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. |
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290. T – you’re sane F – you might be a gunner |