Q: Check all terms used for microorganisms that colonize humans.
A:
Resident microbes
Normal flora
Human microbiota
Q: Check all areas of the body where resident microbes are found.
A:
The external part of an organ like the eye and ear
Areas close to openings like the mouth, vagina, colon, nasal cavity, pharynx, and outer urethra
Skin and mucous membranes
Q: Check all areas of the body that should remain sterile (no microbes found).
A:
Blood and cerebral spinal fluid
Internal organs like the heart, liver, brain, glands, lungs, and kidneys
Bones and muscles
The internal part of an organ with delicate inner structures like the eye and ear
Q: A fetus is considered sterile. The normal flora is first established as the baby passes through the birth canal, then continues with exposure to all who handle and feed the baby. This is called the ____________.
A: Initial colonization of the newborn
Q: Which is the true statement regarding the normal flora?
A: The normal flora can change throughout life depending on a person's age or diet, and also if they are taking antibiotics.
Q: A way to adjust the normal flora in the digestive tract is to take a supplement containing beneficial microorganisms called
A: Probiotics
Q: Match these terms for microbes causing disease.
A:
Pathogen → a microbe causing an infection; also can be called an etiologic agent or causative agent
Infection → caused by a pathogen entering into the body, resulting in colonization and tissue destruction
True pathogen → infects individuals regardless of immune system status
Opportunistic pathogen → pathogen that primarily causes infection with those with a weakened immune system
Immunocompetent → healthy individuals with a functional immune system
Immunocompromised → individuals with a weakened immune system, including children, elderly, diabetics, and AIDS patients
Q: Who would be the immunocompromised individuals?
A:
Babies and young children
Cancer patients especially those who are undergoing chemotherapy
AIDS patients
Elderly
Q: For an infection to occur, a pathogen must enter into the human. The part of the body where the pathogen enters is called the portal of entry. Match these portal of entries with its description.
A:
Openings → the mouth, nose, ear, eye, or urethra
Transplacental route → during pregnancy, the pathogens in the mother's blood move through the placenta and infect the baby
Genital system → pathogens that enter here cause a sexually transmitted disease (STD)
Parenteral route → bypassing the skin through a break, needle, or bite
Q: What is the TRUE statement regarding portals of entry?
A: Pathogens can only cause infection when they enter through their specific portal or portals
Q: The fetus and neonate can acquire damaging or fatal diseases through the placenta during pregnancy or at the time of birth. Prominent diseases of this type go by the ___________ acronym.
A: STORCH
Q: In order for a disease to be established, the number of pathogens that enter into an individual must be over a certain number. This number is called the ___________.
A: Infectious dose
Q: Pathogens that can cause infection easier (more virulent) have a
A: Lower infectious dose
Q: Any feature of a pathogen that allows it to invade an individual, colonize into tissue, and cause infection is called a ___________ factor.
A: Virulence
Q: The first type of virulence factor are attachment structures. After the pathogen enters the host in large enough numbers to establish an infection, it needs to attach to the host tissue. Match the attachment structure with the microbe it is found on.
A:
Capsule → bacteria
Spikes → virus
Hooks → worms (helminths)
Suckers → worms (helminths)
Fimbriae → bacteria
Q: The remaining virulence factors can help the microbe evade the immune system (antiphagocyctic factors) or cause tissue destruction (exoenzymes and toxins). Match these virulence factors with their role in infection.
A:
Capsule → an antiphagocytic factor by preventing phagocytosis by immune cells
Leukocidin → an antiphagocytic factor that kills white blood cells
Coagulase → an exoenzyme that causes the blood to clot
Collagenase → an exoenzyme that breaks down connective tissue
Enterotoxin → an exotoxin that causes digestive system issues
Endotoxin → lipid A found only in the outer membrane of Gram-negative cells and can lead to a deadly aggressive immune system response
Q: For the above course of infection, match the stage with the letter for that area of the curve.
A:
A → Incubation period
B → Prodromal stage
C → Period of invasion
D → Convalescent period
Q: Match the stage of the course of infection with what is happening in that stage.
A:
Incubation period → Time from the initial contact with the pathogen up to when the first symptoms appear
Prodromal stage → First symptoms appear which are general in nature, like fever, headache, and muscle aches
Period of invasion → The classic signs and symptoms of the disease are at their worst
Convalescent period → Symptoms start to fade as the patient's immune system overtakes the microbe
Q: Infections can progress in different ways. This is called the pattern of infection. Match these patterns of infection.
A:
Local infection → Confined to a small body area or specific tissue
Focal infection → Spread of an infection from one body area to another
Systemic infection → Pathogen moves from the original body area through the blood or nerves, affecting multiple tissues
Mixed infection → Several pathogens cause an infection within one tissue or body site
Primary infection → The initial infection caused by a specific pathogen
Secondary infection → A different infection caused by a different pathogen after the occurrence of a primary infection
Q: Match more patterns of infection.
A:
Acute infection → Infection develops quickly and is short-lived
Chronic infection → The pathogen exists in the body for a long time, replicating at a slow rate, and causing pathology
Latent infection → Pathogen goes dormant inside the body and does not replicate
Sequelae → Long-term or permanent damage to tissues or organs due to an infection
Q: The study of disease and other health-related factors in human populations is ___________ and can include the transmission, frequency, and distribution of disease and how to control it.
A: Epidemiology
Q: Match these terms on where pathogens are found.
A:
Reservoir → Any area where a pathogen can survive for a long period of time
Nonliving reservoir → Areas like soil or water where a pathogen can exist for a long period of time
Carrier → A human capable of transmitting a pathogen; may or may not show signs of an infection
Asymptomatic carrier → A human who is infected with a pathogen but shows no signs of an illness; this can be due to multiple reasons: 1. They have just been infected, 2. Are in the recovery stages, or 3. In a chronic condition
Passive carrier → Human contaminated with a pathogen, transferring it to an individual; does not have the infection
Vector → An animal that is harboring a pathogen that can be transmitted to a human
Q: Match these disease types with the correct definition.
A:
Noncommunicable disease → Illness that cannot be spread from one person to another
Communicable disease → Illness that can be spread from one person to another
Contagious disease → Illness that spreads between people easily
Zoonosis → Illness transmitted by an animal; also called a zoonotic disease
Q: Transmission of a pathogen can be done by direct or indirect contact. Check all items that are considered direct contact.
A:
Respiratory droplets (coughs and sneezes)
Bite of an animal
Transplacental, at birth, or through breastfeeding
Touching
Kissing or sexual contact
Q: A general term that includes any inanimate object (water, food, fomites, etc.) that can indirectly transmit a pathogen.
A: Vehicle
Q: Transmission of a pathogen can be done by direct or indirect contact. Check all items that are considered indirect contact.
A:
Oral-fecal contamination (fecally contaminated food or water)
Droplet nuclei (dried-up mucous secretions in air)
Aerosols (dust and other small items that float in air)
Fomite (any nonliving object)
Q: Vector (animal) transmission to humans can happen in two ways.
A:
Biological
Mechanical
Q: Match these epidemiological terms.
A:
Reportable disease → Any disease that by law must be reported by medical professionals to public health officials in order to collect data
Prevalence → Total number of cases of an illness measured within a population within a specific time period
Incidence → The number of new cases of an illness within a specific time period and within a population
Morbidity rate → General term for any measure due to illness such as the number of people with the illness, how long the illness lasts, or for how long the illness existed in a population
Mortality rate → Number of people who died as a result of a particular illness