Anatomical features of the upper respiratory tract:
Frontal, sphenoid sinuses
Tonsils
Nasal/oral cavities
Pharynx
Epiglottis
Larynx
Anatomical features of the lower respiratory tract:
Trachea
Bronchi
Bronchioles
Alveoli
List the natural 1st line defenses present in respiratory tract:
Nasal hair- traps particles
Cilia of epithelium in the trachea and bronchi (ciliary escalator)- push particles. Up and out of lungs
Mucus- traps invading microbes.
Coughing, sneezing, swallowing- moves trapped microbes out of the lungs.
List the natural 2nd and 3rd line defenses present in the respiratory tract:
Complement in the lungs- helps destroy microbe cell membranes.
Antimicrobial peptides- destroy microbial membranes.
Macrophages- phagocytose microbes in the alveoli and tonsils.
IgA antibody- secreted at this mucosal layer, provided immunity to pathogens seen before.
List the main genera of normal biota presently known to occupy the respiratory tract:
Prevotella, Staphylococcus, Streptococcus, & Pseudomonas
Is the lower respiratory tract sterile? (true or false)
False
Organisms considered “normal biota” in the respiratory tract can cause serious disease (true or false)
True
Normal biota performs the important role of _______ _______ in the upper respiratory tract.
Microbial Antagonism
There is an effective vaccine available for the common cold. (true or false)
False
Sinusitis & pharyngitis can both be sequelae of the common cold. (true or false)
True
List and describe three sequelae of streptococcal pharyngitis.
Scarlet Fever- caused by stains producing Erythrogenic toxin.
Rheumatic Fever- damage to heart valves due to cross reactivity of antibodies to the M protein.
Glomerulonephritis- antigen-antibody complexes caught in the kidneys resulting in damage.
There is an effective vaccine available for diphtheria. (true or false)
True
The vaccine against pertussis provides lifelong protection. (true or false)
False
The vaccine against influenza provides lifelong protection. (true or false)
False
Antigenic Drift
refers to minor changes in viral antigens.
Antigenic Shift
the result of gene swapping between different strains of the virus.
Describe the symptoms appearing in the first stage of whooping cough:
Catarrhal Stage:
runny nose
low-grade fever
mild, occasional cough
Describe the symptoms appearing in the second stage of whooping cough:
Paroxysmal Stage:
fits of numerous, rapid coughs followed by “whoop” sound
vomiting and exhaustion after coughing fits
Describe the symptoms appearing in the third stage of whooping cough:
Convalescent:
coughing lessens but fits of coughing may return
What is the reason for the increase in pertussis cases over the past three decades?
Vaccines not lasting long enough
1/3 of the world’s population is infected with TB. (true or false)
True
Describe what individuals did to achieve the physical appearance of having tuberculosis (beauty standard):
Pale skin- bleaching arsenic powders.
Very thin (lack of appetite)- corseting and voluminous skirts.
“Sparkling” dilated eyes (prolonged mydriasis)- nightshade eye drops to dilate pupils.
Rosy cheeks/rosy lips (low-grade fever)- dyes/makeup
In ________ tuberculosis, the lymph nodes, kidneys, long bones, and other organs can become involved.
Extrapulmonary
What 8 sections does food travel through (starting at the mouth)?
mouth
pharynx
esophagus
stomach
small intestine
large intestine
rectum
anus
Define peristalsis:
movement that keeps microbes moving through system.
Define the function of rugae:
allow for expansion of the stomach after consumption of foods and liquids.
What (and where) are the three parts of the small intestine?
duodenum (begins at the exit of the stomach)
jejunum (middle section)
ileum (connects into the large intestine)
What are the five parts of the large intestine?
cecum (with appendix)
ascending colon
transverse colon
descending colon
sigmoid colon
List and describe the defenses present in the gastrointestinal tract:
secreted IgA antibody found on most intestinal surfaces
peristalsis movement keeps microbes moving through system
saliva, stomach acid, and bile are all antimicrobial
GALT interactions leads to immune defense
Describe the microbiota found in the mouth:
over 600 different species in the oral cavity alone
some of these species live together in a type of biofilm known as dental plaque. (Dental cleanings prevent these bacteria from prematurely decaying tooth enamel.)
Describe the microbiota found in the esophagus/stomach:
although hostile to microbes, they harbor nearly 200 different species. most common species belongs to Streptococcus, Staphylococcus, Clostridium, and Bacillus genera.
Describe the microbiota found in the accessory organs:
are currently considered to be free of resident microorganisms.
Describe the microbiota found in the large intestine:
billions of microorganisms present. it appears individuals have distinct gut microbiota profiles.
Summarize the known functions of the GI microbiota:
Protective function
Teach immune system to react properly to microbial antigens
Aid digestion and provide nutrients
A diverse gut microbiome is associated with health
List three seemingly noninfectious disorders that can potentially be caused (at least in part) by gut microbe imbalances:
Crohn’s disease
Inflammatory bowel disease
Various mental conditions
What are the four accessory organs of the digestive tract?
salivary glands
liver
gallbladder
pancreas
What acute agent is linked to GBS?
Campylobacter jejuni
What is the acute agent linked to HUS?
E. coli bacterium, O157:H7
What is the causative agent for Tuberculosis?
Mycobacterium tuberculosis
How do you prevent Tuberculosis?
Immunization and avoidance of disease transmission.
Signs/symptoms of Tuberculosis:
pale skin
very thin
dilated eyes
rosy cheeks/lips (low-grade fever)
What is the mode of transmission for Tuberculosis?
fine droplets of respiratory mucus in air
What is the causative agent for Perussis (whooping cough)?
Bordetella pertussis
What is the causative agent for COVID-19?
SARS-CoV-2
What is the causative agent for Influenza?
Influenza viruses
How do you prevent Perussis (whooping cough)?
Immunization
How do you prevent COVID-19?
Immunization, keeping distance from infected individuals.
Signs/symptoms of Perussis (whooping cough):
cold-like symptoms
whooping cough
Signs/symptoms of COVID-19:
cold-like symptoms
neurological, cardiac, GI, and clotting issues
Signs/symptoms of Influenza:
headache
chills
dry cough
body aches
fever
What is the mode of transmission for Perussis (whooping cough)?
droplet contact
What is the mode of transmission for COVID-19?
droplet contact
What is the mode of transmission for Influenza?
droplet contact