; tinea;
mycosis: dermatophytosis- tinea is latin for what; all the tineas are subcategories for what; tinea capitis can cause loss of ____; tinea cruris is aka; worm; dermatophytosis; hair; jock itch;
mycosis: dermatophytosis- def of tinea unguium; tinea unguium is aka; what is the etiologic agent of tinea; name the 3 genera; the nail; onychomycosis; over thirty mold species belonign to 3 genera; trichopyton sp, microsporum sp, epidermophyton sp;
mycosis: dermatophytosis- what is the reservour; these molds feed off what; what is the infection called when we pick it up from our pets; skin cells, pets or humans; the keratin of our dead skin cells; a zoonotic infection;
mycosis: dermatophytosis- why is there no sequale; how is it dx; why is potassium hydroxy used; what is abrev. for potassium hydroxy; how to dx with woods lamp; b/c it does not move beyond the skin; potassium hydroxide used taking a skin scraping to see it on slide; the potassium kills our skin cells so only the mold is left to see; KOH: this has uv black lights and if it fluoresce than that means there is infect
mycosis: dermatophytosis- how is it transmitted; how is it transmitted by pets and humans; how is it transmitted in showers,floors cmbs and hats; comming into contact with contaminated dead skin cells; the shedding of the cells; cells will be in those areas;
mycosis: dermatophytosis- what is the risk group; is the prognosis good; damp irritated skin; yees;
mycosis: dermatophytosis- what is used for tx topically; what is tx orally; griseofulvin is used for what 2 tineas; what one has to be prescribed; imidazoles; griseofulvin; scalp and nail infections griseofluvin;
imidazoles- what are they; it prevents what formation; antifungal and antifungal agents; orcalsterol formation in fungal cell membranes and this kills the fungi (** does not effect us b/c we do not have this type of lipid)
histopalsmosis: aka; why is it called summer flu; if pt is healthy and comes in contact with organisms what are there cm; what are the s/s of a self limiting pulmonary infection; darlings disease, summer flu, cave sickness; b/c high risk times are spring summer and fall; self limitign pulmonary infection; flue s/s or asymptomatic;
histopalsmosis: what are s/s of self limiting infection; are most of the cases self limiting or not; fever, HA, cough, chest pain; yes;
histopalsmosis: 5% of the cases develop what;the chronic pulmonary infection mimics what; s/s of chronic; how can is disseminate; chronic pulmonary infections; TB; granulomatous lesions deveop in lungs; the macrophages will engulf the yeast cell and spread organism to others organs
histopalsmosis: what is the etiologic agent; is it a dimorphic fungus; where is highest rate of occurance; what is the reservoir; gistoplasma capsulatum; yes; eastern and central regions of U.S.; dry, dusty sail, ohia mississippi river valleys, caves chicken coops;
histopalsmosis: grows abbuntently in what type of soil; what dimorphic phase does pt get it; what phase is in lungs; once we are exposed to it what happens' moist soil high in nitrogen content; mold spore phase; yeast phase; pt develops incomplete immunity;
histopalsmosis: def of incomplete immunity; can bats have the disease; how does it occur in chicken coops; we will develop disease but it is not as severe first time; yes; chickens have it in their feces but they do not have the disease b/c it has a higher body temp
histopalsmosis: how are the spores dispersed; how can one see if they have partial immunity; by wind through air; injection of the fungal extract injected into skin and monitored for allergic reaction
histopalsmosis: who is the sequelae; how is it transmitted; how long is the incubation time; who is at risk; tx the immunocompromised become systemic; inhalation of mold spores into the lungs; 10 days; immunocomprimised; amphotericin B
histopalsmosis: how it given amphotericin B; what age group is most symptomatic; those with severe lung infection and when dissemincaton occurs; chilren
mycosis: coccidioidomycosis: aka; is it a dimorphic fungus; what percent infected have asymptomatic pulmonary infection; what % have acute sympotomatic pulmonary infection; what are the s/s in acute symptomatic pulmonary; will individuals recover in acute valley fever; yes; 50%; 45% of cases; flu like s/s, dry hacking cough, chest pain, fever; yes
mycosis: coccidioidomycosis: how long will we follow acute cases; why are they followed for 2 years in acute; s/s in acute; who usually gets pna; 2 years; b/c they are at high risk for acute pulmonary infection; skin nodules and pna; immunocomprimised
mycosis: coccidioidomycosis: what % gets a chronic pulmonary infection; who is at risk for a chronic pulmonary infection; those with high risk have what s/s 5-10%; immunocomprimised; cavities in lungs destroyed, dissemination of organism
mycosis: coccidioidomycosis: what is etiologic agent; is it a dimorphic fungus;reservior; what areas in us; how do animals cause disease; cocciudioises immitis; yes; desert areas with cattle sheep;SWest us, northern mexico, S america; they deposit spores in soil
mycosis: coccidioidomycosis: how do railroads cause disease; how do earth quakes cause increased number of cases trains disrupt the soil; the disruption of the soil causes an increased incidence
mycosis: coccidioidomycosis: what is the sequele; who is most likely to get the sequelae; is the mortality rate high in the sequelae;how is it transmitted; what develops in the lungs; systemic infection in lungs, bones liver meninges skin; immunocomprimised; yes; inhaling the mold spores; yeast;
mycosis: coccidioidomycosis: what is the risk groups; what is the treatment in the lungs; who gets amphotericin B tx; immunocomprimised everyone is at risk to some extent though; amphotericin B; systemic or high risk pt
mycosis: coccidioidomycosis: how long is tx; one year;
mycosis blactomycosis: aka; most cases have what kind of recovery; who identified it; s/s; gilchrist's disease; spontanious; a dermatologist Dr. gilchrists; contamination of cuts and abrasions and raised wart like lesions;
mycosis blactomycosis: pulmonary infection- what percent are asymptomatic; what percent are acute; when the infection is acute what does it mimic; s/s of a bacterial pna; 50%; 50%; a bacterial pna; persistant cough, high fever, chest pains, muscle and joint pain, chils, sputum production;
mycosis blactomycosis: small % of acute infected do not recover and this turns into what' what does chronic infection mimic; what cancer does chronic mimic; what s/s are chronic; chronic; TB; bronchogenic carcinoma; cavitation and nodular formation in the lungs;
mycosis blactomycosis: how can this be tested; is there a vaccine; what is etiologic agent; is it a dimorphic fungus w/ blood test; yes; blastomuces dermatitidis; yes
mycosis blactomycosis: what is the 5 of ppl who develop immunity from vaccine; where is reservoir; where does it occur in U.S; do we know how the mold gets into the reserviors; 60%; moist organic soil, rotting wood; mississippi river valley, north great lakes region, canada; no
mycosis blactomycosis: what is the sequelae; what type of cases usually disseminate; what is the transmission; how long is the incubation time; dissemination to bone, organs, CNS skin lesions; chronic ones; mold spore inhalation; 30-45 days;
mycosis blactomycosis: who is at risk; who is treated; what is treatment for dissemination everyone; all dx cases are treated to prevent dissemination risk; amphotericin B
mycosis: sporotrichosis: aka; s/s; what will the nodules look like; does this disseminate often; where does first nodule appear; what rose thorn disease; cutaneous and subq nodule; necrosis and ulceration that are purple with pus and discharge; no; in abraded area of skin;
mycosis: sporotrichosis: what happens when organism enters subq layers; when it follows the lymphatic tract what do the nodules look like; what causes pt to seek tx it follows the lymphatic tract; they will be a line of nodules; the ulcers are slow to heal
mycosis: sporotrichosis: is the fungus dimorphic; what is the etiologic agent; what is the reservior yes; sporothrix schenchii; contaminated thorny plants, sphagnum moss, baled hay, wood
mycosis: sporotrichosis: why does it have to be thorny plants instead of all plants as a reservior;is there a sequelae; the fungus needs a point of entry; dissemination is rare;
mycosis: sporotrichosis:is it treated easily; how is it transmitted; who is at risk; what is tx; what is tx for systemic yes; the fungus enters through small cuts in usually hands and limbs;florests, farmers, forest employees; potassium iodine; amphotericin B
mycosis: pneumocystosis- this only occurs in what type of individual; what do they develop; pneumocystis carinii pneumonia is aka; immunocomprimised; pneumocystis carinii pneumonia; PCP;
mycosis: pneumocystosis- s/s of PCP; where is the foamy liquid located; fluid in the alveoli causes the pt to what severe inflammatory response in lungs with foamy liquid and cysts; in the alveoli; drown;
mycosis: pneumocystosis- why is the fungi called a cyst; what is the etiologic agent; b/c they originally thought it was a protozoan;; pneumocystis jiroveci;
mycosis: pneumocystosis- what is the reservoir;are we all exposed to it; most chilren develop antibodies whaen; is it a pathogen in healthy ppl everywhere, human source;yes; early on after exposure; no
mycosis: pneumocystosis- what is the sequelae; what is transmission; what is tx; the tx are what; what one is used in aids pt pneumothorax and respiratory failure; organism is inhaled into the lungs; trimethoprim-sulfamethoxazole and pentamidine; prophylactic; pentamidine;
mycosis: aspergillosis- how does the mold enter the lungs; what etiologic agent; it is inhaled and continues to grow as a mold in the lungs; aspergillus fumigatus;
mycosis: aspergillosis- why do ppl develop it in surguries; what can it cause in ear; what can it do to heart; b/c it could be on equipment or in environment; otomycosis; heart valve issues;
aspergillus niger is used in what beano
ergot toxin: ergotism- this is caused by what; what type of fungi is claviceps purpurea; this grows on what; s/s; why do ppl hallucinate; claviceps purpurea; a mold; grains; numbness, hot burning cold sensations, seizures, paralysis, hallucinations, cardiac arrhuthmias; b/c it is a natural LSD
ergot toxin: ergotism- hypothesized that women in what trials had ergotism; what is a derivated of alkaloid in ergot; salem witch trials; lysergic acid diethylamide (LSD)
ergot toxin: ergotism- tx vasodilators, anticoagulants
mycotoxin- aflatoxin- aflatoxicosis- what is the atiologic agent; what can be contaminated; s/s; liver involvement can lead to what; common where aspergillus flavus; peanuts, grains, cereal, corn in warm humid environments; vomiting, abdominal pain, pulmonary edema, convulsions, coma, fatty involvment of the liver kidneys and heart; liver cancer; in third world countries
mycosis: spores that germinate in the lungs into yeasts cells and produce an asymptomatic ____ infection pulmonary
histoplasmosis: where is its primary location for growth; what does the yeast look like microscopically the cytoplasm of phagocytes; yeast
what has the greatest virulence of all mycotic patheogens coccidioidomycosis
what is the most common mycotic pathogen canidia
protozoa: are they eukaryotes or prokaryotes, are the single or multicelled; do they have a plasma membrane; what is the common tx for protozoan infections eukaryotes ; single; yes ; metronidazole
protozoa: how do they reproduce; by what process do they reproduce asexually; what is fission; what is shizagony; asexual; fission, budding, shizagony ; divide into 2; dividing into multiple cells
protozoa: movement- what are the protozoa classified by; what doe the four types of movement their movement;amoebas, flagellates, ciliates, sporozoa
protozoa: movement- def of amoebas; def of speudopods; def of flagellates; def of ciliates; ciliates are usually located where; they utilize the pseudopod to move the cell; the extension of a cell that adheres to a surface and is pulled along; they move by flagella; they have small hairlike extensions that move the cell; water; there is no movement in t
protozoa: movement- def of sporozoa; when is there no movement in sporozoa movement in the early stages; in adult stage
protozoa: def of trophozoite;def of cyst stage; when does it enter the cyst stage; what stage is resistant the motile feeding stage; resting stage when the organisms is dormant; when the environmental conditions are not favorable; the cyst stage
protozoa: what develops on protozoa during cyst stage; def of encystation; def of excystation; do all protozoa have both stages; a thick case around itself during environmental stress; the process of the organism changing from a trophozoite to a cyst ; morphin from cyststage to trohpozoite; no some just trophozoite
what is the second leading cause of death from parasitic disease; what is #1 parasitic disease; amoebiasis; malaria
protozoa: amoebiasis- what is the etiologic agent; what is the transmission; s/s; tx; what does the metronidazole not effect; entamoeba histolytica; fecal oral route; sharp abdominal pain, small amount diarrhea, bloodystools; metronidazole; the cyst stage;
protozoa: amoebiasis- how is it dx; what does histolytica mean; where does it occur; who is the primary host; the cysts are in feces; destroy tissues; worldwide, often in tropics and travelers get it; humans;
protozoa: amoebiasis- is it multinucleid; how does the cyst get in body; since the cyst is resistant what is it able to get through; once the cyst gets to the jejunum what does it morph to; yes; from intake of contaminated food and water into body; the stomach; the trophozoite stage through excystation
drug: metronidazole- brand name; tx what; what does it do; is the mode of action known; why is it toxic to parasites; what is shed in feces cysts or trophozoites flagel; amebiasis; inhibits the DNA repair and acts in intestines; no; it interferes with hemoglobin metabolism in the food vacuole; cysts
protozoa: amoebiasis- when is in its active feeding form; what does the trophozoite feed off of; b/c the trophozoite is feeding off the wall what happnes; sometimes the feeding is so severe what can happen; trohpozoite; the intestinal wall and what we are digesting; bloody diarrhea, ulcers; the trophozoite can eat through intestinal wall and perforate into perinoneal cavity casues peritonitois
protozoa: amoebiasis- what happens when the trophozoite enters the sigmoid; what is the process of morphing back into a cyst; the amoeba sectretes an enzyme that does what it morphs back into the cyst stage; encystation; dissolves intestinal tissues and penetrates depper layers of the mucosa
protozoa- primary amoebic meningoencephalitis: aka; what is etiologic agent; what is the reservoir; how is it transmitted; PAM; naegleria fowleri; warm frest water; nasal mucosa into the brain;
protozoa- primary amoebic meningoencephalitis: common where; how can we get it; s/s; what is mortality rate; is there a treatment; anywhere freshwater is warm for a long period of time; by swimming or diving; nasal congestion, severe HA, high fever, death; 95%; no known effective tx
protozoa- giardiasis: etiologic agent; what is its movement; what is transmission; what can be contaminated; s/s; dx; tx; giardia lamlia; flagellate; fecal oral route; the water and some foods; N, cramps, flatulence, foul smelling diarrhea; exam feces, enterotest capsule; metronidaxole;
protozoa- giardiasis: what is prevention; aka; what time of the year is it seen in michigan protect water supply; adequate hygeine; giardia intestinalis; summer early fall;
protozoa- giardiasis: what stage of the organism do we ingest; how long does it take to incubate; where in body does excystation take place; does cysts or trophozoites shed in feces; where in intestines is trophozote located; how does it attach; the cyst stage; 7 days; in the intestines; both duodenum and jejunum; via sucker device
enterotest capsule: how does it work the capsule is swallowed it has a string attached and the capsule is left in place 2-4 hours and is then pulled up and it is examined for trophozoties
protozoa- giardiasis: some carriers can have no ss/s and shed cysts for years
protozoa- trichomoniasis- etiologic agent; what is its movement; how long is it incubated; how is it transmitted; where is the reservoir in females; where is the reservior in males trichomonas vaginalis; flagellate; 5-28 days; STD or fomite; vagina, urethra, urine; urethra, prostate sectretions, urine;
protozoa- trichomoniasis- s/s in females; s/s in males; how is it Dx; what does a wet prep show; tx; who is treated in STD pruritis, vaginal frothy discharge, burning during urination; pain on urination and thin mucoid discharge; wet prep of discharge , sometimes picked up when screening urine; a jerky movement of flagellate; metronidazole (flagyl); all sex partners
protozoa- toxoplasmosis: etiologic agent; whatis the movement; what are the 3 stages it can be in; how is it transmitted; reservoir; how do cats tranmit to humans toxoplasma gondii; sporozoan; cyst, trophocyte and oocyst; ingestion of cysts or oocysts; soil, animal, ingestion of undercooked beefpork lamb venison, birds, ordent, cat, gardening; contaminated cat feces;
protozoa- toxoplasmosis: when is it nonmotile; what are the 3 routes of transmission; who picks it up in the soil; how do we get it from soil; how does a cat give it to us; in mature stage; soil; animals pick up cysts and th cysts develop in the muscle; we eat undercooked animals that have it; they kill a rodent who has it and there feces is contaminated when we clean their litter;
protozoa- toxoplasmosis: how do we get it from gardening; how long is incubation; it infects many places in the body, but what does it not infect; what % of population has been exposed to it but developed immunity; we pass it from the soil to our mouths; 1-3 weeks; a RBC; 30%;
protozoa- toxoplasmosis: what stage do we ingestion; when does cyst turn into a trophozoite; s/s of healthy individuals; cyst oocyst; when it is in the intestines; asymptomatic or mild symptoms and the recover easily;
protozoa- toxoplasmosis:s/s of immunocompromised ppl; why are pregnant women at risk; who is at higher risk; fever, sore throat, liver, spleen or lymph node enlargement, eye damage, hearing loss, heart probs; they are not, the risk is to the unborn child; fetus, young children
protozoa- toxoplasmosis: how can the trophozoites enter the bloodstream; where in body is it dx; why is it dx in the blood; they destroy the intestinal wall and enter the blood; in the blood; b/c the trophozoties can be seen in the blood, and antibodies are there in the blood;
protozoa- toxoplasmosis: why is it a risk for getus; what is the trophozoite called that crosses the placenta; what trimester is the most common time for the trophozoite to cross the placenta; what damage to fetus can occur; the trophozoite can cross the placenta and damage the fetus;a torch agent; the 3rd trimetster; blindness, mental retardation;
protozoa- toxoplasmosis: torch diseases- def; in TORCH each letter stands for what; what soes TORCH stand for; what is included in other those that are blood born and it can cross the placenta; a disease; toxoplasmosis, other, rubells, cytomegalovirus, herpes simplex O; syphilis
protozoa- toxoplasmosis: who is at high risk; what is tx; what age is most at risk; immunocomprimised, nonimmunepregnant women, children; sulfonomide drugs; 10-24 months
helminths: are they multicellular or unicellular; def of ovum; what is the 2 egg stage; def of larva; are these infections comon in humans; multi; this is the egg stage; ova; immature stage between the ovum and the adult; yes
helminths: what are general s/s of all helminths infections; abdominal cramping, diarrhea may or may not be present, lung involvment w/ coughing, inflammation in pathways, sometimes there are not s/s;
helminths: platyhelminths- what type of worm; what does it mean that they are hermaphrodites; what is a cestode; flat worm; they have both male and female organs and they can produce their own offspring; this is a platyhelminth class of flat worm;
helminths: platyhelminths- what does the worm look like; def of scolex; def of proglottid; what part is filled with egges long segmented with suckers; this is the head and the suckers and hooks are located here; this is the segmented body sections; the proglottid
helminths: platyhelminths- the segment causes the worm to be what; if the proglottid is filled with ova what is it now called; name for pork tapeworm; name for deeg tapeworm; what is tx; does beef or pork have hooks; does beef or pork have suckers; really long; the gravid proglottid; taenia solium; taenia saginata; praziquantel; pork; beef
helminths: platyhelminths- what is an intermediate host; def of definative host; an animal where the worm lives in its immature state; the host has the matture adult worm;
drug: praziquantel- used for what; what is its action; tape worms; it interferes with worm metabolism;
helminths: platyhelminths- how do humans get infection; where does the larvae develop into adults in the human; where do the adult tape worm shed ova in a human; the undercooked pork or beef is ingested and they ingest the T. slium, the larvea; in the intestine; in the feces
helminths: platyhelminths- when human feces shed ova what can pick this ova up from the soil; when animals ingest the ova what happens; when larvea mature in the muscle of animal what is this called; what eats undercooked muscle; animals; the larvae leave the ova and the migrate to muscle walls; cysticerci; humans
helminths: platyhelminths- cysticercosis- how is this diffferent; does this happen with taenia solium or taenia saginata; after the larvea hatch where do they migrate to; once they migrate what do they develop into; humans ingest the eggs; taenia solium; the muscles, brain, liver heart; a cysticerci
helminths: nematodes- aka; what % of the world population is infected with these; round worms; 30%:
helminths: nematodes- pinworm diease: it is the most prevelent what; is it easy or hard to treat; what is the etiologic agent; is it a small or large worm; helminthic infection in Us; easy; enterobius vermicularis; small
helminths: nematodes- pinworm diease: who is the definative host; who is the intermediate host; how do humans ingest this; after ova is ingested what happens; where does it mature; at night what happens; why does it migrate to perianal area humans; there is not one; from fecally contaminated material; larvea leave ova and matures into adult pinworm; in the cecum; the adult will migrate to perianal area; to lay eggs
helminths: nematodes- pinworm diease: how long do the ova stay in perianal area before they are infective; so when individual wakes up what happens; 4-6 hours; they itch area and reinfect themelves or contaminate sheets others, clothing;
helminths: nematodes- pinworm diease: what is treatment; how is it dx; what is a tape prep; mebendazole; identifiing ova in feces; they parent at night take a tong depresser with tape around it and put it on slide for physician
drugs: mebendazole: what is one mode of action; it prevents uptake of glucose from worm and starves it;
helminths: nematodes- whip worm disease: etiologic agent; where in world is it most comon; how does one becomce infected; where do ova hatch; after it becomes an adult where does it migrate to; trichuris trichiura; topics; they ingest contaminated food with infected ova; GI tract; cecum and ascending colon;
helminths: nematodes- whip worm disease: in cecum what does adult worm produce; do we infect others; why don't we infect others; does it have the general CM; what is tx; 1000s ova/ day for a year; no; as we release the ova in our feces they have to mature in warm damp soil for 3-6 weeks so we do not infect others; yes; mebendazole
helminths: nematodes- round worm disease- etiologic agent; how long is the mature worm; how do humans become infected; where do larvae leave the ova; in the L. intestines what do the larvae do; ascaris lumbricoides; one foot; the ingest the eggs; in the large intestines; they penatrate the intestinal wall;
helminths: nematodes- round worm disease- after the larvae leave the intestinal wall where do they migrate to; where do larvae mature; in the lungs what are s/s; what happens to the larvae in the lungs; when they are swallowed again they go where for 2nd the lung;the lungs; inflamation and mucous production with coughing; they are coughed up and swallowed again; GI tract
helminths: nematodes- round worm disease- once in GI tract for second time what happens; do they cause many s/s/; sometimes what serious thing can happen; how is it Dx; tx they mature into and adult and the adult produces ova to be expelled into the feces; no; humans can have a high worm load and they can create a bowel obstruction ova in feces and intact worms; mebendazole
helminths: nematodes- round worm disease- is it common; how does it exit body; what happens when it blocks bili area; yes; anal, nasal, oral; gall stones s/s;
helminths: nematodes- trichinosis- etiologic agent; who are the cysts shed from; once the cysts are in soil what ingests them; what happens when they in pigs; trichinella spiralis; the human feces; pigs; the larvae emerge from ova in intestine track
helminths: nematodes- trichinosis- after the larvae hatch what do they penetrate; where do the larvae migrate to after penetration; what forms once larveae are in muscle; they penetrate the intestinal wall; they migrate to muscle; a cyst
helminths: nematodes- trichinosis- humans ingest undercooked pork and eat what; after we ingest pork what happens ; what does it do in muscles; when is it fatal; is it comon in use; the cysts; they larvae emerge and migrate to muscle; it encysts; when heart and brain are infected;
helminths: nematodes- trichinosis- are they small or large; s/s if muscles are infected with cysts; treatment for larvae; what is hard to treat; how are muscles treated small; kill cysts in pork prior to consuming by freezing or cooking; muscle aches, swelling around eyes; mebendazole; cysts; remove part of muscles that have cysts
helminths: nematodes- hookworm disease- what does it infect; what is the etiologic agent; who is the host; the hooks are imbedded where; how do the hooks do once imbedded in tissue the upper intestines; ancylostoma duodenale and necator americanus; the human; in the intestinal tissue; they suck blood
helminths: nematodes- hookworm disease- what is tx; s/s from the sucking of blood; how do ova enter soil; once in soil what emerges; what does the rhabditiform larvae mature to; what is immature larvea; what is noninfective larvea mebendazole; anemia; from human feces; rhabditiform larvae; the filaform larvae; phabditiform; rhabditiform;
helminths: nematodes- hookworm disease- what is the mature larval stage; what does the filariform attach to in soil; how does filariform enter humans; how does it enter through skin; filariform; blades of grass; through skin in infected soil; the filariform secretes enzymes that break down tissue and it can then enter the bloodstream
helminths: nematodes- hookworm disease- when the larvea enter blood stream what is s/s on skin; where do the larvae travel once in blood stream; s/s in lungs; reddened inflamed, itching area on place of penetration; to the lungs; coughing increased mucous production;
helminths: nematodes- hookworm disease- the larvae is coughed up and what happens; s/s in intestinal tracts; when does larvae mature; when does anemia occur; how dx; tx; prevention; it is swallowed and infects the intestines; anemia, cramping, in the intestinal tract; when worm load is high; seeing hookworm ova in ntestinal tract; medandazole; be careful where you walk barefoot
Metronidazol (flagyl): action This drug is absorbed by the organism and inhibits nucleic acid synthesis by disrupting the DNA and finally killing the organism.
virology: when did this study start; how did viruses get their name; are they more abundant than bacteria; what is size of virus late 1800s;b/c virus means poisen; yes; 250 nm- 20 micrometers
virology: scientists- iwanowsky- when; what did he notice about the tobacco plant; what did he do; what happened to the healthy leaf; what was conclusion; 1892;that it became brown and liquid; he took a tobacco leaf, ground it up and filtered the juice and he put it on a healthy leaf; it became diseased; stated there was something smaller than bacteria causing this b/c he could not see it on a scope
virology: scientists- beijerink- when; what did he do; what else did he do; what do we know now what model they were working on; 1898; reapeated iwanowsky's experiment and got same results; he noted that boiling destroyed the infectious agent; the tobacco mosiac model
virology: what should viruses be described as other then an organism; how should they be described rather then alive or dead; infectious particles; active or inactive
virology: when were we able to see the electron microscope; in the 1940s in military;
virology: how are they an obligate intracellular parasite that they cannot multiply unless it invades a specific host cell and instructs its genetic and letabolic machinery to male and release new virus
virology: scientists- edward Jenner- when; what was occupation; what virus Hx did he describe; what is cowpox virus; what did milk maids not develop b/c of this; why did they not develop small pox; late 1700s; english physician; cowpox virus; this disease occured on the utters of cows, they were vescicles and would harm dairy cows, milk maids also got virus on their hands; small pox; since they were exposed cowpox, the viruses similar they didn't ge
virology: scientists- edward jenner- this discovery made it possible for the extermination of what; when was last known case of small pox; when did WHO declare world free of endemic smallpox; where do we still have it smallpox; 1977; 1980; russia and us b/c we have a sample of it
virology: do viruses have cells; vrial replication in a cell does what; does it independantly fulfill the charecteristics of life; no; causes death or loss of function of that cell; no
virology: scientists- edward jenner- he removed pus from where and placed it where; what happened to boy; what did he do to the boy later; what country was doing this same work earlier fresh cowpox scars on milkmaids and placed it into scratches he made on boys arm; he developed cowpox and recovered; inoculated the boy with pus from a smallpox pt and boy lived; china
virology: inactive macromolecules outside host cell are only active when; inside host cell;
virology: scientists- pasteur- what vaccine did he use; who did he inoculate; what was modified in vaccine; when rabies; a boy; it was attenuated (weakened); 1885
virology: scientists- stanley- when; what debate did he bring forth 1935; whether viruses are alive or not
virology: properties of a virus- what is the genome; when are viral components synthesized; is it capable of independent metobolic reactions; what is a virion; what is it called outside a cell; DNA or RNA; within a host cell; no; infectious virus; innert ;
virology: properties- all viruses have a ___ range; why do they have a host range; what is HIV host range; what does HIV bind to host range; b/c of a protein coat around their strucutre they can only bind to certain protein receptors on cells and cause disease; primates and humans; CD$ positive cells
virology: Viral symmetry- what does symmetry mean; name the 3 types;helix def; shape; helix, icosahedron, complex; they have coiled rod shaped capsomers that form hollow discs that resemble a bracket; tobacco mosaic, rabies, measles;
virology: ex of CD4 positve cells; T helper lymphocytes (HIV binds to this and destroys them;
virology: properties- viruses contain DNA or RNA, can they contain both; when is a virus is considered infectious; no; when it binds to a protein and enters the cell;
virology: Viral symmetry- def of ocosahedron; examples; def of complex; example; 3D 20 sided polyhedron, herpes, parvovirus, polio; combo of above structures more introcate in structure; bacteriophages, smallpox
virology: strucural components- genome- does they virus always have this; what 2 can it be; can it be both; what is function; contains what instructionsl; what surrounds it yes; DNA & RNA; no; it expressed genetic info; how to reproduce the virus; the capsid
virology: strucural components- capsid- it is the most prodominent what; made primarily of what; these protein are subunits called what; how many capsomers; this determines what (function); is it in every virus geometric figure when magnified; proteins; capsomeres; thousands; host range, tissue tropism, aids in host cell attachment; yes
virology: strucural components- what is the term nucleocapsid; def of naked virus; the genome = + the capsid; the virus only has the nucleocapsid
virology: strucural components- spikes- do all viruses have this; made of what; they genetically match what; function; they are the functional envelopse what; no; post cell membrane lipids and proteins; host; attaches ; projections that contain enzymes that aid in attachement;
virology: strucural components- enevelope- do all viruses have this; part od what;function no; host cell memrane and viral componenets;and aids in penetration of host cell
virology: strucural components- genome enzymes- do all viruses have this; function; example no; aids in genome replication; has an enzyme that helps replicate b/c we do not have that enzyme
virology:life cycle of animal virus- what type of virus; what does it first do the they cell; dna containing enveloped virus; it attaches
virology:life cycle of animal virus- what are five components; attachment- what happens; attachment, penetration, uncoating of viral nucleic acid, release of virions from host cell;the spikes,capsids or envelope attach to the host cell surface receptors
virology:life cycle of animal virus- penetration; what happens; whole virus or envelope fuses with what; proteins on surface of virus bind to proteisn on surface of host cell; cell membrane
virology:life cycle of animal virus- uncoating of viral nucleic acid- what happens genome now released into the cell;
virology:life cycle of animal virus- replication, suntheiss and assembly of viral structures- what happens; what does it inhibit in host cell; replication of what; synthesize of what; reassembly of what; free viral nucleic acid exertscontrol over the host's synthetic and metabolic machinery and the cell synthesizes components of new virus ; protein synthesis; DNa; protein; viral structures
virology:life cycle of animal virus- replication, suntheiss and assembly of viral structures- what is unusual of this; viral DNA replication takes presidence and host cell is inhibited
virology:life cycle of animal virus- release of virions- what 2 ways does this occur; def of lysis; def of budding; why does host cell die if it buds too long; lysis of the cell or budding; rupturing t hrough the nucleus; expcytoses; b/c cell cannot survive b/c it is killing cell wall ;
virology: viral replication in DNa protein synthesis- DNa is transcribed into what;mRNa is translated into what; after translation what happends mRNa; viral proteins; it is reassembled into virions
virology:RNA virus replication- positive RNA virus- example; what does it mean that it is positive; aka; polio virus; it is mRNA and makes sense to host cell; sense RNA virus;
virology:RNA virus replication- positive RNA virus- to a host cell it is ready for what; what is translated into what; translation; viral proteins and more positve RNA viruses
virology:RNA virus replication- negative RNA virus- aka; to go through protein synthesis what has to occur first; what does transcription produce; why does it produce positve RNA; after transcription process is same as what; example nonsense RNA virus; transcription; positve RNA;b/c that is what the host cell can read; positive RNA; measles virus
virology:RNA virus replication- where does it occur; cytoplasm and nucleus;
virology:RNA virus replication- what are the 3; positive, negative and retrovirus;
virology:RNA virus replication- retrovirus RNa virus- it has what around its genome; ex; what is name for enzyme; what is formed; name for double stranded DNA; provirus becomes part of what; what occurs after provirus becomes part of host DNA; enzyme; HIV; transcriptase; double stranded DNA; provirus; host DNA; proteins synthesis;
virology:RNA virus replication- retrovirus RNa virus- The rna enters and what is first event; what does first event produce; name for viral double stranded DNA; provirus is transcribed into what; translated into what the viral RNA has to be reversed transcribed using transcriptase; double stranded DNA; reverse transcriptase; MRNA; viral proteins;
virology- cytopathic effect (CPE)- def; where can they be seen; example of a test used to see these effects; changes in what surface host cell changes due to viral infection, it alters microscopic appearance; in viral cell cultures and in natural infections of cell; pap smear; cell surface
virology: naming and c lassification- what is the order general to most specific; HIV example: what is family, what is genus, what is species; what is another way to name;what is classification based on; is it a binomial system; family, genus species; retroviridae, letivirus, human immunodeficiency virus; name of disease followed by a virus; type of nucleic acid, morphology tissue affected; no;
virology:interferon: abrev; what is it; viral DNA stimulates the host to synthesize what; the cell being attacked by virus stimulates others to produce the interferon to protect other cells; what are the 3 types;interferons surround what; INF; a natural antiviral agent; interferon; alpha, beta gamma; uninfected cells;
virology:interferon: the interferons from infected cell stimulate the uninfected cell to produce what; the antiviral proteins block what; antiviral proteins; the viral protein sunthesis and thus interferes with viral replication;
viruses and cancer: what % of viruses causes cancer; def of oncogenic viruses; example of oncongenic viruses; epstein barr causes what cancer; human T-cell leukemia virus causes what cancer; HPV causes what 20%; they act as a carcinogen and transform normal cells into cancerous cones; epstein barr; burkitss lymphoma; leukemia;cervical and penile cancer
the oncogene theory: our normal protooncogene DNA can be activated by what; proto-oncogenes control what; what are proto-oncogenes; what happens when a proto oncogene turns into an oncogene; if cancer cell occurs it is not what carcinogens; growth/metabolism of the cell; small sections of our genome; uncotrolled growth and metobolic reactions occur and tumor cells develop; regulated
can antibodies enter cells no
the oncogene theory: when a cell reaches a certain size when proto oncogenes are in control what happnes; oncogenes- each cell is what type of cell; it stops growing; a tumor cell;
definitions- viroid; prion; ex of prion; do all prions produce disease; what will not destroy these; nanobe; virus like particle but is naked nucleic acid fragment that is known to causes disease in plants only; infectious abnormal protein that can induce disease; mad cow disease; no; NORMAL PROCESSING cooking, autoclaving; newly identified particle 20 nm,
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