What do hyaluronidase and kinase have in common? |
They are both enzymes involved in evading host defense. |
According to your Concept Map, which of the following organisms exhibits antigenic variation? |
N. gonorrheae |
Which of the following virulence factors could directly prevent phagocytosis and/or phagocytic degradation? |
all of the above |
How are immune cells able to detect foreign pathogens? |
They are able to detect structures on the surfaces of foreign cells that are not found in the host. |
How does a capsule help certain bacteria evade detection by the immune system? |
The capsule is composed of polysaccharides that are similar to those found in the host; thus, the immune system does not recognize it as foreign. |
Which of the following microorganisms actually grows inside the macrophage? |
Tuberculosis bacterium |
How does the protozoan Trypanosoma evade detection by the immune system? |
It can change the surface antigens frequently, preventing the immune system from tracking it. |
What are leukocidins? |
Molecules that are capable of destroying phagocytes |
Measles viruses are capable of inactivating host defenses by |
suppressing the immune system. |
Meningitis and gonorrhea are caused by |
Neisseria species. |
How do superantigens enable pathogens to hide from the immune system if they actually stimulate the immune system? |
They cause the immune system to produce an exaggerated response, distracting it from the actual pathogen. |
How can capsules enable bacteria to evade the immune system? |
Capsules block the complement biding sites on the surface of the pathogen. |
Endotoxins are also known as |
Lipid A. |
When would endotoxins be released from a bacterial cell? |
When the cell dies |
Which of the following would be the first sign of an infection that resulted in the release of endotoxin? |
Fever |
Why is a release of endotoxin into the bloodstream potentially deadly? |
It can lower blood pressure and cause the patient to go into shock. |
An exotoxin that has the ability to kill or damage host cells is referred to as a(n) |
cytotoxin. |
Which domain of the A-B toxin binds to cell surface receptors on the host cell? |
B domain |
How are superantigens different from other types of exotoxins? |
Superantigens cause an overstimulation of the host immune system. |
A person who attended a picnic early in the day develops a very high fever and is unresponsive by the evening. This person most likely has been exposed to a(n) |
superantigen. |
A patient who has been hospitalized with uncontrolled muscle spasms has probably been infected with bacteria that secrete a(n) |
neurotoxin. |
In mice, the LD50 for staphylococcal enterotoxin is 1350 ng/kg, and the LD50 for Shiga toxin is 250 ng/kg. Which of the following statements is true? |
Shiga toxin is more lethal than staphylococcal enterotoxin. |
Which of the following would be an example of an infection initiated via the parenteral route? |
An individual contracts hepatitis B from an accidental stick with a contaminated needle. |
Which statement regarding endotoxins is true? |
One consequence of endotoxins is the activation of blood-clotting proteins. |
Which type of bacterial enzyme helps spread Streptococcus pyogenes by digesting blood clots? |
fibrinolysin |
In which of the following cases would the Limulus amebocyte lysate (LAL) assay be used? |
to ensure that a sterilized medical device is free of endotoxin |
Which of the following statements about adherence is true? |
Most bacterial adhesins are glycoproteins or lipoproteins. |
Which of the following toxins and does NOT match the description? |
Vibrio enterotoxin: a superantigen that destroys epithelial cells |
Which disease would be potentially propagated in an environment without functional plumbing and in which drinking water is contaminated with sewage? |
cholera |
Which of the following statements about lysogenic conversion is true? |
Exotoxin production by bacteria is frequently the result of a lysogenic infection. |
Which of the following features of Salmonella prevent it from being phagocytosed? |
Flagella |
Where do Salmonella pathogens grow and replicate in the infected host? |
Inside phagocytes |
Where is the site of Shigella attachment in the host? |
M cells |
How do Shigella cells move between host cells? |
They can polymerize actin molecules from the epithelial cells into tail-like structures that propel them from one cell to another. |
What is the etiologic agent of typhoid? |
Salmonella |
Certain traits that allow pathogens to create infection and cause disease are termed |
virulence factors. |
Which of the following enzymes breaks down the "glue" that holds cells together? |
Hyaluronidase |
Which of the following virulence factors would be found in Staphylococcus aureus? |
Staphylokinase |
How do fibrinolysins enhance a pathogen’s virulence? |
They break down fibrin proteins that are involved in clot formation, allowing the cells to penetrate deep into damaged skin. |
Which of the following is NOT a cytopathic effect (CPE) of viruses? |
All of the above are possible CPE. |
The most frequently used portal of entry for pathogens is the |
mucous membranes of the respiratory tract. |
The ability of some microbes, such as Trypanosoma or Giardia to alter their surface molecules and evade destruction by the hosts antibodies is called |
antigenic variation. |
Most pathogens that gain access through the skin |
enter through hair follicles and sweat ducts. |
All of the following contribute to a pathogens invasiveness EXCEPT |
toxins |
The ID50 is |
the dose that will cause an infection in 50 percent of the test population. |
Which of the following statements is FALSE? |
Coagulase destroys blood clots. |
Which of the following is NOT a membrane-disrupting toxin? |
A-B toxin |
Which of the following statements about exotoxins is generally FALSE? |
They are resistant to heat. |
Endotoxins are |
part of the gram-negative cell wall. |
Cytopathic effects are changes in host cells due to |
viral infections. |
Which of the following does NOT contribute to the symptoms of a fungal disease? |
cell walls |
All of the following are methods of avoiding host antibodies EXCEPT |
membrane-disrupting toxins. |
Siderophores are bacterial proteins that compete with the host’s |
iron-transport proteins. |
The fimbriae of Neisseria gonorrhea and enteropathogenic E. coli are examples of |
adhesins and ligands. |
All of the following are examples of entry via the parenteral route EXCEPT |
hair follicle. |
Superantigens produce intense immune responses by stimulating lymphocytes to produce |
cytokines |
Botulism is caused by ingestion of a proteinaceous exotoxin; therefore, it can easily be prevented by |
boiling food prior to consumption. |
All of the following organisms produce exotoxins EXCEPT |
Salmonella typhi. |
Which of the following cytopathic effects is cytocidal? |
release of enzymes from lysosomes |
All of the following are used by bacteria to attach to host cells EXCEPT |
A-B toxins. |
Symptoms of protozoan and helminthic diseases are due to |
tissue damage due to growth of the parasite on the tissues, waste products excreted by the parasite, and products released from damaged tissues. |
Which of the following statements about staphylococcal enterotoxin is FALSE? |
It is produced by Staphylococcus aureus growing in the host’s intestines. |
Which of the following contributes to the virulence of a pathogen? |
numbers of microorganisms that gain access to a host, evasion of host defenses, and toxin production |
Lysogenic bacteriophages contribute to bacterial virulence because bacteriophages |
give new gene sequences to the host bacteria. |
Twenty-five people developed symptoms of nausea, vomiting, and diarrhea three to six hours after attending a church picnic where they ate a ham and green bean casserole with cream sauce. The most likely cause of this case of food intoxication is |
erythrogenic toxin. |
Which of the following statements about M protein is FALSE? |
It is readily digested by phagocytes. |
Symptoms of intense inflammation and shock occur in some gram-positive bacterial infections due to |
superantigens. |
Which of the following is an example of direct damage due to bacterial infection? |
the invasion and lysis of intestinal cells by E. coli |
Polio is transmitted by ingestion of water contaminated with feces containing polio virus. What portal of entry does polio virus use? |
mucous membranes only |
All of the following bacteria release endotoxin EXCEPT |
Clostridium botulinum. |
Cholera toxin polypeptide A binds to surface gangliosides on target cells. If the gangliosides were removed, |
polypeptide B would not be able to enter the cells. |
Bacteria such as E. coli and Salmonella produce invasins that bind host cells, thus causing the cells to |
engulf the bacteria. |
Which of the following mechanisms is used by gram-negative bacteria to cross the blood-brain barrier? |
inducing TNF |
Injectable drugs are tested for endotoxins by |
the Limulus amoebocyte lysate test. |
Endotoxins in sterile injectable drugs could cause |
septic shock symptoms. |
Gram-negative septic shock results from the following events. What is the second step? |
LPS is released from gram-negative bacteria. |
Antibiotics can lead to septic shock if used to treat |
gram-negative bacterial infections. |
Which of the following is NOT a cytopathic effect of viruses? |
toxin production |
Bacteria that cause periodontal disease have adhesins for receptors on streptococci that colonize on teeth. This indicates that |
streptococcal colonization is necessary for periodontal disease. |
Nonpathogenic Vibrio cholerae can acquire the cholera toxin gene by |
transduction. |
In response to the presence of endotoxin, phagocytes secrete tumor necrosis factor. This causes |
a decrease in blood pressure. |
Patients developed inflammation a few hours following eye surgery. Instruments and solutions were sterile, and the Limulus assay was positive. The patients inflammation was due to |
endotoxin. |
—Microbiology Chapter 15—
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