D311 Final Exam: Key Study Questions on Microbial Pathogenesis

D311 Final Exam: Key Study Questions on Microbial Pathogenesis

D311 Final Exam: Key Study Questions on Microbial Pathogenesis

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Western Governors University

D311 Microbiology Lab Report: Identification Tests & Results

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D311 Final Exam: Key Study Questions on Microbial Pathogenesis

Section 1

What distinguishes pathogenesis from virulence?

Pathogenesis refers to the entire process by which a microorganism causes disease in a host. It encompasses the biological mechanisms involved in the initiation, development, and progression of an infection. On the other hand, virulence specifically measures how severe or damaging the infection is once it occurs. In simpler terms, pathogenesis explains the “mechanics” of disease formation, whereas virulence indicates the level of harm or intensity of symptoms caused by the pathogen.

What types of virulence factors exist, and how do they differ among bacteria, viruses, fungi, and helminths?

Virulence factors are specialized molecules or structures that pathogens produce to infect hosts, evade immune responses, and cause tissue damage. The nature of these factors varies across different types of pathogens:

Type of PathogenVirulence FactorsExamples and Description
BacterialAdhesion, evasion, invasionProtein F in Streptococcus pyogenes helps adhesion to respiratory cells, capsules prevent phagocytosis, and enzymes like collagenase aid tissue invasion.
ViralAdhesion, immune evasionInfluenza virus uses hemagglutinin to bind respiratory cells; antigenic drift and shift alter viral surface proteins to avoid immune detection.
FungalAdhesins, capsules, mycotoxinsCandida albicans uses glycoproteins for attachment and enzymes like keratinase for invasion; Cryptococcus has capsules to avoid phagocytosis; some fungi produce harmful toxins.
HelminthicLarge size, protective cuticles, glycan mimicryLarge size hinders phagocytosis; cuticles protect against immune damage; glycan mimicry allows them to resemble host molecules and evade detection.

How are endotoxins different from exotoxins?

FeatureEndotoxinsExotoxins
SourceFound in Gram-negative bacteria as part of LPS in the outer membraneSecreted proteins by both Gram-positive and Gram-negative bacteria
EffectTrigger systemic inflammation, fever, shockCause targeted damage by binding specific host receptors
Heat StabilityHeat stableMostly heat sensitive (labile), with exceptions
Toxicity (LD50)Require a high dose to be toxic (less potent)Highly toxic at low doses

Endotoxins typically induce generalized immune responses like inflammation and fever, whereas exotoxins are highly potent and cause precise cellular damage.

How does the Gram stain differentiate Gram-positive from Gram-negative bacteria?

The Gram stain technique distinguishes bacteria based on the structure of their cell walls. Gram-positive bacteria have a thick peptidoglycan layer that traps the crystal violet-iodine complex, staining them purple. Conversely, Gram-negative bacteria have a thinner peptidoglycan layer and an outer membrane; they lose the crystal violet dye during alcohol washing and take up the counterstain safranin, appearing pink or red.

What are the differences between Acid-fast, Endospore, and Capsule staining methods?

Staining TypePurposeKey Features
Acid-fastIdentify bacteria with waxy mycolic acid layers (e.g., Mycobacterium)Acid-fast bacteria retain red carbolfuchsin dye, non-acid-fast do not
EndosporeDifferentiate bacterial endospores from vegetative cellsEndospores stain green with malachite green; vegetative cells stain red with safranin
CapsuleVisualize bacterial capsulesNegative staining: capsules appear as clear halos around cells against a dark background

What is a fundamental difference between bacteria and protists?

Bacteria are prokaryotic microorganisms lacking a membrane-bound nucleus, typically possessing a single circular chromosome located in a nucleoid region. Protists are eukaryotic, with a defined nucleus containing multiple linear chromosomes, reflecting greater cellular complexity.


Section 2

How does commensalism differ from mutualism?

In mutualism, both organisms involved gain benefits that improve their survival or growth. Commensalism, however, is a relationship where one organism benefits while the other is neither helped nor harmed, remaining neutral.

What distinguishes a noncommunicable infectious disease from a noninfectious disease?

Noncommunicable infectious diseases result from infectious agents but are not transmitted between individuals. For example, tetanus caused by Clostridium tetani is noncommunicable. Noninfectious diseases, in contrast, arise from genetic factors, environmental conditions, or immune dysfunctions without microbial involvement.

What is the difference between biological and mechanical vectors?

Mechanical vectors transport pathogens passively on their body surfaces without being infected themselves—for instance, flies carrying bacteria on their legs. Biological vectors internally harbor the pathogen, where the microorganism can multiply or develop before being transmitted, typically through biting, such as mosquitoes transmitting malaria.

How do vertical and horizontal direct contact transmission differ?

Vertical transmission involves the passing of pathogens from mother to offspring during pregnancy, childbirth, or breastfeeding. Horizontal transmission occurs through direct contact between individuals outside the maternal context, such as skin-to-skin contact or sexual transmission.

What differentiates a passive carrier from an active carrier?

A passive carrier can spread pathogens without being infected themselves, often through contaminated hands or surfaces, as seen in healthcare workers. An active carrier is infected with the pathogen and can transmit it due to harboring the infectious agent.

How do the prodromal period and period of illness differ?

The prodromal period is marked by early, nonspecific symptoms as the pathogen begins to multiply. The period of illness features distinct and severe symptoms, representing the height of disease severity.

What distinguishes the period of decline from the period of convalescence?

During the period of decline, symptoms and pathogen levels decrease as the immune system gains control over the infection. Convalescence is the recovery phase, where the patient regains strength and health, although some diseases may leave lasting effects.

What is the difference between morbidity rate and mortality rate?

RateDefinition
Morbidity rateThe proportion or number of individuals who become ill within a population
Mortality rateThe proportion or number of deaths caused by a disease within a population

Section 3

When is an autoclave the preferred method for microbial control?

Autoclaving is the sterilization method of choice when complete elimination of all microorganisms, including resistant bacterial spores, is required. It is crucial for sterilizing surgical instruments and other materials used in sterile environments.

How does beta-lactamase contribute to antibiotic resistance?

Beta-lactamase enzymes break down the β-lactam ring structure found in antibiotics like penicillins and cephalosporins, rendering these drugs ineffective. This enzymatic activity is a primary mechanism by which bacteria develop resistance to β-lactam antibiotics.

What are the differences between cellular and humoral immunity?

Humoral immunity involves B cells producing antibodies that neutralize extracellular pathogens and their toxins. Cellular immunity is mediated by T cells that directly destroy infected host cells or help regulate immune responses against intracellular pathogens.

How do the chickenpox and tetanus vaccines differ?

The chickenpox vaccine is a live attenuated vaccine that introduces a weakened virus to provoke immunity by mimicking a mild infection. The tetanus vaccine is a toxoid vaccine containing inactivated toxins, stimulating antibody production without exposing the host to the live pathogen.

What are examples of anti-helminthic drugs, and why are helminth infections difficult to treat?

Anti-helminthic drugs include niclosamide, praziquantel, and ivermectin. Treating helminth infections is challenging because these parasites are complex multicellular organisms closely related to humans, making selective targeting difficult without causing harm to the host.


References

Madigan, M. T., Bender, K. S., Buckley, D. H., Sattley, W. M., & Stahl, D. A. (2018). Brock Biology of Microorganisms (15th ed.). Pearson.

Tortora, G. J., Funke, B. R., & Case, C. L. (2020). Microbiology: An Introduction (13th ed.). Pearson.

Murray, P. R., Rosenthal, K. S., & Pfaller, M. A. (2019). Medical Microbiology (9th ed.). Elsevier.

Ryan, K. J., & Ray, C. G. (2017). Sherris Medical Microbiology (6th ed.). McGraw-Hill.