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Microbiology review

AB
Nematodes areIntestinal and tissue roundworms tapered at each end cuticle
PlatyhelminthesareCestodes [tapeworms] and trematodes [flukes]
Cestode areTapeworm
Trematodes areFlukes
Fluke intermediate hostsnail
HostOrganism in which the parasite lives
Definitive hostOrganism in which the sexually mature worm lives
Intermediate hostOrganism in which the parasite live for part of its life
Reservoir hostOrganism which carries the parasite but shows no ill effects
VectorOrganism which conveys the parasite from one host to another
Ancylostoma duodenaleOLD world hookworm
Ascaris lumbricoideslargest intestinal round worm
Balantidium coliorofecal spread from pigs causes explosive diarrhea
Clonorchis sinensisTrematode-Asian [Oriental] liver fluke
Clonorchis sinensis spready byingesting uncooked fish
Diphyllobothrium latumFish tapeworm
Dracunculus medineis speard byingestong copepod
Echinococcus granulosusdog tapeworm
Enterobius vermicularismost common intestinal worm-pinworms
Scotch tape test is forEnterobius vermicularis
Fasciola hepaticaSheep liver fluke
Giardia lambliabeaver fever or hiker’s diarrhea
The most common protozoa in USGiardia lamblia
Hymenolepis nanadwarf tapeworm
The most common tapeworm in USHymenolepis nana
Leishmania brasiliensis spread throughsand fly bite
Leishmania donovaniavisceral
Leishmania mexicanaa areflagellate protozoa cutaneous ulcers new world
Leishmania tropicasand fly bite cutaneous ulcers old world Delhi boil
Loa loaeye worm Chrysops deer fly [mango fly] bite
Naegleria fowleri isameba protozoa warm waters travels up the nose fatal encephalitis
Necator americanus isNematode-new world hookworm
Onchocerca volvulus causesRiver blindness
Onchocerca volvulus spread bythe Simulium blackfly
Paragonimus westermanilung fluke
Plasmodium falciparumis the most deadly form of malaria
Plasmodium malariaequartan fever attack mature RBC
Plasmodium ovaletertian fever attack mature RBC
Plasmodium vivax causestertian fever attack mature RBC
Sarcoptes scabeii spread bydirect contact causing itching in finger webs at night
Schistosoma hematobiumBlood fluke that reside in bladder veins
Schistosoma japonicumBlood fluke that reside in small and large intestine mesenteric veins
Schistosoma mansonireside in distal colon mesenteric veins
Strongyloides stercoralispenetrate skin
Taenia saginatabeef tapeworm
Taenia soliumpork tapeworm
Toxocara canis is tissue nematode that spead throughinfected dog feces
Toxoplasma gondiirats are the vector cats are carriers causes miscarriages in human
Trichinella spiralispork roundworm
Trichuris trichuriawhipworm associated with rectal prolapse
Trichomonas vaginitissexually transmitted-only trophozoite form
Trypanosoma cruzireduviid bug bites
Chagas diseasemega-esophagus mega-colon Romana’s sign chagoma
Trypanosoma gambiensetsetse fly bites causes sleeping sickness Winterbottom’s sign
Trypanosoma rhodesiensetsetse fly bites causes sleeping sickness
Wuchereria bancroftitissue nematode that spread by female Anopheles or Culex mosquito
Filariasiscauses elephantiasis because of blocked lymphatics
Fungus characteristicsChitin wall ergosterol membrane 80S ribosome
Fungi[nourishment is fromdead organic matter
Superficial fungiDry-Microsporum Trichophyton Epidermophyton Malassezia moist-Candida
Superficial fungi spear throughdirect contact
Subcutaneous Sporothrix and Madurella spread throughpuncture wound
Systemic opportunistic and non-opportunistic fungi spread throughinhalation of spores
Opportunistic systemic fungi includePneumocystis Aspergillus Candida and Cryptococcus
Non-opportunistic systemic fungi includeHistoplasma Coccidioides Paracoccidioides and Blastomyces; Dermatophyte need what to grow
Keratin is not needed forMalassezia and Candida
asexual Sporulation occurs inconida
Periodic Acid Schiff stain stains fungired
Gomori Methenamine Silver stain stains fungiblack and grey
Sabouraud culture medium for fungi containsdextrose and peptones in a low pH agar medium
Moldmulticellular
Yeastunicellular buds
Aspergillus fumigatus is found indecaying vegetation or dry wall
Aspergilloma is afungus ball
Blastomyces dermatidis spread byinhalation of spores
Candida albicans likesmoist skin folds
Coccidioides immitis causesSan Joaquin valley fever
Cryptococcus neoformans spread throughPigeon poop
Dermatophyte likesskin and nails
Epidermophyton floccosumtinea pedis with red itchy scaly feet
Histoplasma capsulatum spread bybat droppings after exploring caves or inhaling spores from bird poop Ohio Valley Fever lung infection
Madurella grisea or mycetomatis spread throughRotting vegetation woodcutters puncture wound warty lesions on foot causing madura foot
Malassezia furfur causesTinea [Pityriasis] versicolor
Microsporum dermatophyte likesskin and hair
Microsporum canistinea corporis
Paracoccidioides brasiliensisLatin American males spore inhalation oral and nasal ulceration spoke wheel
Pneumocystis jiroveci spore inhalation causespneumonia in an immune compromised patient ground glass on chest x-ray
Sporothrix schenckiiRotting vegetation rose gardeners puncture wound spread along lymphatics in the limb
Stachybotrys chartarumBlack mold high cellulose content material in buildings high moisture areas
Tinea infection of the headTinea capitis
Tinea infection of the bodyTinea corporis
Tinea infection of the groinTinea cruris
Tinea infection of the feetTinea pedis
Tinea infection of the nailsTinea unguium
Parasite characteristicsNucleus multiple chromosomes 80S ribosomes membrane sterol
Protozoa areunicellular
Metazoan aremulticellular
Ectoparasites includescabies and lice
Endoparasites includeintestinal worms flukes
Flagellate protozoa includeGiardia lamblia Trichomonas vaginalis Trypanosoma and Leishmania
Ciliated protozoaBalantidium coli which causes diarrhea
Anton van LeeuwenhoekAttributed with 1st microscope
Edward Jenner1st smallpox vaccine
Ignaz SemmelweisHandwashing decreased puerperal [childbed] fever
Joseph ListerAseptic surgery using carbolic acid
Louis PasteurPasteurization rabies & anthrax vaccine disproved “spontaneous generation”
Robert KochPure culture technique 4 postulates
Paul ErlichSylvarsan – “magic bullet” syphilis treatment
Alexander FlemingPenicillin – 1st antibiotic
Selman WaksmanDiscovered 20+ antibiotics
Rebecca LancefieldStreptococcal groupings
Dmitri IvanowskiFirst to postulate the existence of viruses
Felix d’HerrelleBacteriophage
Ernst RuskaDeveloped the electron microscope that showed viruses
Walter ReedDiscovered the link between Yellow Fever and Aedes aegypti mosquitoes
Jonas SalkDeveloped the polio vaccine using killed polio organisms
Albert SabinLive attenuated polio vaccine
PrionProtein fragment
Prion diseasesCreutzfeldt-Jakob Disease Kuru Fatal Familial Insomnia
VirusNo cell wall no nucleus no ribosome DNA or RNA
PathogenicityAbility to cause disease
InvasionAbility to penetrate the defenses of the host
ColonizationAbility to populate in a site
VirulenceAbility to cause serious disease
ProdromeFirst sign of disease (generic symptoms)
Antigenic shiftingAbility to change surface antigens to avoid detection
NosocomialHospital acquired infection
IatrogenicCaused by health personnel
Commensal1 benefits
SymbiosisAbility of two dissimilar living together
SynergismBoth organisms together do more than individually
ParasitismOne organism benefits while causing harm to the other
MutualismBoth organisms benefit from one another
AntagonismOne organism inhibits another
Disease triangleHost agent and environment
Control of viral growthChemicals Heat Irradiation and Antiviral medication
Growth Eclipse periodviral attachment to 1st progeny
Growth Exponential periodprogeny reproduction until it plateaus and no more viruses can be made
Virus+ senseViral RNA can be directly incorporated into the host cell proteins
virus- senseViral RNA must first be converted to a + sense by an RNA polymerase
All viruses are RNA except7 which are DNA
DNA groupHerpes Hepa DNA Human Papilloma Adenoma Parvo Pox and Polyoma
All DNA viruses are double stranded exceptPARVO B19 which is ss
PARVO B19is single strand virus
All DNA viruses are icosahedral in shape exceptPOX which is complex
POX virus hascomplex shape
Enveloped DNA viruses areHepaDNA Pox and Herpes
Naked DNA viruses areHuman Papilloma Adenoma and Polyoma
Parvo B19 causesSlapped Cheek syndrome AKA 5th disease or Erythema Infectiosum
Slapped Cheek syndrome AKA5th disease or Erythema Infectiosum
Human papilloma viruses types1 and 4 cause warts on the hand
Human HERPES viruses areDouble-stranded enveloped DNA viruses
HHV Type 1 causesHerpes labialis crop of painful vesicles on lips
HHV Type 2causesHerpes genitalis crop of painful vesicles on the vulva
HHV Type 3 causesChickenpox and herpes zoster
HHV Type 4 causeInfectious mononucleosis & Burkitt’s lymphoma abnormal T cell - Downey
HHV Type 5 causesCytomegalovirus infection of the brain it crosses placenta and causes blindness in newborn
HHV Type 6&7 causeRoseola infantum AKA 6th disease
HHV Type 8causeKaposi sarcoma in AIDS patients
Pox viruses areSmallpox and Molluscum contagiosum
Adeno virus is anaked DNA virus causing sore throat and swollen cervical lymph nodes
BunyaCongo fever and California Equine Encephalitis
All RNA viruses are single stranded EXCEPTthe REO-Rota virus
Rota virusis the most common cause of infantile diarrhea
All RNA single stranded viruses are + EXCEPTBunya Arena D Paramyxo Rhabdo Orthomyxo Filo
ArenaLassa fever spread by direct contact with infected body fluids
DeltaDeficient delta virus which with Hep B causes hepatitis
Paramyxo virusesMumps Measles RSV and Parainfuenza viruses
Rhabdo virusBullet shaped virus infected raccoons foxes
OrthomyxoInfluenza H and N types causes fever
FiloEbola hemorrhagic fever spread by contact with infected body fluids
Mumps virusSwollen parotid glands pancreatitis and even orchitis in males
Measles rubeolaCoryza conjunctivitis and Koplik spots inside cheek opposite lower molars
Respiratory Syncytial VirusMost common cause of bronchiolitis and pneumonia in kids
Parainfluenza virusMain cause of croup in kids under 5
All + ss RNA viruses are naked except 4 who areenveloped
The icosahedral + sense enveloped viruses areFLAVI RETRO and TOGA
Helical+ sense enveloped virusCORONA
Corona viruses +sense enveloped RNA causesrespiratory tract infections SARS & MERS
SARSCorona virus which attacks the respiratory system
MERSCorona virus which attacks the respiratory system
Flavi viruses+sense enveloped RNAyellow fever dengue fever West Nile Zika
Yellow FeverSpread by Aedes aegypti mosquito causes liver damage and jaundice
Dengue Fever spread by Aedes aegypti causesfever severe myalgia and skin rash
Zika causesmicrocephal
West Nile virus caused1999 NY outbreak
Retro virus +sense enveloped RNA causesHIV/AIDS destroys CD 4 cells
Toga viruses+sense enveloped RNARubella and Chikungunya fever
Rubella virus causesGerman measles
Chikungunya fever spread byAedes aegypti
Picorna virusesPolio ECHO Rhino Coxsackie and Hepatitis A
Polio virus attacksthe ventral horn of spinal cord and causes infantile flaccid paralysis
Enteric Cytopathic Human Orphan virus causesaseptic meningitis
Rhino virus causescommon cold
Coxsackie virus causeshand foot and mouth disease
Hepatitis A Orofecal transmitted virus causingjaundice and tender hepatomegaly
All hepatitis viruses are RNA exceptHepatitis B which is DNA
Sex and blood spreadHepatitis B and C and D
Hepatitis C carrier state causesCirrhosis and Hepatocellular Carcinoma
Hepatitis D Deficient virus depends on Hep B to causehepatitis
Norovirus/Norwalk virusDiarrhea in large group settings
Human Immune deficiency VirusSingle stranded retro virus destroys CD4 cells opportunistic infections
ARBO viruses spread bymosquito vectors
ARBO virus diseasesYellow Dengue West Nile and Chikungunya fevers and Zika virus infection
Aedes aegypti is vector forZika Dengue fever Chikungunya fever and Yellow fever
Culex pipens is vector forWest Nile virus
BacteremiaBacteria in the blood stream
CapsuleSticky lipopolysaccharide covering that prevents phagocytosis
Bacterial Growth phasesLag Log Stationary and Death
Lag growth phaseNumber of cells are constant as they prepare for growth; no multiplication
Log growth phaseExponential growth
Stationary growth phaseNew growth matches die off rate as nutrients run out of food
Gram stainGram positive [BLUE] or negative [RED]
Gram stain stepsCrystal Violet H2O Iodine H2O Acetone alcohol wash Safranin H2O
bacteria ShapeCoccus[round] Bacillus[ rod] or Vibrio [comma-shaped]
Facultative anaerobic bacteriaPrefers to live with O2 but has the facility to live without oxygen
Facultative anaerobesStreptococci staphylococci E. coli Listeria
Obligate anaerobicCannot live in the presence of O2
Obligate aerobicCannot live without O2-Mycobacteria
MicroaerophilicNeeds a very small amount of O2-Helicobacter pylori
Thermophile bacteria[45-900 degrees]
Mesophile bacteria[20-450 degrees]
psychrophile bacteria[0-200 degress]
Bacterial DNA transfer ConjugationMating of 2 bacterial cells via sex pilus
Bacterial DNA TransductionDNA transfer from 1 bacteria to another via a virus
Bacterial DNA TransformationDNA transfer from 1 bacteria to another via death or lab synthesis
Urease effects[urea splitting]
Nitrate producing bacteriaKlebsiella E. coli
Coagulase positive bacteriaStaphylococcus aureus [all other staphylococci are coagulase-negative]
Glucose fermentation bacteriaNeisseria gonorrhea and meningitidis
Hemolysis producing bacteriaα: Strep pneumonia and viridians β: Strep pyogenes and Staph. aureus
Lactose fermenting bacteriaEscherichia coli and Klebsiella pneumoniae
Maltose fermenting bacteriaNeisseria meningitidis and Proteus mirabilis
Bacteria without cell wallsMycoplasma
Obligate intracellular parasite bacteriaChlamydia Rickettsia Ehrlichia Mycoplasma and Coxiella
Flexible bacteriaspirochetes
All bacteria have cell walls exceptMYCOPLASMA
All cocci are Gram positive exceptNEISSERIA
All bacilli are Gram negative exceptthe BaCCiLus grou
BACCiLus groupBacillus Actinomyces Clostridium Corynebacterium and Listeria
Only 2 Gram+ bacilli are spore-formingBacillus and Clostridium
All Gram negative bacilli are enteric except8 non-enteric bacilli
All UTI-causing bacteria are nitrite+ exceptSTAPH. SAPROPHYTICUS
Actinomyces israeliiGram + rod causes yellow pus from wound near jaw/neck
Bacillus anthracisGram + spore-forming rod causes Woolsorter’s disease malignant pustule
Bacillus cereusGram +spore-forming rod
Bartonella henselaeGram negative non-enteric rod cat scratch disease cats are the reservoir
Bordetella pertussisParoxysmal bouts of coughing followed by an inspiratory whoop
Borrelia burgdorferiDarkfield microscopy Ixodes vector-deer tick Lyme disease bull’s eye rash
Brucella abortusGram negative non-enteric causes relapsing fever contaminated milk or pigs
Campylobacter jejuniGram negative enteric food poisoning - unpasteurized milk puppies w/ diarrhea
Chlamydia psittaciObligate intracellular parasite causes lung infection in bird keepers
Chlamydia trachomatis ABCCommonest cause of blindness in Africa
Chlamydia trachomatis D-KUrethritis PID Reiter’s syndrome conjunctivitis arthritis urethritis
Chlamydia trachomatisLymphogranuloma venereum-painful buboes sign of the groove
Clostridium tetaniGram + rod causes lockjaw [trismus] produces exotoxin-tetanospasmin
Clostridium botulinumTransmitted by contaminated honey causes vomiting paralysis and diplopia
Clostridium perfringensDeep puncture wound followed by muscle necrosis and gas bubbles
Corynebacterium diphtheriaeGram + rod grey pseudomembrane in the throat and heart damage
Coxiella burnettiObligate intracellular unpasteurized milk or inhaled [barn setting] Q fever skin rash rare
Enterobacter cloacaeGram negative enteric catalase positive rod causing UTI
Escherichia coliGram negative enteric lactose-fermenting catalase-positive most common cause of UTI undercooked beef
E. coli typingO and H types are used to identify pathogenic strains
E. coli subtype O157 H7Causes Hemolytic Uremic Syndrome-liver and renal failure
Francisella tularensisGram negative
Helicobacter pyloriGram negative urease+ rod causes peptic ulcer gastritis stomach cancer
Hemophilus aegyptiGram negative non-enteric rod causes pink eye disease
Hemophilus ducreyiGram negative non-enteric rod causes chancroid-painful yellow genital sore
Klebsiella pneumoniaeGram negative enteric lactose-fermenting bacillus-pneumonia UTI
Legionella pneumophilaGram negative non-enteric lung infection from infected air conditioners
Leptospira interrogansSpirochete darkfield microscopy Weil’s disease spread by contaminated water
Listeria monocytogenesGram + non-spore forming contaminated milk or ice cream meningitis
Mycobacterium tuberculosisGram resistant thick waxy wall Ziehl Neelsen stain Lowenstein-Jensen m.
Mycobacterium lepraeGram resistant bacteria like cool places like peripheral nerves and face
Neisseria gonorrheaGram negative intracellular glucose-fermenting coccus-urethritis and arthritis
Neisseria meningitidisGram negative coccus which ferments maltose and glucose-meningitis
Proteus mirabilisGram negative enteric maltose-fermenting urea-splitting rod UTI w/ bladder stones
Pseudomonas aeruginosaGram negative non-enteric bacillus
Rickettsia prowazekiObligate intracellular bacteria epidemic typhus causes high fever and skin rash lice
Rickettsia rickettsiiObligate intracellular bacteria Rocky Mountain Spotted Fever high fever and rash on palms & soles that spreads to the trunk tick
Salmonella typhiGram negative enteric causes rose-colored spots and step-ladder fever
Serratia marcescensGram negative bacillus produces red pigment and causes UTI
Shigella dysenteriaeGram negative enteric non-lactose fermenting causes dysentery
Staphylococcus aureusGram + catalase& coagulase + coccus infects healthy valves causes ABE
Staphylococcus saprophyticusGram + catalase+ coagulase - urease + nitrite negative coccus causes UTI
Streptococcus pneumoniaeGram positive catalase negative α-hemolytic coccus in strips pneumonia rust sputum
Streptococcus pyogenesGram positive catalase negative β-hemolytic coccus rheumatic fever
Streptococcus viridansGram positive catalase negative α-hemolytic affects damaged valves-SBE
Treponema pallidumSpirochete darkfield microscopy syphilis painless indurated penile lesion
Vibrio choleraGram negative enteric comma-causes severe diarrhea with rice water stool
Vibrio parahaemolyticusGram negative enteric comma-causes food poisoning raw salt water shellfish
Vibrio vulnificusGram negative enteric comma-causes necrotizing fasciitis salt water
Yersinia pestisGram negative enteric rod causes bubonic and pneumonic plague rat fleas prairie dogs/squirrels/rats
Food poisoning causing bacteriaE. coli C. botulinum S. aureus B cereus Vibrio and Salmonella
ZoonosisDisease transmitted from animals to humans in specific occupations
Rabbit skinningFrancisella tularensis
Abattoir workerBrucella abortus
Sheep sharerBacillus anthracis
FishermenVibrio vulnificus
Cane field workersLeptospira interrogans spread by rats
EndotoxinDead Gram negative enteric bacteria outer wall heat stable systemic effects
ExotoxinLive Gram+ destroyed by heat antigenic targets specific tissue
TetanospasminExotoxin which targets the nerves stops GABA production-decrease inhibition
BotulinumExotoxin which targets the acetylcholine receptor at the NMJ-flaccid paralysis
Red currant jelly sputumKlebsiella pneumoniae causes pneumonia is alcoholics
Anti-Streptolysin O titerRecent streptococcal infection-antibodies against streptolysin toxin
CatalaseAll staphylococci are positive
Catalasestreptococci are negative
CoagulaseStaphylococcus aureus converts soluble fibrinogen to insoluble fibrin
CoombsHemolytic anemia detects antibodies against red blood cells
FTA-AbsConfirmatory test for Syphilis detects antibodies
Paul BunnelInfectious Mononucleosis-heterophile antibodies on sheep red blood cells
Quellung reactionBacteria with capsule Strep pneumoniae Klebsiella Hemophilus influenzae
UreaseHelicobacter Proteus Ureaplasma Klebsiella Staph. saprophyticus
VDRLScreening test for Syphilis detects antibodies
Weil-FelixTest for rickettsiae using Proteus vulgaris organisms
Western BlotConfirmatory test for the presence of HIV antibodies
Wood’s lightFungal organisms fluoresce under ultraviolet light
DickScarlet fever uses scarlet fever erythrogenic toxin
MantouxTuberculosis uses Purified Protein Derivative from TB bacilli
SchickCorynebacterium diphtheria uses diphtheria toxin
Schultz Charlton reactionScarlet fever uses the antitoxin to the scarlet fever erythrogenic toxin
TineTuberculosis uses Purified Protein Derivative from TB bacilli
Bordet-Gengou or Regan-Lowe agarBordetella pertussis
Chick embryoViruses
Chocolate agarNeisseria and Hemophilus
Eaton agarMycoplasma pneumoniae
Eosin methylene blue PromotesGram negative growth
Foot pad of suckling miceMycobacterium leprae
Hektoen agarSalmonella (black) and Shigella (green)
Lowenstein-Jensen /MiddlebrookMycobacterium tuberculosis
MacConkey agar PromotesGram negative rod growth
Mannitol saltsStaphylococcus
Phenylethyl agar(PEA)PromoteGram positive growth
SabouraudFungal organisms
Sheep blood agar Detecthemolysis [streptococcus] – alpha (partial/green)
Tellurite agarCorynebacterium diphtheria
Thayer-MartinNeisseria organisms
Thiosulfate citrate bile salts sucroseVibrio cholera
India inkCryptococcus neoformans owl eye appearance
Wright-Giemsa stainParasites and syphilis
Ziehl-Neelsen stainMycobacterium tuberculosis
Direct contactEbola syphilis HIV leprosy cutaneous fungi
Droplet [aerosol]TB measles chickenpox Legionnaire’s disease
OrofecalTyphoid
TransplacentalTORCHS complex [except Herpes which is direct contact]
Insect borneMalaria Yellow Dengue Chikungunya fevers and Zika infection
InhalationSystemic fungi [except candida]
Skin penetrationSubcutaneous fungi Ancylostoma Necator Strongyloides Schistosoma
Aedes aegypti mosquitoYellow fever virus
Anopheles mosquitoPlasmodium Zika virus Wuchereria bancrofti
Black Simulium flyOnchocerca volvulus
Chrysops deer fly [mango fly]Loa loa
Copepod [contaminated water]Dracunculus medineis
Crabs and crayfishParagonimus westermani
Culex mosquitoWuchereria bancrofti
Ixodes scapularis [deer tick]Borrelia burgdorferi
Phlebotomous sand fliesLeishmania donovani tropica mexicana and brasiliensis
RatsLeptospira and Toxoplasma gondii
Rheduviid bug [kissing bug]Trypanosma cruzi
STDTrichomonas
Tsetse flyTrypanosoma brucei [gambiense and rhodesiense]
EpidemiologyThe study of the CAUSES DISTRIBUTION and CONTROL of diseases in people
IncidenceNumber of NEW cases of a disease in a specific population at a given time
PrevalenceNumber of people LIVING with the disease present in a specified population at a given time
MorbidityThe number of people that HAVE a particular disease in the US every year per 100
Mortality RateThe number of people who DIE every year in the USA per 100
Life ExpectancyAn ESTIMATE as to how long the general population will live
The life expectancy for men in the USA is78.8 years
The life expectancy for women in the USA is81.2 years
Leading causes of deaths in the USAHeart disease
Leading causes of death in 15-34 old groupaccidents homicide and suicide
The most leading cause of deaths by occupationloggers
EndemicNORMAL occurrence of a disease in a particular AREA
Epidemicsudden RISE in the number of people with the disease locally
PandemicSudden rise in the number with the disease WORLDWIDE
Emerging DiseaseDisease that has appeared for the FIRST time in the past 20 years
Lassa fever spread bydirect CONTACT with body fluids
Lyme disease spread byinfected deer TICKS
Ebola spread bycontact with BODY FLUIDS
HIV/AIDS spread bySEXUAL contact
Hantavirus spread bysaliva and feces from infected RATS
SARS spread byworking with infected BIRDS
H1N1 spread byworking with infected PIGS
MERS isCORONA virus from CAMELS
Re-emerging DiseasesDisease which had existed PREVIOUSLY but is rapidly increasing in incidence or extent
Sensitivity vs SpecificityThe interpretation of laboratory results is influenced by the RELIABILITY of the test results
When a diagnostic test is positive in the presence of the disease or pathogenTrue POSITIVE
When a diagnostic test is negative when the disease or pathogen is not presentTrue NEGATIVE
False PositiveThe test is positive but there is no disease or pathogen is present
False NegativeThe test is negative but the disease of pathogen is present
SensitivityProportion of people who truly HAVE the disease and are identified by a POSITIVE test
If a highly sensitive test result is negativeit is good at EXCLUDING the diagnosis
SpecificityProportion of people who do not have the DISEASE identified by having a NEGATIVE result
Negative In HealthTests with high specificity are useful in confirming or ruling IN diagnoses
SpINGood for confirming
CASE studyis an article which describes and interprets an individual case
Case CONTROL studieslook at patients who have the disease with those who do not have the disease
Cohort StudyA COHORT study follows groups prospectively to see which groups develop the disease
Randomized Clinical Trialparticipants are randomly assigned to either the experimental or control group and the outcomes are measured
Systematic Reviewcombine all published info regarding a particular outcome and summarize the findings
Meta-analysisis a subset of a systematic review which combines different types of studies to develop a single conclusion
ConcealmentA technique to guarantee the blinding of the subjects and investigators
Single-blinded studythe patients do not know whether they are getting the experimental drug or a placebo
Double-blinded studyNeither the patients or the scientists analyzing the data know who gets what
RandomizationMethod used to assign subjects to experimental or control groups
AllocationThe distribution of assets All groups in the research must be treated as equal as is possible
Gram stainmost bacterial organisms
Eosin-Methylene stainE. coli
Indian ink stainCryptococcus
Wright-Giemsa stainSpirochetes
Ziehl-Neelsen stainMycobacterium
Blood Agar culturesalpha beta and gamma hemolysis
Bordet-Gengou cultureBordetella pertussis
Chocolate agar cultureNeisseria
Eaton cultureMycoplasma
Loeffler cultureCorynebacterium
Lowenstein-Jensen cultureMycobacteria
Sabouraud cultureFungi
Thayer-Martin cultureNeisseria
ASOT: TestStreptococcus
Ascoli Testanthrax bacillus
CatalaseTestStaphylococcus
Coagulase TestStaph. aureus
Dick or Schultz CarltonsTestcarlet fever
FTA-absTestTreponema pallidum confirmatory
MantouxTestMycobacterium tuberculosis
MitsudaTestMycobacterium leprae
Paul Bunnel Testnfectious Mononucleosis
Quellung TestStrep. pneumoniae
SchickTestCorynebacterium diphtheriae
VDRL TestTreponema pallidum screen
Weil-FelixTestRickettsiae
Western BlotTestHIV/AIDS
Widal TestSalmonella typhi
DarkfieldtechniqueTreponema Borrelia Leptospira
Wood’s lamp techniqueFungal organisms
PreventionSpecific measures taken to forestall the development of illness
Primary PreventionAimed at PREVENTING the development or spread
Secondary preventionAimed at limiting the impact or recurrence of an illness in people already affected by the disease
Tertiary preventionAimed at REDUCING disability of an established disease by restoring function
Quaternary preventionAimed at AVOIDING the consequences of unnecessary interventions in the health system
PasteurizationExposure of milk to PROGRESSIVELY higher TEMPERATURES [to 72 degrees C] for short periods [15 seconds]
SterilizationUse of heat or chemicals to destroy ALL LIFE
DisinfectionUsing chemicals to destroy MOST pathogens
ALCOHOL isthe WHO standard for comparing other disinfectants
“Killed” or inactivated by treating with chemicals like formaldehydeformalin or aluminum salts
Advantage of Killed or inactivated vaccinessafe for almost anyone
Disadvantage of Killed or inactivated vaccinesno memory cytotoxic T cells produced. Less immune response boosters will be needed
Attenuated vaccinesWeakened form of the live organism
Advantage of attenuated vaccinesgreater immune response
Disadvantage of attenuated vaccinesnot safe for immunocompromised people and can mutate back to virulent strain
ConjugateCoat the capsule of the bacteria in antibodies compliment or proteins so that they can be recognized by the immune system
In water purification filtrationallows water to pass through materials with PORES of different sizes
In water purification Flocculation is theaddition of aluminum which PRECIPITATES certain materials
In water purification Sedimentationallows precipitates to SETTLE out
In water purification sludge digestion is theaddition of ANAEROBIC bacteria to digest organic material
In water purification Sand FiltrationAllows the water pass through sand which removes ANAEROBIC bacteria
In water purification AerationOxygen is passed through the water to kill ANAEROBIC bacteria
In water purification ChlorinationChlorine is added to kill all REMAINING micro-organisms
Department of Health and Human ServicesCabinet-level department of the US federal government
Protect the health of all AmericansProvide essential human services Oversees the USPHS
United States Public Health ServicesPrimary division of the Department of Health and Human Services Overseen by the surgeon general Disease surveillance
Commissioned corpProtect promote
Food and Drug AdministrationResponsible for quality of drugs food COSMETICS and ADVERTISING of health products
Public Health DepartmentResponsible for disease SURVEILLANCE and RESTAURANT inspections
Environmental Protection AgencyResponsible for WATER and AIR quality
United States Department of AgricultureInspection of DAIRY and BEEF products
Occupational Safety Health AdministrationResponsible for workplace SAFETY and handling of HAZARDOUS materials including cadaveric material.
Centers for Disease ControlResponsible EPIDEMIOLOGICAL research and health STATISTICS
Health Resources & Services AdministrationOversees health care for the UNDERSERVED
National Institutes of HealthOversees disease RESEARCH and provides FUNDING
Drug Enforcement AdministrationLeading law enforcement agency responsible for preventing the sale and distribution of narcotics and other drugs in the United States
Antigens are proteins or large polysaccharides that initiatethe acquired immunity
Antigenic substances arehigh molecular weight
Antigenicity depends on theepitopes
Haptens arelow-molecular-weight compounds that combine with proteins to become antigenic
Lymphocytes areThe basis of acquired immunity
Preprocessing of T Lymphocytes occur inthe thymus gland
Preprocessing of B Lymphocytes occur inthe bone marrow
IgM IgGIgA IgD and IgE are
In agglutinationbacteria are bound together into a clump
In precipitationthe molecular complex of soluble antigen is rendered insoluble
In neutralizationthe antibodies cover the toxic sites of the antigenic agent
In lysisthe antibodies rupture the invading cells membranes.
T cells form a series of protein mediators calledlymphokines
Cytotoxic T cells secrete hole-forming proteins calledperforins
The cytotoxic cells play an important role indestroying cancer cells
The suppressor cells limitthe ability of the immune destruction of self
In immunization aganist poliomyelitisinfection with live organisms that have been "attenuated." are used
In immunization aganist bacteriadead organisms that are no longer capable of causing the disease but that still have their chemical antigens are used
In passive immunityantibodies last in the body of the recipient for 2 to 3 weeks
Transfusion of antibodies or T lymphocytes to confer immunity areexamples of passive immunity
When neither A nor B agglutinogen is presentthe blood is type 0
When only type A agglutinogen is presentthe blood is type A
When only type B agglutinogen is presentthe blood is type B
When both A and B agglutinogens are presentthe blood is type AB
Anyone who has D antigen type is said to beRh positive
A person who does not have type D antigen is said to beRh negative
In Erythroblastosis Fetalisthe mother is Rh negative and the father is Rh positive
In kernicterusthere is precipitation of bilirubin in the neuronal cells
In acute kidney shutdown after transfusion reactionsthe patient dies within a week to 12 days unless treated
A transplant of a tissue or whole organ from one part to another part is calledan autograft
An isograftis transplant from one identical twin to another
An allograftis transplant from one human being to another
A xenograftis transplant from a lower animal to a human being
kidney allografts last5 to 15 years
Liver and heart transplants last1 to 15 years
The HLA Complex of Antigensis used for tissue typing
Glucocorticoid hormones(or drugs with glucocorticoid-like activity)suppress the growth of all lymphoid tissue
Cyclosporinehas a specific inhibitory effect on the formation of helper T cells
Only identical twinshave the same six HLA antigens
Hemoglobin is converted by the phagocytes intobilirubin and later is excreted into the bile
If T cells lack lymphokinesthe immune system will almost be paralized
Fragmented C5a causeschemotaxis
C5b6789 inducelysis of bacteria or invading organisms
fragments of C3aC4a & C5a causes
A T-lymphocyte hasas many as 100.000 receptor sites
the B-cells stimulatethe formation of plasma cells and production of antibodies
Interleukin-2 activatesthe helper cells
Most of the helper cells are destroyed inAIDS
immumoglobulins act througheither direct attack of the invader or by activation of complement systems
Complement cascade C3b is responsible foropsonization and phagocytosis


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