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WorksheetsMicrobiology Exam 2 Review
Total questions: 87
Worksheet time: 45mins
What term do we use to refer to a naturally occurring chemical substance that kills microbes?
Antimicrobial
Antibiotic
Bactericide
Chemotherapeutic
What is the main goal of an antimicrobial?
To kill the microbe without harming the host
Complements the host’s immune system
Can be easily broken down and excreted by the host
That it is soluble
The scale that guides individuals in determining whether or not an antimicrobial is safe to use?
Minimum inhibitory scale
Fujita scale
Therapeutic index
Toxicity index
Side effects to antimicrobials fall into 3 categories. Which of the following is one of those categories?
Allergic reactions
Drug/Drug interaction
Genetic mutation
All of the above
Penicillin is a cell wall inhibitor. How may it be acting?
Prevent the synthesis of phospholipids
Prevent the synthesis of lipopolysaccharide
Prevent the synthesis of peptidoglycan
All of the above
Of the list below, what would be the most difficult infection to treat with an antimicrobial?
Gram positive bacteria
Virus
Mycobacterium
Fungal
Parasites are difficult to treat because:
They are large
They are eukaryotic
They have multiple life stages
All of the above
Viruses are difficult to treat because:
They are small
They do not have many targets
Their capsid protects them
All of the above
Antimicrobial drug resistance can develop by:
Mutation in the DNA
Horizontal gene transfer
Shutting down a metabolic pathway
All of the above
A common mechanism for drug resistance is:
Make an enzyme to degrade the drug
Change the cell wall from G(+) to G(-)
Stop producing ribosomes
Metabolize the drug to make energy
One antiphagocytic factor is:
Enzymes
Flagella
pili
capsule
What do we call organisms that cause disease when the host’s defense are compromised?
True pathogen
Facultative pathogen
Opportunistic pathogen
Fabricated pathogen
Degree or relative capacity of an organism to infect and damage a host
Pathogenicity
Colonization capacity
Infectivity
Virulence
Attachment of a pathogen to a host is non-specific
true
false
Infectious disease that is only transmitted through a vector and not human to human
Contagious
Communicable
Non-communicable
Zoonotic
Number of new cases over a certain period of time
Incidence
Prevalence
Morbidity rate
Mortality rate
The first and second line of defense are innate and provide nonspecific protection.
true
false
The term lymphocytes refers to:
B cells
T cells
Monocytes
B and T cells
All of the above
Connective tissue fibers between organs and tissues that is a passageway for WBC is called:
The Blood Cell System
The Circulatory System
The Lymphatic system
The Reticuloendothelial system
WBC include
Natural Killer cells
Neutrophils
Dendritic cells
All of the above
WBC find pathogens by:
Deciphering ‘self’ from ‘non-self’ cells
Random selection
Antibodies
Phagocytosis
The skin is a good physical barrier because:
It constantly sloughs off
the outer layer is impervious
the outer layer is water proof
all of the above
The presence of the microbiota can help prevent disease because they take up space and block binding sites that pathogens could take advantage of.
True
False
The first line of defense
Is non-specific
Includes physical response like fever
Is acquired on an individual basis
All of the above
One chemical response is
Vaginal secretions
The mucus membrane
Electrolytes in sweat
All of the above
The purpose of inflammation is to bring more nutrients to the cells that have been damaged.
True
False
What molecule is released that causes white blood cells to move to an area of damage?
antimicrobial peptides
cytokines
granzymes
siderophores
Professional phagocytes include
neutrophils
macrophages
dendritic cells
all of the above
Macrophages and dendritic cells use phagocytosis as a way to extract foreign matter from a pathogen so it can be presented to a T cell.
True
False
How do professional phagocytes recognize a foreign cell?
pattern recognition receptors
epitopes
pathogen-associated molecular patterns
antigens
The movement of WBC to a site of inflammation is called:
swarming
chemostasis
crawling
chemotaxis
This second line defense is a cascade of proteins that poke holes in the membrane of bacterial cells
Antimicrobial peptides
Complement
Inflammation
Phagocytosis
A second line defense protein that prevents viral replication is
Interleukin
Interferon
Tumor necrosis factor
All of the above
The third line defenses are our adaptive immunity and depend on our own exposures to microbes
True
False
Molecules that generate a specific response from T and B cells are:
lymphocytes
antibodies
antigens
PAMPs
T cells mature in the:
Lymph nodes
thymus
Bone marrow
spleen
B cell maturation involves genetic splicing so immunoglobins are unique.
True
False
The region of the antibody that binds the antigen and is incredibly diverse.
Fc
Fab
Antigen binding site
Constant region
Markers on a cell that tags the cell as ‘self’
antibodies
CD8
CD4
major histocompatibility complex
The lymphocytes recognizes and responds specifically to the:
Antigen
epitope
PAMP
antibody
list the 5 stages of infection
(a)
a strip of biochemicals that is used to produce a numeric code to identify a microorganism
MALDI-TOF
Serotyping
Rapid Panel
DNA hybridization w/probes
first professional phagocyte to respond to inflammatory signals
neutrophils
monocytes
dendritic cells
marcophages
bacteria, fungi, and protozoa that live in equilibrium with the human host
parasites
pathogens
normal flora
colonizers
microbes that can cause disease in healthy individuals
opportunistic pathogens
determined pathogens
virulent pathogens
true pathogens
antimicrobials that target a wide variety of microbial types (example: bacteria) are narrow spectrum
true
false
diseases that are highly transmitted from human to human, especially through contact
contagious
communicable
non-communicalbe
nosocomial
pathgocytes use these to bind to pathogen-associated molecular patterns on foreigners
pattern recognition receptors
MHC I
MCH II
antibodies
naïve CD8 cells turn into these after activation and differentiation
T helper cells
T cytotoxic cells
T chemotoxic cells
natural killers
side effects of antimicrobial agents include
autism
organ toxicity
cancer
all of the above
professional phagocytes include:
basophils
neutrophils
T cells
erythrocytes
overgrowth of Candida Albicans due to treatment of an E. coli UTIC is an example of
immunocompetence
immunocompromised
a superinfection
bad luck
an antimicrobial that inhibits cell wall synthesis is
erythromycin
penicillin
polymyxin
quinolones
sneezing is considered a
first line physical defense of the respiratory tract
first line chemical defense of the respiratory tract
second line physical defense of the respiratory tract
third line defense of the respiratory tract
biofilms are hard to treat because
antimicrobials cannot penetrate
cells have the same phenotype
cells are rapidly dividing
all of the above
drug resistance can only be acquired by inheriting a plasmid
true
false
T cells mature in the thymus and maturation includes the generation of different receptors
true
false
Why may an antimicrobial fail?
Cannot diffuse to the infected area
Microbial resistance
Mixed pathogen infection
All of the above
The immune system is responsible for
Keeping foreign matter out
Surveillance of the body
Recognition and destruction of foreigners
all of the above
The desired effect of a vaccine is to:
Stimulate passive immunity
Cause an infection
stimuate a secon line response
stimulate active immunity
Normal flora will never cause disease
true
false
the ability of a microbe to establish in a host and cause damage
virulence
pathogenicity
toxicity
infectivity
list the stages of inflammation
(a)
tumor necrosis factor and interleukins are examples of
pattern recognition receptors
markers
PAMPs
cytokines
naïve B cells presenting an antigen must be activated by:
marcophages
plasma cells
t cytotoxic cells
T helper cells
white blood cells recognize self from nonself through the use of
enzymes
cytokines
markers
PAMPs
number of total deaths in a population due to a certain disease
morbidity
prevalence
incidence
mortality
mechanisms (functions) microbes gain to become drug resistant include:
produce a new enzyme to degrade a drug
turning on receptors
increasing enzyme numbers
all of the above
macrophages use this to travel through tissues
lymph
reticulum
blood
lymph nodes
bean-shaped organs located throughout the body that allow lymphocytes and phagocytes to interact
spleen
lymph nodes
thymus
reticulum
what is the main goal of an antimicrobial
destroy agent without harming host
easy to administer
can be excreted safely
reasonably priced
therapeutic index is
ratio of dose toxicity to humans vs. effective dose to microbe
in vivo concentration of drug
minimum amount of drug to kill a microbe
minimum amount of drug to prevent microbial growth
parasites are difficult to treat because:
multiple stages of life prevent universal drug treatment
size
blocking reproduction may not be effective, particularly for helminths
all of the above
the purpose of inflammation is to:
forcibly eject the microbe from the body
initiate fever
mobilize immune components & repair tissue
bind available iron
CD4 naïve cells recognize antigen presented on:
MHC II
MHC I
immunoglobulins
MHC III
the ability of an antibody to bind to a viral receptor and block adsorption
agglutination
opsonization
neutralization
antimicrobial protein used to inhibit viral replication
interferon
interleukin
complement
tumor necrosis factor
the most specific line defense is the:
first
second
third
molecules that initiate B and T cell activation
epitopes
antibodies
immunogens
PAMPs
a synthetic drug used to treat disease
antibiotic
antimicrobial
chemotherapeutic
bactericidal agent
additive to vaccines that helps precipitate the antigen and hold it in the tissues
conjugate
adjuvant
subunit
attenuate
What is one disadvantage of phenotypic testing?
It can be costly
They can take longer to get results
They are technical
all of the above
Phenotypic tests identify microbes by the media it can grow on, the enzymes it produces, and the biochemical processes it can carry out.
True
False
A rapid panel is a strip that contains a series of biochemical assays that can result in a numerical code that identifies a microbe.
True
False
Serological tests are generally depend on this molecule.
Antibodies
Enzymes
Cytokines
Chemokines
Which line of defense are serological tests based upon?
First line
Second line
Third line
Which type of test using the clumping of antigen with antibody to detect infection?
direct ELISA
indirect ELISA
Sandwich ELISA
Agglutination
