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T
T
MHC
T
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44 93-97
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Rapid Review
Dental
Microbiology and
Immunology
Owner
34 93-97
14
15
15
16
17 93-97
U l`WWLL ver09.0320
2
Type of Defense Mechanisms
A. ()
1.
2.
3.
IgM IgG -
4.
1st 2nd
B. ()
1.
2.
3.
4./(
tolerance)
A.
1.
a. C3a C5a
b. bradykinin
c.1st 2nd
2.
a. IL-1TNF-
IL-6
(pyrogens)
b. IL-12 TH (
)
B.
c. C9 MACC5b6789n
* C9 Tc
2.
C3bC4b
C3aC5a
C3aC5a
C3 C5 C3b
(membrane-attack complex; MAC)
A.
B
C3d
1.IgM IgG - B.
1.C1
2.(
)
B.
1.MAC
C.
a.MAC C5 C5
b. C6C7C8 C5b C5b678
2.C3 C5 DAFH I
* decay accelerating factor
3. C3a C5a
1. C1 C4
2. C5 C9
A.
1.(opsonins)
2.
3.
a.
b.
B.
C.
2.eosinophils
a.
b.
3.basophils mast cells
a.
b. IgE
c.
B.
1.
a.()
b. MHC CD4TH
c.(P.02)
d
e.
2.()
A.
1.neutrophils;PMNs (*polymorphonuclear)
a.
b.
T NK
C. dendritic cells
1. ex:IL-12
2. Langerhans
3. CD4TH CD8TC
6
D. (nature killer cellNK cell)
* MHC
(large granular lymphocytes;
* MHC
LGLs) B T
antigen-presenting cellsAPCs
1.NK
T
MHC T
A.
2.NK
MHC nave T
a.
1.TCR VDJ
* Tc perforin
* NK
TCR
MHC Tc MHC
b. antibody-dependent cellular cytotoxicity
* ADCC
NK Fc
E.
1.B
2.T T (TCR)
MHC
a.helper T cells; THCD4 MHC
b.cytolytic T cells; TcCD8 MHC
* major histocompatibility complex; MHC
MHC MHC
T
T TCR
2.
B. - nave T cell T
cell
a. T
B. T T
b.T APCs
1.CD4 CD8 T
(exCD28:B7 )
a.CD4 TH APCs MHC
b.CD8 Tc MHC
2. exCD2
T APCs T
3. exCD28CTLA-4
T
MHC
A. ( MHC)
1.
2.CD8 T
B. ( MHC)
1.
2.CD4 T
8
T
A. CD4 T
1.TH0
3.TH2 IL-4IL-5IL-6IL-10
a.()
b.
c.(IgE)
B. CTL
CD8 Tc cytotoxic T lymphocytes
1. CTL
a. perforin ( C9)
b.
apoptosis
2.CTL Fas Fas
MHC
A.
1.
a.IL-12 TH1
b.IL-4 TH2
2.TH1 IL-2
a. B.
b.
C.
c.()
2.10 T
CTL
3.
Graft-versus-host disease; GVHD
A.
B (antigen)
1. VL CL
2. VH CH1CH2
3.()
B. Fab Fc
1.Fab VLVH
2.Fc Fc
3. B
Fc
PMNs Fc
PMNsNK
Fc
IgE Fc
Fc
IgA Fc
(C1)
10
IgM
a. IgM()
1.
2. J
3.
4.(rheumatoid factor)()
b. IgM
B
IgA
(ex)
1. J
2.
3.
IgG
()
1.
2.
3.
4.IgG1
IgD
1. B
2. B
B
IgE
1.()
2.
3. Fc
A. B
A.
nave B (P.05)
B. -
1.naveB B.
CD4 TH
(IgM )
2.B B
C. -
1. TH B
C.
1.
2.
IgM
1.
2.
3.ABO
4.
2.
A.
B. (IgG)(P.04)
1. ELISA
* enzyme-linked immunosorbent assay
RIA
2. EIA
C.
D.
E.
F.
(IgG IgM)
(IgM)
IgGE A
IgA
* enzyme immunoassay
G. -
11
12
A.
1.
2.NK
3.
4. IL-1IL-6TNF
5.APCs
B.
1.nave CD4 TH APCs MHC
2.nave B ++TH IgM
A. (immediate)
IgE
3. CD4 TH TH1TH2
4.CD8 Tc (
MHC )
5.B
()()
a.TH1 IgG1
b.TH2 IgG IgE IgA
6.
7.
8.(TH1)
C.
B
1. Fc
IgE(*slow-reacting substance of anaphylaxis)
2. SRS-A
3. -
()
4. IgG IgE
B.
C.
1.
1.-
2.
2.
a.-MAC
3.
a. or
b. NK Fc
3.
b. 1-2
a.
c.
b.
D. (delayed-type)
c. RBC (Rh )
1. CD4TH1 IL-2 TNF
d.
2.
a.
b.CD8 Tc MHC
3.
13
14
A.
1.
2.AB
c.TH Tc
(extype I DM; insulin-dependent)
C. HLA
* human leukocyte antigens
B.
a.
b.
c.DNA
A.
1.
2.
3.
B.
MHC
1.
(exGraves disease; myasthenia gravis)
2.
a.
ADCC (P.06)
b.
(exsystemic lupus erythmatous ;SLE)
IL-1
IL-2
TH1
IL-3
TH
IL-4
TH2
IL-5
TH2
IL-6
IL-10
TH2
IL-12
IFN-
TH1 NK
TNF-
TNF-
TH1 Tc
TGF-
T B
15
16
(A)
(C)
(A)(2)(4)(B)(3)(5)(C)(1)(2)(D)(1)(4)
61.Atopic dermatitisallergic eczema
(C)
(A)IgG (B)IgM (C)IgE (D)IgA
63. B B B hepatitis B (D)
(B)
(D)
17
18
62.dental pulp periapical granuloma
(B)
(C)
(C) (D) B
56. J J chainimmunoglobulin (A)
(D)
63. lactoferrin
(A) (B) (C) (D)
64.neutrophil
(A) myeloperoxidase (B) lysozyme (C) defensins (D) IFN-
(A)
(D)
54. 7075%
(A) IgM (B) IgG (C) IgA (D) IgE
55.cytokine T
(A) IL-1 (B) IL-3 (C) IL-6 (D) IL-9
(B)
(A)
60.PCR (C)
(A)
(B)
(C) (D)
62.delayed type
(D)
(A) IL-1 (B) IL-2 (C) IL-6 (D) IL-10
63. IL-1interleukin-1
(D)
(A)macrophage
(B)osteoclast
(C)receptor (D)osteoblast
57.antigen presenting cell T T (B)
T-cell receptor T
(A) ClassMHC antigen (B) ClassMHC antigen (C) IgE (D) LFA-1
60. natural killerNK
(A) B lymphocyte (B) cytotoxic T lymphocyte
(C)
(D)
61.saliva
(D)
(B)
19
20
54. IL-2 T lymphokines
(D)
(A)
(B)
(4)(opsoinized)
(A)(1)(2)
(B)(2)(4)
(C)(2)(3)
(D)(2)(3)(4)
54.Dendritic cell
(A) (B) B (C) T (D)
55. immunoglobulin
(A)IgM (B)IgD (C)IgE (D)IgG
57. chemokine
(A)
(B)
(C) cellular matrix
(D) chemokine
63.periapical bone
lymphotoxin (B)TNF- (C)osteoclasts (D)IL-10
59. (immunodeficient)
(A) (killed bacteria)
(B) (attenuated live vaccine)
(C) (subunit vaccine) (D) (inactivated virus)
(A)
(A)
(A)
(D)
(B)
21
22
A.
1.nucleoid
a. DNA
(histone)
b.
2.
3.PLASMIDS
DNA
B.
G(+)
G(-)
G(+)cell wall
G(-)cell wall
G(+)
A.
1.
2.
B.
1.
2.
G(-)
C.
D.
1.
2.
3. EDTA
E.
(ex:
-lactamase)
Gram stain(+)=
Gram stain(-)=
ex:
A. mycolic acids
B.
Corynebacterium, Nocardia mycolic acid
C. mycolic acid acid-fast
stains
23
A.
B.
1.
a. obligate aerobes
b. anaerobes
c. facultative anaerobes
2.
a.
b.
A.
C.
1. DNA
1.DNA (replication origin)
2.operon
2. septum
a.
polycistron operons
D.
b. RNA
G(+)
c.lac
24
B.
F. exotoxin G(+) G(-)
1. plasmids DNA
G(-)
G(+)G(-)
2. bacteriophages
a. lytic phages
b. lysogenic phages
TNFIL-1IL-6
cAMP
()
3. transposons
DNA DNA
()
G. evasion
A.
1. encapsulation
B.
C.
D. ( bacteremia)
E. endotoxin= LPS G(-) cell wall
1.G(-)
2.
mediator
2.
3. IgA
4.IgG
5.G(-) O
6. DNA
a.
b.
c.
25
26
Gram-Positive Cocci
A. Staphylococcus
1.S. aureus
2.S. epidermidis
3.S. saprophyticus
B. Streptococcus
agar plate
1.S. pyogenes
2.S. agalactiae
3.Viridans group
4.S. penumoniae penumococcus
C. Enterococcus faecalis
Enterococcus faecium
B. Clostridium
()
1.C. perfringens
2.C. tetani
3.C. botulinum
4.C. difficile
C. Corynebacterium diphtheriae
1.B. anthracis
2.B. cereus
3.B. subtilis
4.
27
28
Gram-negative Rods
A. Lactose-Fermenting Enterobacteriaceae
1.Salmonella
2.Shigella
3.Yersinia pestis
4.Yersinia enterocolitica
5.Proteus mirabilis
B. Bordetalla pertussis
pertussis whooping cough
C. Heamophilus
1.H. influenza
2.H. ducreyi
D. Legionella pneumoplila
Gram-Negative, Oxidase-Positive Motile Rods
A. Pseudomonas aeruginosa
1.
2.
3.PseudomonasMycobacterium Legionella
B. Vibrio
1.V. cholerae
Gram-Negative Cocci and Coccobacilli
2.V. vulnificans
A. Neisseria
C. Campylobacter and Helicobacter
N. meningitidis N.gonorrhoeae
1.C. jejuni
N.
1.N. meningitidis
2.N. gonorrhoeae
2.H. pylori
29
A. pellicle
B. proliferation and aggregation
30
Pellicle
A.
D. supragingival plaque 3hrs
1. splint
1.A. israelliG(-) rod
2. bacterial colonization
2.VillonellaG(-) rod
3. bacterial colonization pellicle
3.:
bacteria intercellular matrix
S. mutansS. SanguisLactobacillus spA. Viscosus
4.pellicle
E. supragingivalG(+) saccharolytic
B. Pellicle G(+)streptococci
electrostatic
F. subgingivalG(-) saccharolytic and proteolytic
C. main componentglycoproten
D. pellicle Ca++
G.
E. dental plaque activity and component
1.oral bacteria H.
2.
3.oral bacteria dextranase(GTF)
a. plaque
b. adherencecell-cell
F. plaque pH 5.0 aciduric
S. mutans L. casei ()
1. G(-)
2.Actinomyces
S. salivariusS. Salivarius
dentaogingival margin
1. cocci
2.G(-) motile species
A.
1.dental plaque
Periodontitis
A. Adult periodontitis
1. P. Gingivalis Ab
2. immunological complex
cell-mediated immunity
3.bacterial component or products
4.gingivaalveolar bonePDL
a.spore
B. ANUG
b.endotoxin hyaluronidase
1.
c.productpolysaccharide and polypeptides
a.Bacteroides intermedius 8-15%
d.capsule abscess formation
b.unnamed intermediate spirochetes
no abscess
2.ANUG
e.extracellular polysaccharide
a.Bacterial zonemost superficial
B.
*small intermediate size rods
1.Bacteroides intermedius
*large spirochete
2.Actinobacillus actinomycetemcomitans
5%-10%CO2
3.Porphyromonas gingivalis IL-8 PMNs
4.Fusobacterium
5.Spirochetes
6.Lactobacillus
*B. Intermedius pregnancy gingivitis
estradiol progesterone
b.Neutrophilrich zone
*numerous spirochetes
*Rod shaped bacteria interspersed between PMNs
c.Necrotic zone
*necrotic tissue
*spirochetesrods
d.Zone of spirochetal infiltration (deepest area)
C. A. a serotype b
31
Streptococcus mitis
Streptococcus snaguis
Staphylococcus epidermidis
Rathia dentocariosa
Actinomyces viscosus
Actinomyces naeslundii
Small spirochetes
A.
B.
C.
D.
32
6.enamel cariesS. mutans(in plaque)
Lactobacilli(in saliva)
7.pulpitisperiapical periodontitisAnachoresis
8.Nocardia
A. anaerobes G(-)Bacteroides
B. anaerobes
G(+) cocci total flora 2/3
1.
filamentous formssmall spirochetesfusiform
2.
motile rods
C. Periapical infection of endodontic origin
G(-)
1.acuteacute apical periodontitis
gingival crevice fluid
acute alveolar abscess
2.chronicperiapical granuloma
periapical cyst
3. LPS endotoxinlipopolysaccharide
type II collagen
Mycobacteria
A. Rickettsia
(acid-fast stain)
1.R. rickettsii
A. Mycobacterium Tuberculosis
Rocky mountain spotted fever
1.
2.R. typhi
endermic/murine typhus
2.
B. Brucella
3.(tubercles)
C. Francisella tularensis tularemia
4. TH1 D. Listeria monocytogenes
1.
B. Atypical Mycobacteria
a.
C. Mycobacterium leprae
b.()
1.TH1 (tuberculoid)
2.
2.TH2 (lepromatous)
Chlamydia
A. C. trachomatis
B. C. psittaci
C. C. pneumoniae
a.granulomatosis infantiseptica
b.
2-3
()
33
34
53.Streptococcus pyogenespharyngitis
(C)
(A)
(D)
53.mutation
(A) DNA
(B) X-ray thymine dimers
(C)Ethidium bromide DNA
(B)
(D)suppression
59. progressive periodontitis
(B)
(A)Mitsuokella
(B)Tannerella forsythensisBacteroides forsythus
(C)Prevotella oralis
(D)Eikenella corrodens
64.biological indicator (A)
(A)Bacillus
(B)Staphylococcus
(C)E. coli
(D)Clostridium
53.
(B)
(A)
(B) pyrimidine dimer DNA
(C)
(D)enzyme
54.operonoperon
(A)
(A)operon
(B) lac operon lactoseoperator
(C)lac operon attenuation
(D) lac operon repressor
35
36
61.
(A)
(B)
(C) 12120
63.autoclave
(A)121C3 (B)121C15 (C)160C3 (D)160C15
58. Streptococcus pneumoniae colonization
(A) (B) (C) (D)
60. 5% -10% CO2
(A) Actinobacillus actinomycetemcomitans
(B) Prevotella intermedia
(C) Porphyromonas gingivalis
(D) Fusobacterium nucleatum
61. pH 5.0
(A) Streptococcus salivarius
(B) Actinomyces viscosus
(C) Streptococcus mitis
(D) Lactobacillus casei
62. Porphyromonas gingivalis
(A)
(B) negative trypsin-likeBANAactivity
(C)black-pigmented Bacteroides
(D)collagen
(D)
(B)
(C)
(A)
(D)
(B)
56.
(A)Yersinia enterocolitica
(B)Campylobacter jejuni
(C)Salmonella typhi
(D)
(D)Helicobacter pylori
58.Streptococcus 19
(A) (B) (C) DNA (D)
59.Actinobacillus actinomycetemcomitans
(A) T
(B) B
(C)leukotoxin (D)cytokine
61.acute necrotizing ulcerative gingivitis
(A) P. intermedia spirochetes
(B)
(B)
(C)
(C)
(C)necrotic zonespirochetes
(D) HIV
53.
(B)
(A)capsule
(B)lipoteichoic acid
(C)lipopolysaccharide (D)
54. 25 12
(A)
(A)
(B)
(C)
(D)
Streptococcus pyogenes
Clostridium difficile
Salmonella enteriditis
Shigella dysenteriae
37
38
55.
(B)
(B)
63.
(B)
(A) Staphylococcus epidermidis (B) E. coli (C) Fungi (D) Micrococcus luteus
64.
(A) (B) (C) (D)
55.replicon
(A)plasmid (B)phage(C)chromosome (D)transposon
57.exotoxin
(A) (B)
(C)
(D)high immunogenic
58.periodontopathic organisms
(A)Capnocytophaga chemotaxis of neutrophils
(B)P. gingivalis immunoglobulin and complement proteins
(C)association
(D)P. micros invasion
59.plaquepellicle
(A)gram-negative Streptococcus
(B)gram-positive Streptococcus
(C)gram-positive rods
(D)filamentous bacteria
(A)
(D)
(C)
(D)
(B)
64.rubber dam
(A)plaque bacteria (B)salivary bacteria (C)dental unit water bacteria (D)periodontal bacteria
55.exotoxin
(A)toxic shock syndrome (B)scarlet fever
(C)typhoid fever
(C)
(C)
(D)botulism
56.flagella
(B)
(A)(B)(C)(D)
57.hemin
(A)
(A)Porphyromonas gingivalis
(B)Treponema denticola
(C)Capnocytophaga
(D)Streptococcus mutans
(A)
59.maturation
(A)colonization
(B)
(C)filamentous
(D)crevicular fluidhemin
61.hippurate
(A)Fusobacterium nucleatum (B)Fusobacterium periodonticum
(C)Fusobacterium alocis
(D)Fusobacterium sulci
63.collagenasecollagen
(B)
(B)
(A)Eikenella corrodens
(B)Porphyromonas gingivalis
(C)S. sanguis
(D)Lactobacillus
39
40
64. Peptostreptococcus microsP. micros P. micros (B)
(A)
(B)
(C)
(D)
(C)
(C)
49.
(B)
(A)Clostridium difficile (B)Helicobacter pylori(C)Salmonella typhimurium (D)Listeria monocytogenes
50.pharyngitis
(A)
(A)Streptococcus pyrogenes (B)Mycoplasma pneumoniae(C)Hemophilus influenzae (D)Legionella pneumophila
52.Septicemia
(A)Escherichia coli (B)Streptococcus oralis (C)Staphylococcus aureus (D)Bacteroides fragilis
53.dentin
(A)Lactobacillus (B)Actinomyces (C)Streptococcus (D)Veillonella
(A)
54.initiation
(A)
(A)
(B)
(C)
(A)
(A)
(A)
(B)
(C)
(D)
42. (dental plaque) (glucan) glucan (B)
(C)
41
42
44. Treponema
(C)
(1)
(2) Streptococcus
(3) flagella
(4)
(A)(1)(2)(3)
(B)(2)(3)(4)
(C)(1)(3)(4)
(D)(1)(2)(4)
46.
(A) bacteria peptidoglucan
(B) bacteria chromosome (circular form)
(C)bacteria cell membrane ATP
(D)bacteria
48. mutans streptococci
(A)Streptococcus rattus
(B)Streptococcus mutans
(B)
(B)
(D)
(C) (D)
50. Actinobacillus actinomycetemcomitans (A.a)
(A)A.a serotype a (B)A.a serotype b (C)A.a serotype c (D)A.a serotype d
(B)
51.
(B)
(A)Streptococcus mutans (B)Streptococcus salivarius (C)Streptococcus sanguis (D)Streptococcus mitis
52.
(A)
(A)Veillonella spp.(B)Eikenella corrodens(C)Campylobacter rectus(D)Actinobacillus actinomycetemcomitans
53.Porphyromonas gingivalis (host response)
(1) (capsule)
(2)(leukotoxin)
(3)catalase (protease)
(A)(1)(2)
(B)(1)(4)
(C)(2)(4)
(D)(2)(3)
56.
(A)Actinobacillus actinomycetemcomitans
(B)Prevotella intermedia
(B)
(B)
(C)Bacteroides forsythus
(D)Fusobacterium nucleatum
43
44
93-97
56.thrushdenture stomatitis
(A)Human herpesvirus 1(B)Coxsackievirus
(C)Candida albicans
(D)Treponema pallidum
(C)
4.blastomycosis
(B)
(C)
(D)
(D)
(C)
(D)
54.sexual intercoursetransplacental
(A)cytomegalovirus
(B)rubella virus
(C) B hepatitis B virus (D)mumps virus
(D)
57.
(A) Microsporum canis
(B) Trichophyton schoenleinii
(C) Epidermophyton floccosum (D) Aspergillus flavus
(D)
(C)
(B)
(B)
(D)
infectious mononucleosis
Burkitts lymphoma
oral hairy leukoplakia
Kaposis sarcoma
45
46
62. B
(C)
(A)
(B)
(C)high risk group
(D) B
60.angular cheilitis
(A)
(A)Candida albicans
(B)Capnocytophaga sputigena
(C)Actinomyces viscosus (D)Lactobacillus caseii
53. yeast
(B)
(A) chitin ergosterol (B) ascospores
(C) nuclei mitochondria
(D) endotoxin exotoxin
58. 6 X
(B)
(A)Parainfluenza virus (B)Rotavirus
(C)Adenovirus
(D)Respiratory syncytial virus
60. 20 CD4+ 120/mm3 (B)
300-1,200
(A)Influenza A virus
(B)Mycobacterium pneumonia
(C)Mycoplasma pneumonia (D)Chlamydia pneumonia
62.genomem RNA
(A)Double-stranded DNA viruses
(B)Double-stranded RNA viruses
(C)Plus-stranded RNA viruses
(D)Minus-stranded RNA viruses
(C)
41. B
(A)1-3% (B)5-10% (C)15-20% (D)30-50%
42. B
(A)C (B)D (C)E (D)G
(B)
(C)
(A)Epstein-Barr virus
(B)Cytomegalovirus
(C)Herpesvirus 8 HHV-8(D)Candidiasis
48.
(A)Hepatitis B
(B)Mycobacterium tuberculosis
(C)Bacillus subtilis (D)Creutzfeldt-Jakob disease particle
(D)
(B)
(D)
(A)
(D)
(C)
(C)
(C)
(D)
47
48
58. (herpes virus)
(A)
(A) (cytomegalovirus)
(B) (varicella zoster virus)
(C)EB
(D)A (hepatitis A virus)
60. (common cold)
(A) (mumps)
(B) (influenza virus)
(C)EB
(D) (rhinovirus)
(D)
^^
by