Chapter 11 Questions – Flashcards

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question
What results when when the equilibrium between human and microbe tips in the microbes favor?
answer
Disease
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Recently it was learned that babies intestines are colonized in utero, why is that a surprise?
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Because it was thought that they uterus was sterile during embryonic development
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How many microbe species is found in human breast milk?
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~ 600 species
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A baby that is vaginally delivered is colonized by which 3 types of microbes?
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Lactobacillus, Prevotella, and Sneathia
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What roles does Lactobacillus play on a newborn?
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It provides the enzymes to break down lactase, which is needed to digest milk.

And can later colonize the skin and protect the skin from disorders
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What does HMP stand for?
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Human Microbiome Project
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Can viruses be found in feces?
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Yes, we have billions in our feces
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How many types of Fungi reside in our intestines?
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At least 100
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A microbe whose relationship with its host is parasitic and results in infection and disease is called a?
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Pathogen
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abnormal state in which all or part of the body is not properly adjusted or is incapable of performing normal functions
is called?
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Infectious Disease
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Which term is used to describe an organism’s potential to cause infection or disease
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Pathogenicity
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What is capable of causing disease in healthy persons with normal immune defenses
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True Pathogen
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What is an example of a true pathogen?
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The flu
The plague bacillus
Malaria
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What Causes disease when the host’s defenses are compromised or when they become established in a part of the body that is not natural to them
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Opportunistic Pathogen
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Which type of pathogen is not considered pathogenic to a normal, healthy person
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Opportunistic
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Name some opportunistic pathogens
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Pseudomonas and Candida albicans
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What is considered a degree of pathogenicity
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Virulence
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The relative severity of a disease caused by a particular microbe can be referred to as
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Virulence
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What determines the virulence of a microbe?
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Establish itself in a host – entry by preferred portal of entry, adherence & colonization, penetrate/evade defenses

Causes damage
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any characteristic or structure of the microbe contributes to its ability to establish itself in the host and cause damage can be called
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Virulence factor
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If you introduced a virulence factor gene into a nonpathogenic pathogen, would it become pathogenic?
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Yes, disruption of gene should cause virulence
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the route that a microbe takes to enter the tissues of the body to initiate an infection can be called?
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Portal of entry
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microbe originating from a source outside the body from the environment or another person or animal is referred to as
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Exogenous
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microbe already existing on or in the body – normal biota or a previously silent infection is called
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Endogenous
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Exo means?
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Outside
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Endo means?
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Within
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What is the most common portal of entry for most microbes?
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Mucous Membranes
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If a pathogen enters through a different portal than it normal does, is it still infectiousProvide an example
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Nope. The influenza virus will infect the host when enters through nasal mucosa but not if it is just sitting on the skin
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Can a pathogen have more than one entry portalProvide examples
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Yes, Mycobacterium tuberculosis can enter through the respiratory tract and gastrointestinal tracts

And Streptococcus and Staphylococcus can enter through the skin, urogenital tract, and the respiratory tract.
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ID stands for
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Infectious dose
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The minimum number of microbes necessary to cause an infection to proceed is called
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Infectious dose
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The smaller the ID the greater the ?
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Virulence
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An ID of one single cell can be found in which disease?
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rickettsia.....bacterium spread through ticks
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Which microbe takes 1 billion IDs to infect a host?
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Cholera
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What is it called when microbes gain a more stable foothold on host tissues
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Adhesion
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Name some examples of adhesion mechanisms
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Fimbriae (pili)
Surface proteins
Adhesive slimes or capsules
Viruses attach by specialized receptors
Parasitic worms fastened by suckers, hooks, and barbs
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cells that engulf and destroy host pathogens by means of enzymes and antimicrobial chemicals are called
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Phagocytes
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What do leukocidins do?
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Kill phagocytes outright
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What does an extracelluar capsule or slime do?
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makes it difficult to for phagocytes to engulf microbes
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What is the main purpose of virulence factors?
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To help establish itself within the host
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Name 3 ways microbes cause damage to the host
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Directly through the action of enzymes
Directly through the action of toxins (both endotoxins and exotoxins)
Indirectly by inducing the host’s defenses to respond excessively or inappropriately
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Which extracellular enzymes Dissolve the host’s defense barriers to promote the spread of disease to other tissues
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Exoenzymes
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Which extracellular enzyme Enzymes secreted by microbes that break down and inflict damage on tissues
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Exoenzymes
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The root -ase is indicative of what
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Usually if it ends in -ase it is an enzyme
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Name some examples of exoenzymes
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Mucinase
Hyaluroindase
kinase
Cougulase
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Which exoenzyme digests the protective coating on mucous membranes
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Mucinase
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Which exoenzyme digests the ground substance that cements animal cells together
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Hyaluroindase
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which exoenzyme causes clotting of blood or plasma
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Coagulase
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Which exoenzyme dissolves fibrin clots
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Kinase
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A specific chemical product of microbes, plants, and some animals that is poisonous to other organisms is called a ?
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Toxin
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Neurotoxins attackNephrotoxins atttack
Enterotoxins attack?
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Neuro- CNS
Nephro= kidneys
Entero= intestinal tract
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Hemolysins disrupt the cytoplasmic membrane of red blood cells.....Hemolysins are an example of?
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Toxins
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Which type of toxin has a variety of systemic effects on tissues and organs.
AND
Causes fever, inflammation, hemorrhage, and diarrhea
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Endotoxins
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What does LPS stand for
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Lipopolysaccharide
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LPS is an endotoxin found where?
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In the outer membrane of GN bacteria cell walls
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Name some examples of endotoxins that cause infections
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Salmonella, Shigella, Neisseria meningitidis, and Escherichia coli
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When an endotoxin is released what are the symptoms
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fever, chills, weakness, aches, even shock & death (results of WBCs releasing cytokines)
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Exotoxins are produced by what kind of species?
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GN and GP
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Is tetanus an endo or exotoxin
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Exotoxin
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What do we call accumulated damage due to pathogens leading to cell and tissue death
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Necrosis
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How do viruses destroy host cells?
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By multiplying and lysing them
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a disease identified by a certain complex of signs and symptoms is called what
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A syndrome
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When subjective evidence of disease as sensed by the patient we call that
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A symptom
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objective evidence of disease as noted by an observer is called what
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A sign
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Infections that go unnoticed can be called 3 things?
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asymptomatic, subclinical, or inapparent.
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What do we call a dormant state of microbes in certain chronic infectious diseases
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Latency
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Give some examples of viral latency
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herpes simplex, herpes zoster, hepatitis B, AIDS, Epstein-Barr
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Give some examples of bacterial and protzoan latency
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syphilis, typhoid fever, tuberculosis, malaria
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What do we call along-term or permanent damage to tissues or organs caused by infectious disease
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Sequelae
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Name some examples of a sequelea infection
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Meningitis: deafness
Strep throat: rheumatic heart disease
Lyme disease: arthritis
Polio: paralysis
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The time from initial contact with the infectious agent to the appearance of symptoms is called what
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Incubation period
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The majority of incubation periods can range between what?
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2 to 30 days
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In broad terms, what kind of ranges are seen in incubation periods
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Hours to Years
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1 – 2 day period when the earliest notable symptoms of infection appear
are called what?
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Predromal stage
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Name some symptoms seen within the first few days of exposure to a pathogen
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Vague feeling of discomfort: head and muscle aches, fatigue, upset stomach, general malaise
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What is it called when the infectious agent multiplies at high levels, exhibits greatest toxicity, becomes well established in host tissue
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Period of Invasion
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When does a fever usually first show up?
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In the period of invasion
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What is it called when Patient begins to respond to the infection and symptoms decline.
Patient’s strength and health gradually return due to the healing nature of the immune response
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Convalescent period
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During the convalescent period the patient begins to feel better, but makes a stupid error at this point, what is that error!
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They stop taking their antibiotics
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During the stages and periods of infection, which pathogen can be transmissible at all stages?
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Hep B
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The Primary habitat in the natural world from which a pathogen originates
is called
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Reservoir
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An individual or object from which an infection is acquired is called a what
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A transmitter
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Can you give an example where the reservoir and transmitter are the same?
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Syphilis
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In Hep A what is the reservoir and what is the transmitter
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Food is the transmitter and a human is the reservoir
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an individual who inconspicuously shelters a pathogen, spreads it to others without any notice, and who may not have experienced disease due to the microbe is called a what
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a carrier
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The majority of animal reservoirs are arthropods: name some
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Fleas, ticks, flies, mosquitoes
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What kind of vector actively participates in a pathogen’s life cycle, serving as a site in which it can multiply or complete its life cycle
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Biological
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What kind of vector carries the microbe more or less accidentally on its body parts
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Mechanical
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an infection indigenous to animals but naturally transmissible to humans is called
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Zoonosis
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Microbes that thrive in soil and water are called what?
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Saprobic
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Are saprobic microbes harmful
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They cause little harm and can be beneficial
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a disease in which an infected host can transmit the infectious agent to another host and establish infection in that host is called
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Communicable
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Communicable is synonymous with what term
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Infectious
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a disease that is highly communicable, especially through direct contact is called
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Contagious
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Is Influenza contagious or communicable
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Contagious
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Is leprosy contagious or communicable
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Communicable
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Why is leprosy weakly communicable
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It has a slow growing bacteria
Incubation period can be 2 to 20 years

They actually have special agar made from armadillo skin to grow the bacteria on
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an infectious disease that does not arise through transmission of the infectious agent from host to host
is called
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Noncommunicable
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In terms of transfer, a disease is spread through a population from one infected individual to another is called
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Horizontal transfer
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A disease that is transmitted from parent to offspring is called what
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Vertical transfer
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Infections acquired or developed during a hospital stay are called
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nosocomial infections
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How many cases of nosocomial infections happen each year
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2 to 4 million
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How many deaths are a result of nosocomial infections
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90K
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the cause of infection and disease
can be called
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Causative agent or Etilogic
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A series of proofs that became the standard for determining causation of infectious disease is called
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Koch's postulates
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Can Koch's postulate be used when polymicrobial infections are occuring
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Nope, cannot determine causation
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Study of frequency and distribution of disease and other health-related factors in defined populations
is called
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Epidemology
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Who laid the foundations of epidemiology
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Florence Nightingale
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Total number of people afflicted with an illness within the population
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Morbidity rate
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Measures the total number of deaths in a population due to a certain disease is called
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Mortality rate
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infectious agent came from a single source, and all of its “victims” were exposed to it from that source
is called
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Point source epidemic
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result from common exposure to a single source of infection over a period of time is called
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common source epidemic
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results from an infectious agent that is communicable from person to person and is sustained over time in a population
is called
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Propagated epidemic
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the first patient found in an epidemiological investigation is called
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the index case
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Is the index case the first person with that illness
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Not necessarily, it could just be the person that was first noticed or brought attention to it
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an infectious disease that exhibits a relatively steady frequency over a long time period in a particular geographic locale
is called
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Endemic
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occasional cases are reported at irregular intervals at random locales is called
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Sporadic
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When statistics indicate that the prevalence of an endemic or sporadic disease is increasing beyond what is expected for a population
is called
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Epidemic
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spread of an epidemic across continents
is called
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Pandemic
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