Lecture 9

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Question 1 of 55

What type of cells are fungi?= Eukaryotes

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Question 2 of 55

How do yeasts and moulds divide? (2)= Sexually, asexually

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Question 3 of 55

What is the composition of the well wall of fungi?= Glucans, mannans polymer

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Question 4 of 55

What is special about a fungal cell membrane?= Rich in sterols

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Question 5 of 55

What is a vacuole?= A large enzyme filled space within a fungal cell.

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Question 6 of 55

What organelles does a yeast cell have? (7)= Cell wall, cell membrane, endoplasmic reticulum, ribosomes, vacuole, mitochondria, nucleus

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Question 7 of 55

What does ergosterol do?= Maintains membrane fluidity in yeast cell

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Question 8 of 55

Which drugs target ergosterol? (4)= Amphotericin B, nystatin, imidazole, allylamines

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Question 9 of 55

How do amphotericin B and nystatin act on ergosterol?= Bind ergosterol, form pores, cell lysis

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Question 10 of 55

How do imidazole and allylamines act on ergosterol?= Inhibit enzymes in ergosterol biosynthesis

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Question 11 of 55

Which enzymes do imidazole and allylanines inhibit? (2)= Squalene, lanosterol

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Question 12 of 55

What other features of fungal cells to anti fungal treatments target? (2)= Glucan cell wall polymer, inhibition of cytosine deaminase (protein and DNA synthesis)

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Question 13 of 55

Which yeasts produce a capsule?= Cryptococcus neoformans

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Question 14 of 55

How do most yeasts grow?= ‘Budding'

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Question 15 of 55

What are the basic characteristics of yeast cells? (2)= Round/oval shape, unicellular

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Question 16 of 55

What are the basic characteristics of hyphal cells? (2)= Multicellular, branched (mycelia)

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Question 17 of 55

What are the basic characteristics of pseudohyphal cells?= Mycelia with nuclear division at mother daughter junction

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Question 18 of 55

What are the basic characteristics of chlamydospores?= Spherical, thick walled cells from distal ends of mycelial filaments

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Question 19 of 55

How do candida albicans yeasts grow? =Through hyphae

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Question 20 of 55

What are the types of mould growth/reproduction? (3)= Conidia, hyphae, ascospores

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Question 21 of 55

Which growth type utilises asexual reproduction (genetic clones)? =Conidia

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Question 22 of 55

Which growth type utilises sexual reproduction (genetically different offspring)?= Ascopores

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Question 23 of 55

What are the types of diseases caused by fungal infections? (3)= Skin infections, mucosal infections, invasive infections

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Question 24 of 55

What type of tissue is invaded by cutaneous mycoses? (3)= Skin, hair, nails

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Question 25 of 55

What are the diseases cutaneous mycoses produce? (4) =Tinea pedis, tine cruris, tinea corporis (ringworm), onychomycosis

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Question 26 of 55

What are examples of fungi that cause cutaneous mycoses? (4)= Trichophyton rubrum, epidermophyton floccosum, microsporum canis, dermatophytes

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Question 27 of 55

What is the main source for trichophyton and epidermophyton?= Human - human (clothing, towels, showers etc.)

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Question 28 of 55

What is the main source of microsporum canis?= Cats and dogs

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Question 29 of 55

What is the main difference between trichophyton and epidermophyton?= The size of the conidia. Microconidia in trichophyton, macroconidia in epidermophyton

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Question 30 of 55

What are the risk factors for fungal infection? (8)= Humidity, heat, perspiration, diabetes mellitus, obesity, friction from clothes, contaminated linen, pets

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Question 31 of 55

What are the symptoms of fungal infections? (2)= Itchiness, distinctive appearance

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Question 32 of 55

What are the diagnostic techniques of fungal infections? (2)= Microscopy, skin scrapings

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Question 33 of 55

What are the treatment options for fungal infections? (2)= Antifungal creams, systemic treatment

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Question 34 of 55

When are systemic treatments used? (2)= Severe cases, onychomycosis

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Question 35 of 55

What are prevention options for fungal infections? (4)= Avoid contact, dry thoroughly, treat pets, prevent chaffing

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Question 36 of 55

In which areas does thrush (candiasis) grow? (4)= Oral, vulvovaginal, penile, oesophageal

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Question 37 of 55

What is the major pathogen for thrush?= Candida albicans

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Question 38 of 55

How is oral candida albicans treated? (2)= Nystatins, imidazoles

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Question 39 of 55

How is vaginal candidiasis treated? (2) =Imidazoles, fluconazole

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Question 40 of 55

Describe the process of a Candida infection? (3)= Contact with carrier, immunosuppression/antibiotic treatment, colonisation, inflammation of mucosa

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Question 41 of 55

What are some systemic fungal infections? (3)= Aspergillosis, candidiasis, cryptococcal meningitis

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Question 42 of 55

What is the process of a systemic aspergillus infection? (4)= Airborne conidia, lungs, immunosuppression (HIV/cancer/transplant drugs)/previous lung infection, lung infection, haematogenous spread to other organs.

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Question 43 of 55

What are the diagnostic techniques of a systemic aspergillosis infection? (4) =Microscopy, culture, PCR, galactomannan EIA

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Question 44 of 55

What is the mortality rate of systemic untreated aspergillosis? = ~100%

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Question 45 of 55

What are the treatment options fo aspergillosis?= IV voriconazole

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Question 46 of 55

What is the process of a systemic mucosal candida infection? (3) =Mucosal candida, immunosuppression, haematogenous spread to other organs.

Question 46 of 55

Question 47 of 55

What are the diagnostic procedures for a systemic candida infection? (2)= Microscopy, culture

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Question 48 of 55

What are the treatment options for systemic candidiasis? (2)= Fluconazole, echinocandin

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Question 49 of 55

What is the infection process for cryptococcus meningitis? (6)= Cryptococcus basidospores in bird (pigeon) faeces inhaled, lungs, immunosuppression, lung infection, haematogenous spread, meningitis

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Question 50 of 55

What are the diagnostic techniques of cryptococcus meningitis? (3)= Microscopy, culture, EIA

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Question 51 of 55

What conditions do moulds in homes exacerbate? (3)= Asthma, allergies, mental health

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Question 52 of 55

What are the treatment options for cyptococcus? (2)= Amphotericin B, 5 Fluorocytosine

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Question 53 of 55

What types of moulds grow in homes? (3)= Aspergillus, cladosporium, penicillium

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Question 54 of 55

How does indoor fungi affect asthma? (2)= Increases development, exacerbates

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Question 55 of 55

How does having fungi in the home change your risk for developing asthma?= Risk increases by 1.36x

Question 55 of 55