New Material Lecture notes:
- July 26 Flu
- July 25th HIV/AIDS lecture continued
- July 24: degranulation, vaccines, HIV/AIDS
- Final Extra Credit article
- July 23 notes: 7b cont...allergic reactions and va...
answers to some are posted on blackboard
REVIEW FOR
BIO 280 FINAL
·
All questions are case studies
with multiple choice and fill-in-the-blank questions following (equal amounts).
·
You should review your notes (primary study guide)
including organizational charts, then review
sheets, then your own tests, and
lastly, last semester’s tests.
·
Practice pulling information from
various parts of the course into the same question….that is what this review is
to give you practice on! This review
sheet is NOT all inclusive…anything covered in the course is fair game, and may
be tested.
Jonathan
found out he was exposed to a Hepatitis A virus at a nearby restaurant where he
recently ate. He is informed that he
needs to go to the health department immediately, and receive an injection that
may protect him from getting the disease.
When he asks what the shot contains, he is told that it contains
material extracted from someone else’s blood.
1.
The
shot Jonathan received probably contained ____________, and it
will____________.
a.
Soluble
antigens, require 2 more shots to protect him from the disease
b.
Whole
attenuated virus, protect him from the disease for most of the rest of his life
c.
Inactivated
Hepatitis viruses, be activated only within phagocytic cells
d.
antibodies,
protect him only for a matter of weeks
e.
A
similar but different virus, produce memory cells that respond to both the real
virus and the vaccine contents virus
2.
ALL
virus types, including the virus that Jonathan has, MUST have a(n):
a.
Envelope,
composed of cell wall material from the last host cell
b.
Peplomer,
composed of cell membrane material from the last host cell
c.
Capsomere,
composed of cell membrane material from the last host cell
d.
Capsid,
composed of proteins made within the last host cell
e.
Capsule,
composed of glycoproteins or polysaccharides made within the last host cell
3.
If
Jonathan was infected by eating contaminated scrambled eggs, the virus was
transmitted ___ , and the eggs would be the ____:
a.
Indirectly,
Fomite
b.
Directly,
Vector
c.
Directly,
Carrier
d.
Indirectly,
Vehicle
e.
Indirectly,
Reservoir
4.
__________
- What molecule on an infected liver cell surface targets it for the immune
system? (letters and number ok)
5.
How
long (from his exposure) he will need to wait until he can be sure that he will
not develop Hepatitis is determined by the:
a.
Lag
time
b.
Generation
time
c.
Incubation
time
d.
Infection
time
6.
When
the virus is inside Jonathan’s body, several level 1 defenses may protect him while in his
intestines. Which of the below is NOT
one of these?
a.
Normal
flora
b.
Digestive
enzymes
c.
Peristalsis
d.
Bile
e.
Acids
7.
When
the virus is in Jonathan’s bloodstream, which term BEST describes the viral
infection?
a.
leukemia
b.
bacteremia
c.
fungemia
d.
viremia
e.
toxemia
8.
_____________________________
Which level 3 defense CELL could destroy his own infected cells?
9.
When
the virus arrives at Jonathan’s liver, and enters the liver cells, which of the
following level 2 defense will BEST protect him from the virus?
a.
Interferon
b.
T-cytotoxic
cells using perforin and cytokines
c.
Neutralization
d.
Opsonization
e.
Phagocytosis
10.
Which
of the following level 3 defenses will prevent the virus from completing the attachment phase of the life
cycle?
a.
Antibodies,
using neutralization
b.
T-cytotoxic
cells, using granzyme
c.
Antibodies,
using opsonization
d.
T-helper
cells, activating phagocytic cells in the area
e.
Antibodies,
using agglutination
11.
____________________________
- Which cell type must be activated in the lymph node before either type of level 3 defense could be initiated?
12.
If
antibodies are produced in response to Jonathan’s infection, the _____ part of
the antibody will bind to the virus.
a.
MHC-1
b.
Fac
c.
Fab
d.
Fc
e.
MHC-2
13.
The
OTHER end of the antibody binds to inflammatory cells during allergic
reactions, to complement proteins during complement activation and also to
phagocytic cells in what process?
_____________________
process
14.
If
this is Jonathan’s first exposure to
this virus, the antibody type present FIRST would be______, if this is
Jonathan’s second exposure to the virus, the antibody type present FIRST would
be_________.
a.
Both
IgM and IgG at the same time ; IgG
b.
IgM
; IgG
c.
IgG
; IgM
d.
IgG
; IgG and IgM at the same level
e.
IgG
; IgG
15.
_________________________
- In a second exposure, what cell will be active in the lymph node that was NOT
participating in the first exposure response?
16.
If
Jonathan begins to feel a little tired, and has very little appetite, he is
probably in the ________ stage of disease.
a.
Incubation
b.
Decline
c.
Minimum
stationary
d.
Prodromal
e.
Acute
17.
_______________________
-What term is used to describe this “blah” feeling, with lack of energy and
appetite?
Christie suspects
that her ex-boyfriend, the evil scientist Yosef Bondee, is plotting to kill her
by infecting her with Francisella tularensis.
She is concerned about how dangerous it could be to her and her family,
and wants to know how the organism would actually kill her.
18.
If
this organism is a peritrichous streptobacillus, this means that it would look
like:
a.
A
string of pearls, with a single string connecting them extending on each end
b.
A
hershey’s kiss, with the paper label sticking up out of one end
c.
A
pair of shoes, arranged heel to toe, with the shoelaces dangling from each shoe
d.
A
chain of hairy link sausages
e.
A
dog rope toy, with a knot in the middle, and frayed ends
19.
_______________Name
the motility structure used by this peritrichous bacterium.
20.
_______________
What word describes the general
and eventual movement of such bacteria towards positive stimuli?
21.
_____________During
a “tumble”, in what direction would the motility structure be moving?
22.
If
Christie’s research tells her that this organism is gram positive, then she
knows the cell wall must:
a.
Have
two layers to it
b.
Contain
significant amounts of lipid within the layers
c.
Contain
techoic acids
d.
Contain
endotoxin A
e.
Be
absent
23.
______________________
- Give the unique macromolecule found in ALL bacterial cell walls, but nowhere
else in nature.
24.
______
- Name the three subunits of this molecule in all bacterial cells (letters are
fine for 2 of the 3)
25.
______
26.
________________
27.
Since
it is gram positive, which of the following toxin types could NOT be produced
by this organism:
a.
Enterotoxins
b.
Endotoxins
c.
Exotoxins
d.
Cytotoxins
e.
Neurotoxins
28.
If
the toxins produced cause increased capillary permeability and peristalsis of
the intestines the toxin would be:
a.
Both
an enterotoxin and an exotoxin
b.
Both
a cytotoxin and an exotoxin
c.
Both
a neurotoxin and an endotoxin
d.
Both
an enterotoxin and an endotoxin
e.
Both
a cytotoxin and an endotoxin
29.
____________________If
Yosef sends Christie a rose, and she is infected through a cut from a
contaminated thorn, then what term describes the role of the thorn?
30.
____________________
If she is infected through a thorn, is the pathogen transmitted directly or
indirectly?
31.
_______________________If
the Francisella organism can double in number every 20 minutes, then 20 minutes
is its?
32.
When
the Francisella is doubling rapidly, the bacterial growth curve stage would be
______, and the stage of disease in Christie’s body would be ______.
a.
Maximum
stationary, acute
b.
Minimum
stationary, decline
c.
Exponential
death, convalescence
d.
Maximum
stationary, prodromal
e.
Exponential
growth, acute
33.
While
the Francisella is contained within the area of skin where it entered, the
infection is ________, and the enzyme used to keep it in that one location would
be ________.
a.
Systemic,
leucocidin
b.
Local,
coagulase
c.
Chronic,
protease
d.
Acute,
leucocidin
e.
Systemic,
streptokinase
34.
________________If
the bacteria are inside her cells, which level 2 defense cells would
effectively kill the infected cells?
35.
In
level 3 defenses, antibodies attacking the toxins would use ________, while loose
bacteria would be best attacked by _________.
a.
agglutination ; T-cytotoxic
cells triggering opsonization
b.
neutralization
; T-cytotoxic cells causing membrane
attack complex
c.
opsonization
; T-cytotoxic cells triggering
opsonization
d.
complement
activation ; antibodies causing
neutralization
e.
neutralization ;
antibodies triggering opsonization
36.
If
Christie is prescribed tetracycline for her skin infection, it would affect
bacterial protein synthesis and not human protein synthesis because:
a.
Humans
do not produce new proteins during the
life of the adult cell
b.
Humans
do not produce as many new proteins that bacteria do, so the effect will be
minimal
c.
Tetracycline
does not enter human cells, but does enter bacterial cells
d.
Human
ribosomes are larger than bacterial ribosomes
e.
Tetracycline
would actually affect both human and bacterial protein synthesis at the same
level
_______________________________________________________________________________________
Lisa is worried
that she may have been infected by a sexually transmitted disease. She knows that one of her partners has AIDS,
and she thinks he may also have one of the Hepatitis viruses as well. Lisa is also worried about her overall immune
system health, which she suspects is somewhat low.
37.
If
Lisa has been infected with the virus that causes AIDS, which of the following
would contribute to the ease of infection.
a.
She
is a woman, contracting the disease from an infected man
b.
She
is younger than her partner
c.
She
was menstruating while she had unprotected sex with the man
d.
She
had both oral and vaginal sex with her partner
e.
She
kissed her partner in addition to having sex with him
38.
_____________________
- Which body fluid has the highest viral load?
39.
If
Lisa has been infected with the virus that causes AIDS, she has been infected
with ____, and she could get ______ if she is also infected with _____.
a.
HIV-2,
Kaposi’s sarcoma, HPV
b.
HIV-1,
Kaposi’s sarcoma, HIV-2
c.
SIV,
Burkitt’s lymphoma, HIV-1
d.
HIV-2,
Burkitt’s lymphoma, HHV-4
e.
HIV-1,
Kaposi’s sarcoma, HHV-8
40.
________________
- Name the cancer-causing gene that contributes most to malignancy.
41.
If
Lisa’s partner actually has AIDS, then he must be in stage ____ of the disease,
which is determined by_________.
a.
One,
severity of symptoms
b.
Two,
# of virus particles detected
c.
Three,
# of opportunistic infections over the past year
d.
Four,
# of viral host cells left
e.
Five,
severity of symptoms
42.
Which
of the following would NOT be a common opportunistic infection in AIDS
a.
Mycobacterium
aviium complex
b.
Yeast
infections
c.
Herpes
infections
d.
Hepatitis
infections
e.
Cryptosporidium
diarrhea
43.
________________________
Opportunistic pathogens are able to cause disease because the infected person
is? (hint: immune system not working optimally)
44.
Which
of the following retroviral proteins is correctly paired with its function in
the life cycle of the AIDS virus?
a.
Protease: cuts peplomer proteins apart from one another
b.
Integrase: attaches viral DNA to host DNA
c.
Reverse
transcriptase: makes viral RNA from viral DNA
d.
Gp-120:
allows release of baby virus progeny
e.
Hemagglutinin:
attachment of virus to host cell
45.
Which
of the anti-retroviral drugs below act on the same stage of the viral life
cycle?
a.
Base
analogues and protease inhibitors
b.
Fusion
inhibitors and base analogues
c.
Protease
inhibitors and fusion inhibitors
d.
Integrase
inhibitors and fusion inhibitors
e.
Reverse
transcriptase inhibitors and base analogues
____________________________________________________________________________________________________
Louis Pasteur was
important in the development of many areas of microbiology. Specifically, he advanced our knowledge of
vaccine production, as well as the effect of microorganisms in causing disease.
46.
__________________
What process of weakening pathogens to create vaccines did he develop?
47.
If
such a weakened bacterial pathogen suddenly regains the ability to cause
disease, which of the following would be a possible explanation?
a.
Vertical
gene transfer, such as conjugation, allowed it to acquire virulence genes
b.
Horizontal
gene transfer, such as binary fission, allowed it to regain the strength it had
before weakening
c.
Vertical
gene transfer, such as transduction, allowed viruses to carry genes into the
weakened pathogen
d.
Horizontal
gene transfer, such as transformation, allowed the pathogen to suck up desired
genes from others
e.
Spontaneous
generation of virulence factors, such as capsule formation, allowed the
weakened pathogen to strengthen
48.
Use
of a weakened pathogen as a vaccine has some drawbacks, including:
a.
Multiple
shots are required for full protection from disease
b.
Adjuvants
must be used to amplify the immune response to the vaccine
c.
Some
individuals could actually GET the disease from the vaccine
d.
The
allergic reaction associated with receiving the vaccine may be life-threatening
e.
The
process of weakening the pathogen may inadvertently INCREASE its virulence
49.
Which
of the following is true of Pasteur’s effect on the theories of the cause of
diseases:
a.
He
proposed the germ theory of disease, but Koch proved it
b.
He
proved the germ theory of disease, after Jenner proposed it
c.
He
proposed the germ theory of disease after his experiments with S-shaped flasks
in a competition
d.
He
was “scooped” by the proposal of the germ theory by Koch, Pasteur’s research
was slower
e.
Pasteur
was the primary scientist who supported the miasma theory of disease, which was
disputed by Koch
50.
_____________________
What disease was the very FIRST vaccine developed to protect against?
Vaccine type
|
Effectiveness (high to
low) & why
|
Risk (high to low) & why
|
Whole cell attenuated
|
||
Whole cell killed
|
||
Soluble Subunit
|
||
Recombinant whole cell attenuated
|
||
Recombinant whole cell non-pathogen
|
||
Recombinant soluble subunit
|
Review Sheet
for Final Test:
- Differentiate between HIV disease and AIDS. Describe the symptoms of each stage of HIV disease.
- Give the top 5 methods of transmitting HIV-1. Give 5 activities with a very low chance of transmitting the virus.
- Draw the HIV-1 viral structure, and illustrate the life cycle of the virus within the host cells.
- Differentiate between the five categories of anti-HIV drugs. Tell what stage of the HIV-1 life cycle each interrupts.
Review Questions on
Influenza
- What are the three basic types of influenza? Which of the three is involved in worldwide pandemics? Which is mainly involved in small, localized epidemics? Which one rarely causes human disease?
- Describe or draw the structure of Influenza type A. Relate the naming of subtypes to viral structure, and other factors involved in naming subtypes.
- What strain(s) of influenza is(are) found in the flu shot administered each year? Why do you need a new shot every year? Why is it possible to get the flu, even if you receive the vaccination, but NOT possible to get the flu FROM the shot?
- What are antigenic shift and antigenic drift? Why do these two processes make influenza more dangerous? Which process involves a greater increase in virulence of the virus to humans?
- Which animals (including humans) may share flu viruses easily? Which animals rarely share flu viruses? Which animals are considered to be reservoirs of human flu viruses?
- What is the scientific designation (name) of the particularly dangerous avian influenza strain now occurring in birds and rare human cases? What mutation is feared that would make it more dangerous to human populations?
- What problems exist with making a vaccine for this avian influenza strain?
Allergic Reactions The immune response overclocked…
Allergy-producing antigens = ________________
(In some people) these trigger production of __________
antibodies
Which bind to 3 cell types:
(remember 2 from inflammation + 1 new)
These 3 cells are found within all
epithelium/endothelium, and contain granules of _____________________________________.
Sensitization: (Leading
up to first allergic reaction) Fig.
18.1a
critical number of antibodies found
on above cells’ surfaces
Cell is “______________________________”
person is sensitized
Multiple exposures usually required to reach this number of
antibody molecules per cell
During allergic
reaction: Fig. 18.1b
Allergen causes binds
to____________ portions of cells and causes degranulation (release of chemicals
within vesicles in cells)
Release of granule chemicals (and
therefore symptoms) may be local (poison ivy, “hay” fever) or systemic
(anaphylactic reaction to bee sting)
Effects of degranulation: Table 18.1
- General _____________________
- Smooth muscle ______________________: causes
3. capillaries
_________________, and become __________________
4. __________________
secretion
Why do we have
allergies?
Use
of Immunology – Vaccine Production Table 17.3
Why are vaccines
given if not 100% safe?
Example: Measles,
Mumps, Rubella
Risks associated with disease:
Risks associated with vaccine:
Vaccine Production (PRINT OUT and complete Vaccine Type
Comparison Chart)
Whole cell vaccines:
_________________injected into your body
Attenuated = ______________
Effectiveness and why:
Risk level:
Killed or inactivated vaccines:
Effectiveness and why:
Risk level:
Soluble antigens (subunits): ________________ injected
into your body
Effectiveness and why:
Adjuvants
Risk level:
Recombinant vaccines:
created by_____________________ Fig. 17.2
Attenuated (pathogen):
Effectiveness and why:
Risk level:
Whole cell (non pathogen):
Effectiveness and why:
Risk level:
Soluble subunit:
Effectiveness and why:
Risk level:
Newest (coming soon?)
vaccine type:
Common vaccines used
today: Table
17.2
Topic 8a: HIV Disease and AIDS
(Acquired Immune Deficiency
Syndrome)
Global Impact of HIV / AIDS:
Origin of HIV-1
Probably entered humans from similar___________________
virus
in ____________________(geographical area) around
___________ (year)
–What
activity probably led to species-jumping?
–What
caused the virus to spread beyond small, contained outbreaks to become epidemic
and then pandemic?
Structure of HIV-1 (Box p. 726)
Genome: __________ identical (duplicate) strands of ____________.
Enzymes:
1-
2-
3-
3 surrounding layers:
Capsid
Layer of ___________________
proteins
Envelope (plasma membrane taken
from _______________________)
2 proteins make up peplomers:
–Head =
–Stalk =
HIV-1 Life Cycle (Fig. 25.19)
1- ATTACHMENT (Fig. 25.20)
Virus attaches to host cell by which peplomer part:
Host cell must have which 2 receptor molecules on its
surface:
Host cell types are mainly:
1-
2-
includes fixed cells such as:
3-
2-PENETRATION
Takes place by _____________________ of viral envelope and
host cell surface
Peplomer component which facilitates this:
(A)Drug types which
interferes with attachment and/or penetration:
3- REVERSE
TRANSCRIPTION (Fig. 25.17)
Viral genome ( __________) transcribed to complementary
viral ____________ using ________________ enzyme.
(B)Nucleoside reverse
transcriptase inhibitors (Base analogue): interferes with this step by: (Fig. 10.7)
(C) Non-nucleoside reverse transcriptase inhibitor: interferes with this step by:
4- INCORPORATION
Integration of viral DNA into host cell genome using
___________________ enzyme.
(D)_______________
inhibitor drugs block incorporation
5- SYNTHESIS
Transcription of incorporated viral DNA into viral ____________
.
Newly made strands produced are
used as
1-________________ copies for new
viruses
2-___________________ to be translated
into proteins
___________and _______proteins (peplomer parts) are produced
in cytoplasm and immediately go to cell membrane
____________________ and ________________ enzymes
Other proteins made in large multi-proteins to be cut into
small proteins with protease later
–Final
enzyme ________________
–capsid
building blocks =_______________
–stabilizing
proteins =_________________
6- ASSEMBLY
All viral components move to _________________________
7-RELEASE (BY
___________________)
envelope
and peplomers wrapped around multiprotein
and genome as virus leaves
(6B-ASSEMBLY
COMPLETED) Maturation
After leaving host cell, the large multi-proteins are cut
into individual proteins and folded to take their active form by the enzyme
______________________.
(E) Drug type
_____________ inhibitors prevent the cutting of this large protein
------------------------------------------------------------------------------------------------------------------------------------------------
Progression of HIV Disease Fig. 25.21
Stage one:
occurs ____________________ after infection
Symptoms are :
What is happening to CD-4 cells:
Stage two: occurs __________________ after infection
Symptoms are:
What is happening to CD-4 cells:
Stage three: occurs __________________ after infection
Symptoms are:
What is happening to CD-4 cells:
–_______________________
infections begin
Examples:
Stage four:
(also called _______________) occurs __________________ after infection
What is happening to CD-4 cells:
Symptoms include:
Why HIV/AIDS is unusual:
Why no vaccine:
Transmission depends upon many
factors:
Transmission of HIV
(Ranked in order of likelihood of infection)
(Ranked in order of likelihood of infection)
Topic 8b: Influenza
Influenza viruses
Type A:
Type B:
Type C:
Structure of Type A
(Box. p. 736)
Genome:
Enveloped
Two important peplomer types:
Hemagglutinin
Function:
Blocked
by drugs:
Neuraminidase
Function:
Blocked
by drugs:
Why do you need a new shot
every year?
The viruses change!
HA –
NA –
We identify flu viral types
by:
Flu “shot” is:
Flu-mist vaccine is:
3 Viral types seen in annual
seasonal vaccines are:
Two means of
genetic change in flu viruses: Fig. 25.38
Antigenic Drift
Antigenic Shift
Connections between human /
pig / bird flu viruses:
Why is the new H5N1 bird flu virus of concern?
Why is the new H1N1 swine flu virus of concern?
Where do flu viruses live between epidemics?