Micro, Ass 1, Renee’s Questions – Flashcards

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1.     What is the flagellum of prokaryotes powered by?
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1.     Proton motive force (proton gradient)
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2.     How does the flagellum of prokaryotes move?
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2.     Rotates (like a propeller)
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3.     How does the flagellum of the eukaryote move? How is it powered?
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3.     Whip-like; ATP hydrolysis
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4.     What are the cilia-like structures in prokaryotes called that are involved in adherence or exchange of genetic material?
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4.     Fimbriae/Pili
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5.     What are bacterial cell walls composed of?
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5.     Peptidoglycan
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6.     What do antibiotics target in bacteria?
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6.     Peptidoglycan
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7.     T/F Bacteria cell membranes contain cholesterol.
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7.     F
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8.     T/F Prokaryotes usually have single, circular chromosomes without histones or introns.
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8.     T
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9.     T/F Shape cannot be used as a diagnostic tool for determining bacteria.
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9.     F – Shape is an important diagnostic tool.
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10.  What are the six shapes or Bacteria?
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10.  Coccus– Sphere; Coccobacillus – elongated sphere; Bacillus – rod; Vibrio – “comma”; Spirillum – rigid corkscrew shape; Spirochete – flexible corkscrew shape
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11.  What are some problems associated with diagnosis based on shape?
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11.  bacteria change shape during growth – especially during stationary phase; Pleomorphic organisms don’t have a specific shape
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12.  What arrangement do streptococci take?
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12. Long chain of cells
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13.  What bacterium is described as a “bunch of grapes”?
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13.  Staphylococci
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14.  Do all bacteria contain a capsule?
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14.  No, but gram + or – can have capsules
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15.  What regulates capsule production?
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15.  Growth phase and growth environment
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16.  What layer is directly inside the capsule of a gram + cell?
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16.  Fibrillar layer (protein layer)
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17.  T/F All gram + cells have this layer.
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17.  F
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18.  What is characteristic of the peptidoglycan layer in a gram + cell?
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18.  Thick, >40 layers, Highly cross-linked
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19.  What is characteristic of the peptidoglycan layer in a gram – cell?
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19.  Thin, 1-2 layers, not highly cross-linked
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20.  What layer is inside the peptidoglycan layer?
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20.  Cytoplasmic membrane
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21.  What cell type has an outer membrane? Where is it found?
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21.  Gram - ; directly inside the capsule (if present)
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22.  What are 2 features of the outer membrane?
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22.  Lipopolysaccharide, Unique Proteins
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23.  What are the proteins called and what do they do in the outer membrane?
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23.  Porins; Diffusion channels, adhesions, antibiotic resistance
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24.  In Gram – what is the region called between the outer membrane and the cytoplasmic membrane?
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24.  Periplasmic space
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25.  What are 2 features of the Periplasmic space?
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25.  Contains the peptidoglycan layer, enzymes involved in cell wall biosynthesis
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26.  T/F The cytoplasmic membrane and cytoplasm are very similar in Gram + and – bacteria.
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26.  T
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27.  What is the extracellular, carbohydrate rich coating on some bacteria called?
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27.  Glycocalyx
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28.  Where is the glycocalyx made?
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28.  In the cell then exported to exterior
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29.  What are the 2 types of glycocalyx?
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29.  Capsule and Slime layer
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30.  What is the capsule composed of?
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30.  Repeating carbohydrate subunits
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31.  What are 2 roles of the Capsule?
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31.  Prevent cell from drying out, act as an energy source.
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32.  How does the capsule act as a virulence factor? Why is this good?
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32.  Prevents bacterium from recognition by hiding its antigenic components, antipagocytic – blocks complement deposition; Targets for vaccines.
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33.  What is another name for the Slime layer?
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33.  Exopolysaccharide, EPS
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34.  What is the major distinguishing factor between a capsule and slime layer?
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34.  Capsules are more firmly attached to cell
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35.  T/F Capsules are easily stained.
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35.  F – difficult to stain because they are mostly carbohydrate
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36.  What kind of stain can be used to stain capsules?
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36.  India Ink – leaves a halo around the cell
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37.  What is movement based on chemical sensing called?
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37.  Chemotaxis
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38.  What are Flagella composed of?
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38.  Flagellin protein
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39.  Why is Flagellin a major antigenic target?
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39.  Its high copy number
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40.  What recognizes Flagellin?
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40.  TLR5 (Toll-Like Receptor 5)
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41.  What can Flagellin be used for in verifying the organism?
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41.  Used for Strain Typing
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42.  What provides the energy for rotation?
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42.  Proton Motive Force
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43.  T/F Flagella arrangement is diagnostic for some species of bacteria.
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43.  T
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44.  What is a single flagellum at one pole of the cell called? Example?
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44.  Monotrichous; Vibrio
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45.  How is a Lophotrichous cell organized?
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45.  One pole with several flagella.
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46.  How are Peritrichous cells organized? Example?
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46.  Flagella all over the cell; Salmonella, Escherichia
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47.  What is a cell called that has flagella at both poles?
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47.  Amphitrichous
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48.  What is characteristic of a Spirochete?
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48.  Endoflagella
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49.  How do Endoflagella work?
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49.  Wound around cell not exposed to external environment, forms an axial filament, Rotation of Flagella causes bacterium to move like a corkscrew.
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50.  What is an example of a bacterium with Endoflagella?
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50.  Syphilis
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51.  What projections are used for adherence?
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51.  Fimbriae
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52.  What projections are used for transfer of genetic material between bacteria?
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52.  Pili
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53.  What protein are Pili made up of?
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53.  Pilin
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54.  T/F Pili can be found on ALL gram + and – cells.
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54.  F – not all cells produce pili, but they can be found on Gram + or -
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55.  How are Pili involved in Motility?
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55.  Extension of pili, adhering to surface, then retracting
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56.  What is a Biofilm? What is essential for this?
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56.  Organized system of bacteria formed on surfaces; Adherence by Pili
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57.  What is a Mesosome?
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57.  Invaginations of the plasma membrane that can form vesicles in Gram + or -
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58.  What is the Gram + cell envelope made from?
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58.  > 40 peptidoglycan layer, Contains teichoic and lipoteichoic acids
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59.  What substance in Gram +, are not found in Gram – cells?
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59.  Teichoic acids
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60.  How are teichoic acids linked to peptidoglycan?
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60.  Covalently
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61.  How are lipoteichoic acids anchored to the cytoplasmic membrane?
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61.  Lipid Tail
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62.  What is used to aid in identification of the bacteria?
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62.  Teichoic and lipoteichoic acids
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63.  T/F Both Gram + and – can form spores.
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63.  F – Only some Gram + can form spores
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64.  What is a Spore?
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64.  Dormant Bacterial form that resists heat, desiccation, and many chemicals
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65.  When do spores develop and how long do they live?
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65.  In response to nutrient limitations or stress; Long-Lived!
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66.  What is present in a Gram – cell that Gram + cells do not have?
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66.  Outer Membrane
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67.  What does this membrane function as?
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67.  Permeability barrier
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68.  What is inbetween the inner and outer membrane?
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68.  Periplasmic Space
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69.  T/F the peptidoglycan layers in Gram + and – are the same.
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69.  F – the peptidoglycan layer in Gram – cells is thin 1-2 layers.
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70.  Why is the peptidoglycan layer a good drug target?
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70.  Unique to bacteria and essential in most bacteria.
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71.  T/F All Bacteria have a peptidoglycan cell wall
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71.  F – Mycoplasm and Chlamydiae do not
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72.  What makes up the “Glycan” portion of the cell wall?
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72.  NAM-NAG, linked disaccharide chain repeated
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73.  What can cleave this linkage?
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73.  Lysozyme – found in human tears and mucus membranes
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74.  What makes up the “peptide” portion?
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74.  Pentapeptide composed of D- And L- amino acids
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75.  What portion of the peptidoglycan are crosslinked?
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75.  Pentapeptides
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76.  What is the 3 step process of peptidoglycan synthesis?
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76.  1. Single disaccharide linked to a pentapeptide are synthesized in the cytoplasm. 2. Translocated across cytoplasmic membrane. 3. Disaccharide chain links to growing chain, and cross linking occurs between glycan chains
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77.  What step is targeted by bacitracin?
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77.  Step 1
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78.  What catalyzes crosslinking b/w glycan chains?
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78.  Transpeptidase activity of penicillin-binding proteins
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79.  What step is the target of B-Lactam Antibiotics?
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79.  Cross linking step, Step 3
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80.  What is similar about the peptidoglycan structure among Gram + and -?
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80.  NAM-NAG, pentapeptides bound to disaccharide.
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81.  What is different about the structure?
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81.  Gram + have a L-lysine at the 3rd position, Gram – have a DAP
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82.  T/F DAP is only found in prokaryotes
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82.  T
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83.  What extra feature do some Gram + cells have?
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83.  Interpeptide bridge, 5 glycines attache to the 3rd position L-lysine
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84.  Where does cross-linking occur in Gram – cells?
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84.  Between DAP on one and 4th D-Ala of another, (5th D-Ala released)
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85.  Where does cross-linking occure in Gram + cells?
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85.  Interpeptide and 4th D-ala, or L-lys and 4th D-ala (if no interpeptide) (5th D-ala is released)
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86.  How many distinct forms of peptidoglycan have been found in gram positive bacteria?
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86.  8
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87.  Where are these differences found?
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87.  Pentapeptide and interpeptide bridges
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88.  What is necessary for cellular rigidity?
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88.  Peptidoglycan cross-linking
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89.  What are PBPs?
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89.  Penicillin binding proteins, secreted proteins that are anchored to the outer surface of the cytoplasmic membrane
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90.  What are the 2 categories of PBPs?
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90.  High molecular weight and Low molecular weight
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91.  What do High Molecular weight PBPs do?
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91.  Essential for growth, encode transpeptidase and transglycosylase activities
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92.  What do Low Molecular weight PBPs do?
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92.  NOT essential for growth, Encode ONLY carboxypeptidase activity
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93.  What does B-Lactam antibiotics (penicillin) inhibit?
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93.  Transpeptidase and Caraboxypeptidase activities, Cant’s Grow!
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94.  What percentage of pentapeptides are cross-linked in Gram -? Gram +?
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94.  20-30%; 80-90%
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95.  What is the glycosidase called that hydrolyses the NAM-NAG bond?
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95.  Lysozyme
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96.  What type of cells is this an important antibacterial defense against?
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96.  Gram +
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97.  Why is lysozyme less important in defense against Gram -?
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97.  Presence of the Outer Membrane prevents lysozyme access to the peptidoglycan layer.
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98.  Which type of cell has extensive cross-linking?
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98.  Gram +
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99.  What is the main function of the Outer Membrane?
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99.  Permeability barrier
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100.        What does the Outer Membrane protect the cell against?
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100.        Antibiotics, lysozymes, toxins, etc.
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101.        What are 4 functions of proteins in the outer membrane?
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101.        Autoagregation, Adhesins, Flagella/Pili, Phage recognition
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102.        Where are Lipopolysaccharides located?
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102.        Outer leaflet of outer membrane
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103.        What is responsible for the permeability barrier properties of the Outer Membrane?
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103.        Lipoplysaccharide
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104.        What is essential for viability?
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104.        Lipopolysaccharide
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105.        How is the O-antigen attached to the Lipid A?
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105.        Core polysaccharide
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106.        What is the O-antigen composed of?
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106.        Repeating oligosaccharides
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107.        T/F The O-antigen is Highly variable and can be quite long.
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107.        T
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108.        T/F The O-antigen is essential.
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108.        F – it is not essential
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109.        What is the morphology of an O-Ag +? O-Ag - ?
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109.        Smooth colonies; rough or dry on agar plates.
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110.        T/F The core polysaccharide is not essential for growth.
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110.        F – it is essential for growth
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111.        What makes up the core polysaccharide?
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111.        7 Conserved carbohydrates
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112.        What unique carbohydrates does the core polysaccharide have?
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112.        2-keto-3-deoxyoctonoic acid (KDO), Heptose
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113.        What type of cell is Lipid A unique to?
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113.        Gram -
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114.        What is Lipid A commonly referred to as?
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114.        Endotoxin
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115.        What is Lipid A recognized by?
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115.        TLR4
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116.        What part of the LPS is responsible for the barrier properties of the outer membrane?
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116.        Lipid A
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117.        How do some pathogens alter the structure of LPS?
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117.        Enzymatic reactions
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118.        What can an altered LPS cause?
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118.        Altered interactions with innate immune response
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119.        What can a Reduction of negative charge of the LPS result in?
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119.        Altered interaction with TOL receptors and resistance to cationic antimicrobial peptides. (RESISTANCE!)
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120.        T/F Alterations in Acylation results in altered interaction with TLR
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120.        T
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121.        T/F Lipid A is not essential for Growth
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121.        F
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122.        What is Lipid A made up of?
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122.        Acylated glucosamine disaccharide
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123.        What imparts negative charges to LPS?
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123.        Phosphorylation
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124.        What adaptive responses do some organisms have to affect interaction with the innate immune system?
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124.        Cap the phosphorylated part, or enzymatically remove the phosphate group.
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125.        What is the inside leaflet of the outer membrane made up of?
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125.        Phospholipids
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126.        What makes up the outer leaflet?
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126.        LPS
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127.        What can lead to resistance to antimicrobial peptides?
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127.        Reduction of negative charges of LPS
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128.        What stabilizes the LPS?
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128.        Salt bridges
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129.        How are the Salt Bridges formed?
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129.        Magnesium ions bound to phosphates of adjacent LPS molecules
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130.        T/F Some antibiotics target Salt bridges to destabilize the outer membrane?
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130.        T
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131.        What stimulates pro-inflammatory signal transduction pathways?
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131.        LPS via TLR4
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132.        How can endotoxic shock become life-threatening?
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132.        IL-1 induction causes fever, macro & PMN activation causes oxidative damage , increased hypotension from increased permeability, thrombosis, tissue necrosis
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133.        T/F cytoplasmic membrane is a target for antibiotics.
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133.        F
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134.        What is the difference between Gram + and – in secretion of proteins?
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134.        Gram +: secreted across 1 membrane Gram -: secreted through 2 membranes; many proteins first secreted into periplasm, further processed then secreted into environment.
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135.        How many different mechanisms for protein secretion in bacteria are there?
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135.        6
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136.        What is Type 1 and where are they found?
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136.        ATP binding cassette (ABC) transporter; in prokaryotes and eukaryotes
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137.        What type of substrates to ABC transporters secrete?
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137.        Drugs, carbohydrates, peptides, proteins
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138.        What type is the General Secretory pathway?
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138.        Type II
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139.        What are Type II pathways unique to and what do they involve?
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139.        Bacteria; chaperones, and signal peptides
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140.        What type is associated with pathogenic strains?
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140.        Type III “contact dependent secretion systems”
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141.        How do Type III mechanisms work?
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141.        Directly inject effector proteins into the host cell cytoplasm
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142.        What type is associated with conjugation?
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142.        Type IV
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143.        What is an example of Type IV?
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143.        Helicobacter, Pertussis Toxin
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144.        What Type is related to Porin Proteins?
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144.        Type V, Autotransporters
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145.        How do Autotransporter work?
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145.        Exports proteins to the cell surface where they are released by proteolytic cleavage into the extracellular environment
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146.        What Type was discovered most recent?
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146.        Type VI
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147.        How do bacteria divide?
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147.        Binary fission
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148.        What kind of growth does this result in?
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148.        Exponential growth. Cell number = 2n, where n = number of divisions
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149.        What does division by binary fission require?
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149.        1) Extension of cell wall; 2) Replication of the genome; 3) Segregation of Chromosomes by membrane attachment; 4) Septum formation
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150.        How is Growth Rate equated?
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150.        Growth Rate = ? in #cells / unit time
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151.        What is the generation time?
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151.        The time required for one cell to grow and divide into two cells.
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152.        What is the generation time dependent on?
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152.        Growth conditions – pH, temp, salinity, nutrients, etc.
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153.        What are the four phase of the bacterial growth curve?
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153.        Lag Phase, Esponential (log) Phase, Stationary Phase, Death Phase
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154.        What phase is associated with adapting to a new environment?
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154.        Lag Phase
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155.        What phase has a great death rate than growth rate in culture?
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155.        Death Phase
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156.        What phase corresponds with a maximal DNA and protein synthesis?
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156.        Log Phase
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157.        In what phase do bacteria have an elevated resistance to antibiotics?
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157.        Stationary phase
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158.        What phase may cells need to synthesize enzymes?
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158.        Lag Phase
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159.        Why might cells need to synthesize enzymes?
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159.        To utilize nutrients in the medium or for adaptive responses to changes in osmolarity, pH, temperature, etc.
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160.        In what phase are bacteria most susceptible to drugs?
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160.        Log Phase
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161.        What phase is the best time to do differential staining?
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161.        Log Phase
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162.        What phase do cells become metabolically inactive?
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162.        Stationary phase
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163.        What phase do gram + bacteria produce spores?
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163.        Stationary phase
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164.        What phase is the growth rate equal to the death rate?
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164.        Stationary phase
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165.        What is a complex aggregation of microorganisms encased in a protective, adhesive carbohydrate matrix?
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165.        Biofilm
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166.        What are Biofilms characterized by?
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166.        1) Surface attachment; 2) structural heterogeneity; 3) genetic diversity; 4) complex community interactions
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167.        What percentage of all infections are estimated to be caused by Biofilms?
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167.        80%
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168.        T/F Biofilm associated bacteria are resistant to antibiotics.
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168.        T
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169.        How do biofilms protect against the immune system?
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169.        Antiphagocytic; Brovide barrier against immune system
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170.        During energy production in eukaryotes what is the ultimate electron acceptor?
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170.        Oxygen
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171.        What toxic products are produced as a result of metabolism in the presence of oxygen?
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171.        Hydrogen peroxide and Superoxide anion
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172.        What type of bacteria require oxygen for growth?
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172.        Obligate aerobe
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173.        What are the oxygen requirements of Microaerophiles?
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173.        Oxygen levels form 2-10%
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174.        What type of bacteria cannot tolerate oxygen?
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174.        Obligate anaerobes
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175.        How do Aerotolerant anaerobes deal with oxygen?
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175.        Do not use aerobic metabolism, but have enzymes that detoxify the poisonous forms of oxygen.
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176.        What type of bacteria can grow in the presense of absence of oxygen?
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176.        Facultative anaerobes
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177.        What type of metabolism occurs in the absence of oxygen?
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177.        Fermentation
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178.        Why are obligate anaerobes killed in the presence of oxygen?
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178.        Lack enzymes required to detoxify toxic forms of oxygen
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179.        What specific enzyme do obligate anaerobes lack to detoxify superoxide?
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179.        Superoxide dismutase
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180.        What other enzymes do they lack to get rid of the product of superoxide dismutase?
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180.        Catalase and peroxidase
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181.        What is formed by superoxide dismutase?
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181.        Peroxide, H2O2
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182.        What type of oxygen requirement do most bacteria have?
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182.        Facultative anaerobes; they grow in the presence or absence of oxygen.
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183.        What enzyme do all Facultative anaerobes have?
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183.        Superoxide Dismutase
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184.        How do low temperatures affect bacterial growth?
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184.        Affects membrane fluidity and enzyme kinetics
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185.        How do Maximal temperatures affect bacterial growth?
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185.        Reduced growth due to protein denaturation, thermal lysis and membrane collapse.
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186.        What category of growth temperatures are most human pathogens in? What is the temperature range?
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186.        Mesophiles; ~15-45 C
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187.        What are the bacteria called that grow at temperatures between -5-20C?
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187.        Psychrophiles
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188.        What temperatures do Hyperthermophiles grow at?
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188.        ~65 – 105 C
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189.        What bacteria grow best at temperatures between ~45 – 80 C?
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189.        Thermophiles
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190.        How do pH levels in the body inhibit microbial growth?
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190.        Certain regions of the body have lower pH which prevents microbial growth. Ex. Vaginal secretions
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191.        What is an example of a pathogen that has adapted to an acidic environment?
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191.        Helicobacter pylori
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192.        What is an organism that is capable of synthesizing ALL its metabolites called? Example?
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192.        Prototroph; E. coli, Salmonella, Pseudomonas
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193.        What is an Auxotroph? Example?
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193.        An organism that has lost the ability to synthesize certain substances required for its growth and metabolism as the result of mutational changes; Chlamydia, Lactobacilli, Haemophilus, Neisseriae, Francisella
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194.        What are essential nutrients that bacteria can’t produce on their own called?
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194.        Growth Factor
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195.        What is commonly used to identify and differentiate bacteria?
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195.        Nutrient requirements
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196.        What mineral is essential from growth?
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196.        Iron
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197.        What proteins are used as a host defense to protect iron?
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197.        Lactoferrin and transferrin
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198.        How have pathogenic bacteria evolved to get the iron they need?
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198.        1) Transporter for lactoferrin and transferrin; 2) Production of siderophores 3) production of iron releasing cytotoxins
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199.        What are Siderophores?
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199.        Iron binding compounds that can ‘steal’ iron from lactoferrin
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200.        What two groups do microbial metabolism fall into?
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200.        Anabolism and Catabolism
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201.        What type of reactions make new cell components and require energy?
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201.        Anabolism
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202.        What happens in Catabolism?
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202.        Breakdown of compounds for building blocks, creation of energy
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203.        What common intermediate is made in metabolism?
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203.        Pyruvate
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204.        What determines the fate of pyruvate?
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204.        Oxygen
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205.        In the presence of oxygen how is pyruvate utilized?
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205.        Funneled through Krebs Cycle.
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206.        What are the electrons removed from pyruvate used for?
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206.        Reduce NAD+ a NADH and FAD+ a FADH2
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207.        Where are these coenzymes used? Where are the electrons transferred to?
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207.        ECT; oxygen – the final electron acceptor of aerobic respiration.
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208.        What occurs in the absence of oxygen?
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208.        Anaerobic respiration – fermentation
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209.        How is Pyruvate used in fermentation?
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209.        Degraded to various organic end products; lactic acid, ethanol
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210.        What can be used in fermentation to identify and classify bacteria?
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210.        The end products
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211.        Which is more efficient in energy production, Aerobic or anaerobic respiration?
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211.        Aerobic
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212.        How many ATP can Aerobic respiration produce? Anaerobic?
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212.        38; 2
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213.        How are bacteria classified?
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213.        Phenotype and/or genotype
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214.        What phenotypic traits can be observed in bacteria?
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214.        1) Staining characteristics; 2) Shape; 3) biotype differentiation; 4) colony appearance; 5) antigen-specific tests
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215.        What are RFLP patterns?
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215.        Restriction Fragment Length Polymorphism – technique used to differentiate bacteria based on the sizes of chromosomal fragments generated following digestion with a restriction enzyme.
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216.        What is the taxonomic category ranking below a family and above a species?
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216.        Genus
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217.        What are individual organisms displaying similar characteristics?
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217.        Species
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218.        How do subspecies usually arise?
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218.        From geographic separation
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219.        How can different strains be defined?
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219.        Serotype and biotype
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220.        What is an Isolate?
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220.        A pure culture of organism isolated from heterogeneous population of microorganism
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221.        What are the bacterial taxonomy relevant to the clinical setting?
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221.        Genus a Species a Strain a Subspecies a Biovar/Biotype a Serovar/Serotype
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222.        What is the most deadly subspecies of Francisella tularensis?
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222.        Francisella tularensis ssp. tularensis
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223.        How do the two different species of Salmonella differ?
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223.        Salmonella typhi – typhoid fever Salmonella typhimurium – gastroenteritis
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224.        What bacteria is a Gram + Cocci, catalase+?
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224.        Staphylococcus
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225.        How is streptococcus classified?
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225.        Gram+ cocci, catalase –
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226.        What color do gram + stain?
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226.        Purple
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227.        What color do gram – stain?
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227.        Pink
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228.        What color are gram – after decolorize?
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228.        Unstained
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229.        What are the steps for Gram staining?
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229.        1) Fix the bacteria of a slide 2) flood slide with crystal violet 3) Rinse add Iodine 4) Rinse and decolorize 5) Add Safranin and Rinse 6) pat dry
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230.        What are 3 exceptions to the gram stain and why?
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230.        Mycoplasma – lack cell wall; Chlamydiae – disulfide linked proteins not peptidoglycan; Mycobacteria – waxy lipids in cell wall
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231.        What type of stain is used for Mycobacterium and Nocardia?
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231.        Acid-fast Stain
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232.        What is used for a dye in Acid-fast stains? What color does it stain?
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232.        Carbolfuchsin; red
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233.        What is added to Acid-fast stains to visualize other cells present?
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233.        Methylene blue
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234.        What diseases do Mycobacterium and Nocardia cause?
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234.        Tuberculosis, leprosy, other skin/lung infections
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235.        Where can Transient Flora be found?
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235.        Environment – door handles, desks, people
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236.        What is the population of organisms called that are regularly found at any anatomical site?
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236.        Resident Flora
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237.        T/F Internal tissues contain Resident Flora.
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237.        F – Internal tissues are free of microorganisms
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238.        What type of organisms are found in the Resident Flora?
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238.        Bacteria (most), Fungi (few), Protozoa (rare)
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239.        What region of the body is most poplulated?
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239.        GI tract
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240.        Do the blood, brain, and muscle have normal flora?
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240.        No – Internal tissues are free of microorganisms
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241.        What are 3 examples of bacteria that occupy multiple niches of the body?
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241.        Staphylococcus epidermidis, Staphylococcus aureus, Corynebactrium spp.
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242.        What is Tissue Tropism?
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242.        Favoring growth in one tissue more than another.
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243.        What factors can influence flora diversity?
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243.        1) Age and sex 2) Diet and nutrition 3) Sanitation and hygiene
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244.        How does normal flora prevent colonization of pathogenic bacteria?
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244.        1) competing for attachement sites and nutrients. 2) Antagonize bacterial growth
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245.        What is another benefit of Normal Flora?
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245.        Synthesize and excrete vitamins – K, B12
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246.        How can the Normal Flora contribute to disease? Examples?
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246.        Bacteria from one site infect a new site; E. Coli from GI pathogenic in lung or urinary tract; Streptococci to Blood stream from oral surgery
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247.        What happens in antibiotic induced diarrhea?
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247.        Antibiotics destroy normal flora allowing opportunistic pathogens to grow.
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248.        What are Nosocomial Infections?
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248.        Infections that result from staying in a hospital
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249.        Where does Corynebacterium diphtheriae occupy?
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249.        Throat
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250.        What bacterium only occupies the urogenital epithelium?
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250.        Neisseria Gonorrhoeae
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251.        What are most Nosocomial infections due to?
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251.        Antibiotic-resistant organisms
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252.        What 3 factors result in Nosocomial infections?
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252.        1) High prevalence of pathogens 2) Compromised hosts 3) efficient mechanisms of transmission from patient to patient
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253.        Where do 25% of Nosocomial infections develop?
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253.        ICU
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254.        What is the single most important method to limit cross transmission?
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254.        Hand Hygiene
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255.        What is used on the skin or other tissue to reduce microorganisms?
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255.        Antiseptics; Iodine, Alcohol
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256.        What is used on inanimate objects to reduce microorganisms?
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256.        Disinfectants; alcohols, phenols, aldehydes, surfactants
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257.        The suffix –stasis/-static refers to?
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257.        Inhibition; no complete destruction (stuck like static)
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258.        –cide/cidal refers to?
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258.        Destruction or inactivation (homicide)
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259.        What 3 environmental conditions affect treatment?
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259.        1) Temperature and pH 2) Composition and Quantity 3) Contact time
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260.        How does high temperature control bacterial growth?
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260.        Denaturation of proteins
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261.        Why is moist heat more effective then Dry heat?
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261.        Water is a better conductor
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262.        T/F Pasteurization sterilizes dairy products and fruit juices.
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262.        F – Not sterilization, heat resistant microbes survive
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263.        Is Boiling complete sterilization?
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263.        No
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264.        How do you achieve true sterilization?
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264.        121C at 15 psi for 15min
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265.        What can survive with boiling?
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265.        Endospores, protozoan cysts, some viruses
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266.        What is a very effective dry heat treatment?
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266.        Incineration (inoculating loop)
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267.        Why is slow freezing better then quick freezing?
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267.        Crystals form and puncture membranes
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268.        How do HEPA filters work?
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268.        Filters microbes out of air and gas
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269.        What are the 2 categories of radiation?
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269.        Ionizing and nonionizing
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270.        How does ionizing radiation work?
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270.        Creates ions by ejecting electrons from the atoms they strike
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271.        What are 3 examples of Ionizing radiation?
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271.        Electron Beams, Gamma Rays, X-rays
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272.        What form is used to sterilize food products?
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272.        Gamma Rays
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273.        Which has Rapid cell death, but poor tissue penetration?
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273.        Electron beams
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274.        What is non-ionizing radiation suitable for?
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274.        Disinfection air, transparent fluids, surfaces
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275.        What is the symbol used to label irradiated foods?
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275.        Radura
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276.        What is an example of non-ionizing?
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276.        UV radiation
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277.        How does it work?
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277.        Excites electrons, making new covalent bonds
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278.        What Causes Thymine Dimers?
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278.        UV radiation
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279.        What type of chemical control is best for blood, vomit, feces?
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279.        Phenols, Phenolics
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280.        What type of organisms are Alcohols not effective against?
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280.        Fungal spores and endospores
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281.        What are Tinctures?
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281.        Solutions of other antimicrobial agents in alcohol.
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282.        What chemical agent is effective against vegetative bacterial and fungal cells, fungal spores, bacterial endospores, and protozoan cysts, as well as many viruses?
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282.        Halogens
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283.        What is used in the treatment of drinking water?
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283.        Ozone
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284.        What is an effective sporocide used to sterilize equipment?
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284.        Peracetic acid
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285.        What are Quats?
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285.        Antimicrobial surfactants
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286.        What can be used to prevent blindness by N. gonorrhoeae?
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286.        1% silver nitrate
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287.        What is Thimerosal used for?
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287.        Preserve vaccines
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288.        How do heavy metals control bacterial growth?
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288.        Ions precipitate proteins and react with sulfhydryl groups on enzymes
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289.        What type of disinfecting agent is Formalin?
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289.        Aldehyde
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290.        T/F You’re glad this is the last question.
answer
290.        T – you’re sane F – you might be a gunner
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