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BIOLOGY 204 GENERAL MICROBIOLOGY INSTRUCTOR: Dr A. Hemsley ANTELOPE VALLEY COLLEGE FALL 2004 THEORY TEST 4 100 POINTS STUDENT NAME: ___________________________________ STUDENT I.D. NUMBER: _____________________________ • • • • • • • Perusal time = 10 minutes Test time = 105 minutes ANSWER ALL QUESTIONS Read ALL questions carefully during perusal time, you may write if you wish. Use the back of each sheet if you do not have enough writing space, but please label each answer. Question subheadings are NOT of equal points value. Points allocated for each subheading are shown at the end of the question. GOOD LUCK! QUESTION 1 (Total =10 points) Match entries in the left column with answers from the lettered choices in the right column. Write your letter choice to the far left of each question in the spaces provided. Use each answer only ONCE. (1 Point per correct pair) _____ 1. Antimicrobial drug that Inhibits mycolic acid synthesis a. Chloroquine _____ 2. Antimicrobial drug that Inhibits mycolic acid Incorporation b. Streptomycin _____ 3. Antibiotic with side effect of tooth yellowing c. Vancomycin _____ 4. Antibiotic with side effect of deafness d. Carbapenems _____ 5. Antibiotic class that resist penicillinase activity e. Isoniazid _____ 6. Toxic antibiotic used for cardiac infections f. Zidovudine _____ 7. Synthetic nucleotide analog used to treat HIV g. Praziquantel _____8. Antibacterial drug that inhibits protein synthesis h. Tetracycline _____ 9. Drug used in tapeworm treatment i. Ethambutol _____ 10. Drug used in the treatment of malaria j. Chloramphenicol page 1 QUESTION 2 (Total =10 points) Fill in the blanks in the following table: Cellular Target Microbe possessing this target Plasma membrane DNA Protein synthesis Bacteria Bacteria Bacteria Specific target molecule affected Drug exerting the damage Amphotericin B Penicillin Neomycin Sulfanilamide page 2 QUESTION 3 (Total =20 points) A. B. An insecure Hollywood starlet goes to a small private hospital for massive reconstructive plastic surgery to her face. She is sent home after the operations with instructions on how to keep her surgical sites clean, which she dismiises as too much trouble – her maid can look after such details.. Several days later she is admitted to the emergency room with headache, vomiting and dangerously low blood pressure. What pathogen may be causing these symptoms? (4) Suggest 2 possible reasons you suspect the pathogen that you named above. (4) Is the condition due to an infection or an intoxication? (2) A female patient is admitted to the emergency room with a urinary tract infection. Urine culture revealed a gram negative, non-lactose fermenting rod-shaped bacteria present in the urine. How might this bacterium have found its way into the urinary tract? (2) Suggest an identity for the bacterium (2) What advice would you offer the patient to avoid these infections? (2) C. (4) Describe the Limulus amebocyte lysate test, and explain its value. page 3 QUESTION 4 (Total =20 points) A. Describe the mechanism of action of the INTERFERON protein. (4) B. Describe the process of phagocytosis. (4) C. Provide one reason why steroidal anti-inflammatory drugs should be used as infrequently as possible? (2) D. List the four signs of the inflammatory response and explain the body reactions that have occurred to manifest each of these signs (8) E. Provide a brief description for the term OPSONIZATION (2) page 4 QUESTION 5 (Total =20 points) Fill in the blanks in the following sentences. (1 point per correct sentence) 1. Molecules that stimulate the immune response are known as____________________________. 2. Specific groups on a molecule that interact with the antigen binding site of an antibody are called ____________________________. 3. The cells of the humoral immune system compartment are called ____________________________. 4. The cells of the cellular immune system compartment are called ____________________________. 5. Immunity gained by exposure to a pathogen is known as____________________________ immunity. 6. Immunity gained by transfer of antibodies across the placenta is known as _______________________ immunity. 7. A very small antigen is known as a ____________________________. 8. Antibodies have 2 _______________________chains and 2________________________ chains per molecule. 9. The antibody class responsible for blood transfusion rejection is ____________________________. 10. The class of antibody found in exocrine secretions is ____________________________. 11. The class of antibody that is involved in allergic reactions is ____________________________. 12. The class of antibody first stimulated upon encounter with an antigen is ____________________________. 13. _________________ ________________ is the selection process which destroys immune cells that could attack our own tissues. 14. Lymphocytes whose main role is to activate killer cells to fight microbes are known as ____________________________. 15. Another name for CD4 cells is ___________________________ 16. Reactions between particulate antigens and antibodies will generate a/an ____________________________ reaction. 17. In the ELISA test, Ab/Ag binding is detected by ____________________________________________. 18. In the radioimmunoassay used to detect virus particles in the blood, a patient who does not have the suspected disease will generate a sample with a ____________________ radioactive count. 19. Vaccines work least well against the pathogens belonging to the _______________________ group. 20. The macrophages that help T cells recognize foreign antigens are called _____________________________ . page 5 QUESTION 6 (Total =20 points) A. Name and describe two important bacterial virulence factors (4) B. Name and describe two important fungal virulence factors (4) C. Describe two strategies viruses may use to increase their virulence (4) D. Describe three observable signs of viral damage to cells (6) E. What is the main mechanism of action of available antiviral drugs? (2) page 6